[Multimordality of cluster treatment strategy for early postoperative inflammatory small bowel obstruction].
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.
Department of Stomach Colorectal Surgery, The First Hospital, Jilin University, Changchun 130021, China. suojian0066@126.com.
Da-guang
DG
Wang
Yang
Y
Zhang
Liang
L
He
Yan
Y
Chen
Jin-hai
JH
Yu
Xuan
X
Sun
Li-xin
LX
Wang
Jian
J
Suo
D000293:Adolescent; D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D002648:Child; D002675:Child, Preschool; D003131:Combined Modality Therapy; D005260:Female; D006801:Humans; D007415:Intestinal Obstruction / Q000628:therapy*; D008297:Male; D008875:Middle Aged; D011183:Postoperative Complications / Q000628:therapy*; D012189:Retrospective Studies; D016896:Treatment Outcome; D055815:Young Adult