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Zhonghua wei chang wai ke za zhi = Chinese journal of gastrointestinal surgery 2013-Sep

[Multimordality of cluster treatment strategy for early postoperative inflammatory small bowel obstruction].

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Da-guang Wang
Yang Zhang
Liang He
Yan Chen
Jin-hai Yu
Xuan Sun
Li-xin Wang
Jian Suo

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Resumo

OBJECTIVE

To explore the application of multimordality of cluster treatment strategy in early postoperative inflammatory small bowel obstruction.

METHODS

Clinical data of 31 cases of early postoperative inflammatory small bowel obstruction in our department from July 2007 to July 2011 were analyzed retrospectively. Multimordality of cluster treatment strategy was used in 13 cases (treatment group), and other non-surgical treatment was applied in 18 cases (control group). Efficacy and prognosis were compared between the two groups.

RESULTS

Four-day improvement rate was 76.9% (10/13) and 44.4% (8/18), and 7-day cure rate was 92.3% (12/13) and 77.8% (14/18) in the treatment group and the control group, respectively. The differences were statistically significant (both P<0.05). The recovery time of bowel sounds and flatus, defecation time, bloating-free time, oral intake time, abdominal CT intestine improvement time, and hospital stay were all significantly shorter in the treatment group as compared to the control group (all P<0.05).

CONCLUSIONS

Multimordality of cluster treatment strategy can effectively shorten the healing time of early postoperative inflammatory small bowel obstruction, which possesses a good clinical application prospect.

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