Long naso-intestinal tube decompression versus octreotide in the treatment of early post-operative inflammatory ileus / 中华外科杂志
Chinese Journal of Surgery
; (12): 564-568, 2010.
Article
de Zh
| WPRIM
| ID: wpr-254758
Bibliothèque responsable:
WPRO
ABSTRACT
<p><b>OBJECTIVE</b>To evaluate and compare the effect of naso-intestinal tube decompression and octreotide in conservative management of early post-operative inflammatory ileus (EPII).</p><p><b>METHODS</b>From March 2005 to January 2009, forty-five patients diagnosed with EPII, who failed to improve with conventional conservative management including nasogastric tube decompression, were enrolled in this study. All patients were prospectively nonrandomized into naso-intestinal tube group (n = 23) or Octreotide group (n = 22). The outcomes were compared between nasogastric tube, naso-intestinal tube and Octreotide groups.</p><p><b>RESULTS</b>All the forty-five patients with EPII refractory to conservative management with nasogastric decompression were treated successfully with the naso-intestinal tube decompression or octreotide in 3-12 days. Compared with the Octreotide group, the first passage of flatus was earlier [(4.7 +/- 1.9) d vs (6.7 +/- 1.6) d] and abdominal circumference recovered faster [(90.4 +/- 2.0)% vs (95.1 +/- 1.3)%] in the naso-intestinal tube group (P < 0.05). But the volume of cumulative and daily gastrointestinal decompression were more in naso-intestinal tube group than those in Octreotide group [(4037 +/- 1155) ml vs (3316 +/- 1038) ml; (890 +/- 181) ml vs (492 +/- 83) ml; P < 0.05].</p><p><b>CONCLUSIONS</b>Patients with EPII could be safely and effectively managed by naso-intestinal tube decompression or octreotide. It is possible for those patients to avoid second laparotomy. Naso-intestinal tube decompression and octreotide are associated with faster recovery and less fluid loss respectively.</p>
Texte intégral:
1
Indice:
WPRIM
Sujet Principal:
Complications postopératoires
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Chirurgie générale
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Thérapeutique
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Octréotide
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Études prospectives
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Résultat thérapeutique
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Décompression
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Utilisations thérapeutiques
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Abdomen
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Occlusion intestinale
Type d'étude:
Observational_studies
Limites du sujet:
Adult
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Aged
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Aged80
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Female
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Humans
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Male
langue:
Zh
Texte intégral:
Chinese Journal of Surgery
Année:
2010
Type:
Article