| Intestinal splinting for uncomplicated early postoperative small bowel obstruction: is it worthwhile? | |
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MedLine Citation:
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PMID: 8884295 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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BACKGROUND: Established indications (obstructing extensive fibrous adhesions) and contraindications (solitary band- and short segment midgut adhesive obstruction, purulence) of intestinal tube splinting have emerged from clinical practice. The benefit of tube splinting for early postoperative small bowel obstruction (SBO), however, is still a matter of debate. METHODS: From Jan 1980 until Dec. 1989, all patients undergoing relaparotomy for uncomplicated early postoperative SBO were randomized for enterolysis, gut decompression and repair (group A, 28 patients) or the same procedure plus tube splinting (group B, 28 patients). The patients were comparable with respect to gender, age and type of preceding operations; they were followed for 5-14 years or until death. RESULTS: In the early postoperative period, 3 incidences of reobstruction and 8 of other complications were observed in group A vs. 0 and 2, respectively, in group B. No patient died. During follow-up, one patient suffered late SBO, 2 patients recurrent partial SBO and one patient died of bowel perforation in group A vs two incidences of late SBO in group B. CONCLUSIONS: Intestinal splinting performed for early postoperative SBO rendered a significant reduction of early postoperative complications; the protective efficacy against early reobstruction was clinically apparent but reached borderline significance only. In respect to late intestinal complications, splinting was not superior to simple enterolysis. Early and late complications taken together and intestinal complications considered separately were significantly more frequent in patients without splinting. |
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Authors:
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K Meissner |
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Publication Detail:
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Type: Clinical Trial; Journal Article; Randomized Controlled Trial |
Journal Detail:
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Title: Hepato-gastroenterology Volume: 43 ISSN: 0172-6390 ISO Abbreviation: Hepatogastroenterology Publication Date: 1996 Jul-Aug |
Date Detail:
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Created Date: 1997-01-27 Completed Date: 1997-01-27 Revised Date: 2008-11-21 |
Medline Journal Info:
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Nlm Unique ID: 8007849 Medline TA: Hepatogastroenterology Country: GREECE |
Other Details:
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Languages: eng Pagination: 813-8 Citation Subset: IM |
Affiliation:
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Department of Surgery, District General Hospital, Tamsweg, Austria. |
Export Citation:
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APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
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Decompression, Surgical Female Follow-Up Studies Humans Intestinal Obstruction / epidemiology, therapy* Intestine, Small Intubation, Gastrointestinal* Male Middle Aged Postoperative Complications / epidemiology, therapy* Reoperation Stents* Time Factors Tissue Adhesions / surgery |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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