Evaluation of risk of relapse of acute adhesive small-intestinal obstruction resolved in conservative way
Abstract
Aim of investigation. To reveal risk factors of a relapse of acute adhesive smallintestinal obstruction (AASIO) resolved conservatively, and to prove indications to planned adhesiolysis.
Material and methods. Analysis (by case records data) of conservative treatment of 82 patients with AASIO, discharged for 2001 to 2004 from city clinical hospital № 31 was carried out. Remote period was monitored in 50 cases. Observation time ranged from 3 to 7 years.
Results. AASIO relapse occurred in 54 % of patients. Risk factors of relapse included: presence of AASIO in past history, quantity of AASIO attacks in past history, leukocytosis, absence of pneumatosis of the large intestine, high volume of stomach aspirate, severe retardation of emptying of barium meal in the small intestine. The prognostic system for assessment of risk of AASIO relapse was generated.
Conclusions. Planned operative treatment of patients with AASIO conservatively resolved, is indicated to patients with high risk of relapse of disease. The differentiated approach at planning surgical adhesiolysis allows to avoid unreasonable surgical interventions and to improve quality of treatment of patients.
About the Authors
S. G. Shapoval’yantsRussian Federation
S. Ye. Larichev
Russian Federation
M. Ye. Timofeyev
Russian Federation
N. A. Soldatova
Russian Federation
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Review
For citations:
Shapoval’yants S.G., Larichev S.Ye., Timofeyev M.Ye., Soldatova N.A. Evaluation of risk of relapse of acute adhesive small-intestinal obstruction resolved in conservative way. Russian Journal of Gastroenterology, Hepatology, Coloproctology. 2009;19(6):34-38. (In Russ.)
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