Old bezoar ileus Clinical analysis of non-surgical treatment.docVIP

 PAGE \* MERGEFORMAT 4 Old bezoar ileus Clinical analysis of non-surgical treatment Authors: Soviet-kai, Zhang Mingqing, Wang Aimin, MA Gui-fang, LI Xian-li, Yang Qing-Ping [Abstract] Objective To investigate the age-bezoar high enema colon obstruction and other non-surgical treatment of the safety and efficacy. Methods Retrospective analysis of 29 cases of senile bezoar colorectal obstruction in patients with clinical data. Results The patients with colon therapy machine to maintain high enema, and intravenous octreotide in the main, non-surgical treatment cured 27 cases; switch surgery in 2 cases. No patients suffered from intestinal perforation and die. Conclusion The high enema and colon therapy machine maintenance treatment of intravenous octreotide in senile bezoar colorectal obstruction, high safety, results were satisfactory. Senile bezoar colorectal obstruction is often a critical condition, often misdiagnosed, so early diagnosis and timely treatment, grasp the timing of surgery is to improve the therapy of this disease the key. [Keywords:] Aged; bezoar colorectal obstruction; colon therapy machine; high enema; Octreotide Abstract: Objective To investigate the clinical feature and treatment of stercoral obstruction of colon in elderly patients.Methods Twenty  nine elderly patients with stercoral obstruction of colon were analyzed retrospectively on the basis of clinical data.Results Twenty  seven patients were cured with colonic clyster and intravenous drip of octreotide acetate. The other two had to turn to surgical operation after colonic infusion. No one died of stercoral obstruction.Conclusion Conservative therapy, including colonic clyster and intravenous drip of octreotide acetate, is effective on most of the elderly with stercoral obstruction of colon. The key is to diagnose and treat it early, and to grasp the opportunity of surgical operation. Keywords:: stercoral obstruction of colon; elderly; diagnosis; colonic clyster; octreotide a