Long intestinal tube splinting really prevents recurrence of postoperative adhesive small bowel obstruction: a study of 1,071 cases
Abstract Background The aim of this study was to identify if long intestinal tube splinting could really decrease recurrent adhesive small bowel obstruction (ASBO) by survival analysis. Methods A retrospective analysis was performed on 1,071 patients who underwent operation for postoperative ASBO be...
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| Veröffentlicht in: | The American journal of surgery 2015-02, Vol.209 (2), p.289-296 |
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| creator | Li, Min, M.D Ren, Jianan, M.D., Ph.D Zhu, Weiming, M.D., Ph.D Li, Yousheng, M.D., Ph.D Zhao, Yunzhao, M.D Jiang, Jun, M.D Li, Jieshou, M.D., Ph.D Li, Ning, M.D., Ph.D |
| description | Abstract Background The aim of this study was to identify if long intestinal tube splinting could really decrease recurrent adhesive small bowel obstruction (ASBO) by survival analysis. Methods A retrospective analysis was performed on 1,071 patients who underwent operation for postoperative ASBO between December 2001 and 2008 at our unit. According to the risk factors of recurrent ASBO, all patients were divided into high-risk recurrence group and low-risk recurrence group regardless of whether they received tube splinting. The efficiency of tube splinting for reducing recurrence in each group was investigated, respectively. Results The risk of recurrent ASBO increased in the patients with perioperative blood loss of 300 mL or more. In the high-risk recurrence group, tube splinting can reduce recurrence ( P = .045). In the low-risk recurrence group, tube splinting had no influence on recurrence ( P = .91). Conclusions Long intestinal tube splinting can prevent recurrence of ASBO only in the patients with high risk of recurrence. |
| doi_str_mv | 10.1016/j.amjsurg.2013.10.027 |
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Methods A retrospective analysis was performed on 1,071 patients who underwent operation for postoperative ASBO between December 2001 and 2008 at our unit. According to the risk factors of recurrent ASBO, all patients were divided into high-risk recurrence group and low-risk recurrence group regardless of whether they received tube splinting. The efficiency of tube splinting for reducing recurrence in each group was investigated, respectively. Results The risk of recurrent ASBO increased in the patients with perioperative blood loss of 300 mL or more. In the high-risk recurrence group, tube splinting can reduce recurrence ( P = .045). In the low-risk recurrence group, tube splinting had no influence on recurrence ( P = .91). Conclusions Long intestinal tube splinting can prevent recurrence of ASBO only in the patients with high risk of recurrence.</description><identifier>ISSN: 0002-9610</identifier><identifier>EISSN: 1879-1883</identifier><identifier>DOI: 10.1016/j.amjsurg.2013.10.027</identifier><identifier>PMID: 25682094</identifier><language>eng</language><publisher>United States: Elsevier Inc</publisher><subject>Abdomen ; Adhesive small bowel obstruction ; Adolescent ; Adult ; Aged ; Aged, 80 and over ; Blood Loss, Surgical ; Child ; Child, Preschool ; China ; Confidence intervals ; Digestive System Surgical Procedures ; Female ; Follow-Up Studies ; Hospitals ; Humans ; Infections ; Intestinal Obstruction - prevention & control ; Intestine, Small ; Long intestinal tube ; Male ; Middle Aged ; Multivariate analysis ; Ostomy ; Postoperative Complications - prevention & control ; Recurrence ; Retrospective Studies ; Risk factors ; Splinting ; Splints ; Statistical methods ; Studies ; Surgery ; Survival Analysis ; Tissue Adhesions - prevention & control</subject><ispartof>The American journal of surgery, 2015-02, Vol.209 (2), p.289-296</ispartof><rights>Elsevier Inc.</rights><rights>2015 Elsevier Inc.</rights><rights>Copyright © 2015 Elsevier Inc. All rights reserved.