Long intestinal tube splinting prevents postoperative adhesive small-bowel obstruction in sclerosing encapsulating peritonitisReportar como inadecuado




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BMC Gastroenterology

, 14:180

Intestinal disorders

Abstract

BackgroundSclerosing encapsulating peritonitis SEP is a rare cause of small-bowel obstruction. The optimal treatment for this condition remains controversial.

MethodsIn this study, we performed a retrospective analysis of the data of 44 patients who underwent surgery for SEP between December 2001 and 2008 at our hospital. The long-term follow-up data of the patients were assessed for the recurrence of adhesive small-bowel obstruction ASBO, and patient survival was assessed to evaluate the efficiency of tube splinting in the prevention of postoperative ASBO.

ResultsOf the 44 patients who underwent surgery for SEP, 33 underwent simple enterolysis along with tube splinting, while the remaining underwent only simple enterolysis. The median follow-up period was 79.4 ± 24.8 months range: 8–123 months. The rate of complications was 9.1% and 6.1% in the simple enterolysis group and tube-splinting group, respectively P = 0.73. The recurrence rate of ASBO was lower in the tube-splinting group 6.7% than in the simple enterolysis group 40% P = 0.02.

ConclusionOur findings indicate that tube splinting may be more useful than simple enterolysis alone in preventing the recurrence of ASBO in patients with SEP.

KeywordsSplinting Long intestinal tube Recurrence Adhesive small-bowel obstruction Sclerosing encapsulating peritonitis Electronic supplementary materialThe online version of this article doi:10.1186-1471-230X-14-180 contains supplementary material, which is available to authorized users.

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Autor: Min Li - Weiming Zhu - Yousheng Li - Jun Jiang - Jieshou Li - Ning Li

Fuente: https://link.springer.com/







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