Document Detail


Acute mechanical intestinal obstructions.
MedLine Citation:
PMID:  20849053     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
BACKGROUND: In this study, we evaluated our treatment modality and timing of surgery in acute mechanical intestinal obstruction (AMIO) patients who were admitted to the emergency room. METHODS: Only patients with the diagnosis of AMIO were included in this study. Surgery was performed in patients with hemodynamic instability despite fluid resuscitation and peritoneal signs upon physical examination. Patients were divided into two groups. Adhesion cases were assigned to Group 1, while non-adhesion cases were assigned to Group 2. The decision to provide surgical or medical therapy was assessed 24 hours (h) after admission. RESULTS: Twenty-two patients in Group 1 and 53 patients in Group 2 underwent surgical procedures. The difference between the groups was statistically different (p < 0.05). The mean monitoring time after admission to the hospital was 128.3 +/- 24.85 h and 43.1 +/- 15.51 h in Groups 1 and 2, respectively (p = 0.0001). In Group 2, 76.6% of the patients who were monitored for over 24 hours required surgery. In contrast, this rate was only 36% in Group 1 (p < 0.05). CONCLUSION: Our clinical experience shows that medical therapy and monitoring over 24 hours is not a good substitute for surgical treatment of AMIO when the obstruction is not due to an adhesion.
Authors:
Hasan Fehmi Küçük; Hasan Ediz Sikar; Hüseyin Uzun; Firat Tutal; Levent Kaptanoğlu; Necmi Kurt
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Ulusal travma ve acil cerrahi dergisi = Turkish journal of trauma & emergency surgery : TJTES     Volume:  16     ISSN:  1306-696X     ISO Abbreviation:  Ulus Travma Acil Cerrahi Derg     Publication Date:  2010 Jul 
Date Detail:
Created Date:  2010-09-20     Completed Date:  2010-11-01     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  101274231     Medline TA:  Ulus Travma Acil Cerrahi Derg     Country:  Turkey    
Other Details:
Languages:  eng     Pagination:  349-52     Citation Subset:  IM    
Affiliation:
3rd Department of General Surgery, Kartal Training and Research Hospital, Istanbul, Turkey. hfkucuk@gmail.com
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MeSH Terms
Descriptor/Qualifier:
Abscess / epidemiology
Acute Disease
Female
Fistula / epidemiology
Humans
Infection / epidemiology
Intestinal Obstruction / drug therapy*,  surgery*
Male
Middle Aged
Postoperative Complications / classification,  surgery
Prospective Studies
Surgical Wound Dehiscence / epidemiology

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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