</rights><rights>Copyright Elsevier Limited Feb 2015</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c448t-81acd904b2cb5ad7d45838ee5304d289d7f3f7b565181a8cde69059df4c330043</citedby><cites>FETCH-LOGICAL-c448t-81acd904b2cb5ad7d45838ee5304d289d7f3f7b565181a8cde69059df4c330043</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktohtml>$$Uhttps://www.proquest.com/docview/1654725379?pq-origsite=primo$$EHTML$$P50$$Gproquest$$H</linktohtml><link.rule.ids>314,780,784,3550,27924,27925,45995,64385,64387,64389,72469</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/25682094$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Li, Min, M.D</creatorcontrib><creatorcontrib>Ren, Jianan, M.D., Ph.D</creatorcontrib><creatorcontrib>Zhu, Weiming, M.D., Ph.D</creatorcontrib><creatorcontrib>Li, Yousheng, M.D., Ph.D</creatorcontrib><creatorcontrib>Zhao, Yunzhao, M.D</creatorcontrib><creatorcontrib>Jiang, Jun, M.D</creatorcontrib><creatorcontrib>Li, Jieshou, M.D., Ph.D</creatorcontrib><creatorcontrib>Li, Ning, M.D., Ph.D</creatorcontrib><title>Long intestinal tube splinting really prevents recurrence of postoperative adhesive small bowel obstruction: a study of 1,071 cases</title><title>The American journal of surgery</title><addtitle>Am J Surg</addtitle><description>Abstract Background The aim of this study was to identify if long intestinal tube splinting could really decrease recurrent adhesive small bowel obstruction (ASBO) by survival analysis. Methods A retrospective analysis was performed on 1,071 patients who underwent operation for postoperative ASBO between December 2001 and 2008 at our unit. According to the risk factors of recurrent ASBO, all patients were divided into high-risk recurrence group and low-risk recurrence group regardless of whether they received tube splinting. The efficiency of tube splinting for reducing recurrence in each group was investigated, respectively. Results The risk of recurrent ASBO increased in the patients with perioperative blood loss of 300 mL or more. In the high-risk recurrence group, tube splinting can reduce recurrence ( P = .045). In the low-risk recurrence group, tube splinting had no influence on recurrence ( P = .91). Conclusions Long intestinal tube splinting can prevent recurrence of ASBO only in the patients with high risk of recurrence.</description><subject>Abdomen</subject><subject>Adhesive small bowel obstruction</subject><subject>Adolescent</subject><subject>Adult</subject><subject>Aged</subject><subject>Aged, 80 and over</subject><subject>Blood Loss, Surgical</subject><subject>Child</subject><subject>Child, Preschool</subject><subject>China</subject><subject>Confidence intervals</subject><subject>Digestive System Surgical Procedures</subject><subject>Female</subject><subject>Follow-Up Studies</subject><subject>Hospitals</subject><subject>Humans</subject><subject>Infections</subject><subject>Intestinal Obstruction - prevention & control</subject><subject>Intestine, Small</subject><subject>Long intestinal tube</subject><subject>Male</subject><subject>Middle Aged</subject><subject>Multivariate analysis</subject><subject>Ostomy</subject><subject>Postoperative Complications - prevention & control</subject><subject>Recurrence</subject><subject>Retrospective Studies</subject><subject>Risk factors</subject><subject>Splinting</subject><subject>Splints</subject><subject>Statistical methods</subject><subject>Studies</subject><subject>Surgery</subject><subject>Survival Analysis</subject><subject>Tissue Adhesions - 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prevention & control</topic><topic>Intestine, Small</topic><topic>Long intestinal tube</topic><topic>Male</topic><topic>Middle Aged</topic><topic>Multivariate analysis</topic><topic>Ostomy</topic><topic>Postoperative Complications - prevention & control</topic><topic>Recurrence</topic><topic>Retrospective Studies</topic><topic>Risk factors</topic><topic>Splinting</topic><topic>Splints</topic><topic>Statistical methods</topic><topic>Studies</topic><topic>Surgery</topic><topic>Survival Analysis</topic><topic>Tissue Adhesions - prevention & control</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Li, Min, M.D</creatorcontrib><creatorcontrib>Ren, Jianan, M.D., Ph.D</creatorcontrib><creatorcontrib>Zhu, Weiming, M.D., Ph.D</creatorcontrib><creatorcontrib>Li, Yousheng, M.D., Ph.D</creatorcontrib><creatorcontrib>Zhao, Yunzhao, M.D</creatorcontrib><creatorcontrib>Jiang, Jun, M.D</creatorcontrib><creatorcontrib>Li, Jieshou, M.D., Ph.D</creatorcontrib><creatorcontrib>Li, Ning, M.D., Ph.D</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Biotechnology