title: [Surgical treatment for idiopathic abdominal cocoon].
abstract: OBJECTIVE
  To investigate diagnosis and treatment of abdominal cocoon.
  
  
  METHODS
  Clinical data of patients received treatment for abdominal cocoon from January 2000 to January 2011 was retrospectively analyzed.
  
  
  RESULTS
  A total of 67 patients underwent treatment in our hospital were analyzed, the preoperatively diagnosis rate was only 47.8% (32/67). Patients who received preoperatively nutrition support have a lower postoperative complication (8/27 vs.13/20, χ(2) = 5.815, P < 0.05) and patients with less extent of intestine involved had a lower early postoperative inflammatory ileus (EPII) rate (9/25 vs. 1/22, χ(2) = 6.912, P < 0.05) when compared with large extent.
  
  
  CONCLUSIONS
  Appropriate perioperative management play an important role in the prognosis of abdominal cocoon. The main treatment is surgery while preoperatively nutrition support can reduce postoperative complications.
authors.affiliation: Research Institute of General Surgery, Nanjing University School of Medicine, Nanjing General Hospital of Nanjing Military Command, Nanjing 210002, China.
authors.forename: Yi
authors.initials: Y
authors.lastname: Li
authors.forename: Ning
authors.initials: N
authors.lastname: Li
authors.forename: Wei-ming
authors.initials: WM
authors.lastname: Zhu
authors.forename: Jian-feng
authors.initials: JF
authors.lastname: Gong
authors.forename: Wei
authors.initials: W
authors.lastname: Zhang
authors.forename: Li-li
authors.initials: LL
authors.lastname: Gu
authors.forename: Lu-gen
authors.initials: LG
authors.lastname: Zuo
authors.forename: Jie-shou
authors.initials: JS
authors.lastname: Li
mesh_terms: D000293:Adolescent; D000328:Adult; D000368:Aged; D005260:Female; D006801:Humans; D045823:Ileus / Q000517:prevention & control*; D008297:Male; D008875:Middle Aged; D056627:Peritoneal Fibrosis / Q000601:surgery*; D011183:Postoperative Complications / Q000517:prevention & control*; D012189:Retrospective Studies; D055815:Young Adult