Nasal obstruction tube early postoperative inflammatory ileus in the elderly Treatment.doc

 PAGE \* MERGEFORMAT 7 Nasal obstruction tube early postoperative inflammatory ileus in the elderly Treatment Study: Double Liuyu Jia Wu He Ping Wang Libo Keywords: nasal obstruction tube; inflammatory intestinal obstruction; after Early postoperative inflammatory ileus (EPISBO) is gradually being recognized in recent years, a special type of intestinal obstruction, abdominal surgery in early (after 2 w), as abdominal surgery or abdominal trauma and other causes of inflammation led to the formation of the intestinal wall edema and exudation of a mechanical-exist with the power of adhesion ileus 1. In the treatment of specific pathological mechanism of the disease, short-term risk of re-operation within the large, easily lead to the aggravation of symptoms, and even the formation of intestinal fistula, short bowel and other serious complications 2, it is based on conservative therapy. In improving the general state of patients on the basis of effective treatment of decompression is the key 3. This paper discusses the nasal obstruction tube in EPIBSO the role of non-surgical treatment. 1 Subjects and methods 1.1 Object Paper were collected from January 2007 to January 2009 in our hospital diagnosed 36 cases of EPISBO patients, 24 males and 12 females, mean age 73.2 years. Inclusion criteria: (1) after abdominal surgery within 2 ~ 4 w; (2) postoperative recovery after eating bloating, abdominal pain, discharge, bowel obstruction and other symptoms stop; (3) abdominal plain film or CT Tips a number of liquid and gas, or bowel edema and thickening of the surface, adhesion; (4) to exclude from the intestinal paralysis, abdominal hernia, volvulus, anastomotic stricture, bowel wall hematoma and other causes of mechanical intestinal obstruction. The group of 6 patients after radical resection of gastric cancer, colorectal cancer surgery in 9 cases, 4 patients after repair of abdominal trauma, appendicitis, 5 cases of postoperative intestinal adhes