Research Abstracts</collection><collection>Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Medical Database (Alumni Edition)</collection><collection>Technology Research Database</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>Research Library (Alumni Edition)</collection><collection>ProQuest Central (Alumni Edition)</collection><collection>ProQuest Central UK/Ireland</collection><collection>ProQuest Central Essentials</collection><collection>ProQuest Central</collection><collection>ProQuest One Community College</collection><collection>ProQuest Central Korea</collection><collection>Engineering Research Database</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Central Student</collection><collection>Research Library Prep</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>Medical Database</collection><collection>Research Library</collection><collection>Research Library (Corporate)</collection><collection>Biotechnology and BioEngineering Abstracts</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central China</collection><collection>ProQuest Central Basic</collection><collection>MEDLINE - Academic</collection><jtitle>The American journal of surgery</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Li, Min, M.D</au><au>Ren, Jianan, M.D., Ph.D</au><au>Zhu, Weiming, M.D., Ph.D</au><au>Li, Yousheng, M.D., Ph.D</au><au>Zhao, Yunzhao, M.D</au><au>Jiang, Jun, M.D</au><au>Li, Jieshou, M.D., Ph.D</au><au>Li, Ning, M.D., Ph.D</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Long intestinal tube splinting really prevents recurrence of postoperative adhesive small bowel obstruction: a study of 1,071 cases</atitle><jtitle>The American journal of surgery</jtitle><addtitle>Am J Surg</addtitle><date>2015-02-01</date><risdate>2015</risdate><volume>209</volume><issue>2</issue><spage>289</spage><epage>296</epage><pages>289-296</pages><issn>0002-9610</issn><eissn>1879-1883</eissn><abstract>Abstract Background The aim of this study was to identify if long intestinal tube splinting could really decrease recurrent adhesive small bowel obstruction (ASBO) by survival analysis. Methods A retrospective analysis was performed on 1,071 patients who underwent operation for postoperative ASBO between December 2001 and 2008 at our unit. According to the risk factors of recurrent ASBO, all patients were divided into high-risk recurrence group and low-risk recurrence group regardless of whether they received tube splinting. The efficiency of tube splinting for reducing recurrence in each group was investigated, respectively. Results The risk of recurrent ASBO increased in the patients with perioperative blood loss of 300 mL or more. In the high-risk recurrence group, tube splinting can reduce recurrence ( P = .045). In the low-risk recurrence group, tube splinting had no influence on recurrence ( P = .91). Conclusions Long intestinal tube splinting can prevent recurrence of ASBO only in the patients with high risk of recurrence.</abstract><cop>United States</cop><pub>Elsevier Inc</pub><pmid>25682094</pmid><doi>10.1016/j.amjsurg.2013.10.027</doi><tpages>8</tpages></addata></record> |
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| subjects | Abdomen Adhesive small bowel obstruction Adolescent Adult Aged Aged, 80 and over Blood Loss, Surgical Child Child, Preschool China Confidence intervals Digestive System Surgical Procedures Female Follow-Up Studies Hospitals Humans Infections Intestinal Obstruction - prevention & control Intestine, Small Long intestinal tube Male Middle Aged Multivariate analysis Ostomy Postoperative Complications - prevention & control Recurrence Retrospective Studies Risk factors Splinting Splints Statistical methods Studies Surgery Survival Analysis Tissue Adhesions - prevention & control |
| title | Long intestinal tube splinting really prevents recurrence of postoperative adhesive small bowel obstruction: a study of 1,071 cases |
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