title: 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 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.
authors: Department of General Surgery, Jinling Hospital, Medicine School of Nanjing University, 305 East Zhongshan Road, Nanjing, Jiangsu Province, China.
authors: Min
authors: M
authors: Li
authors: Department of General Surgery, Jinling Hospital, Medicine School of Nanjing University, 305 East Zhongshan Road, Nanjing, Jiangsu Province, China.
authors: Jianan
authors: J
authors: Ren
authors: Department of General Surgery, Jinling Hospital, Medicine School of Nanjing University, 305 East Zhongshan Road, Nanjing, Jiangsu Province, China.
authors: Weiming
authors: W
authors: Zhu
authors: Department of General Surgery, Jinling Hospital, Medicine School of Nanjing University, 305 East Zhongshan Road, Nanjing, Jiangsu Province, China.
authors: Yousheng
authors: Y
authors: Li
authors: Department of General Surgery, Jinling Hospital, Medicine School of Nanjing University, 305 East Zhongshan Road, Nanjing, Jiangsu Province, China.
authors: Yunzhao
authors: Y
authors: Zhao
authors: Department of General Surgery, Jinling Hospital, Medicine School of Nanjing University, 305 East Zhongshan Road, Nanjing, Jiangsu Province, China.
authors: Jun
authors: J
authors: Jiang
authors: Department of General Surgery, Jinling Hospital, Medicine School of Nanjing University, 305 East Zhongshan Road, Nanjing, Jiangsu Province, China.
authors: Jieshou
authors: J
authors: Li
authors: Department of General Surgery, Jinling Hospital, Medicine School of Nanjing University, 305 East Zhongshan Road, Nanjing, Jiangsu Province, China. Electronic address: liningrigs@vip.sina.com.
authors: Ning
authors: N
authors: Li
mesh_terms: D000293:Adolescent; D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D016063:Blood Loss, Surgical; D002648:Child; D002675:Child, Preschool; D002681:China; D013505:Digestive System Surgical Procedures; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D007415:Intestinal Obstruction / Q000517:prevention & control*; D007421:Intestine, Small; D008297:Male; D008875:Middle Aged; D011183:Postoperative Complications / Q000517:prevention & control*; D012189:Retrospective Studies; D013165:Splints; D016019:Survival Analysis; D000267:Tissue Adhesions / Q000517:prevention & control*
keywords: Adhesive small bowel obstruction; Long intestinal tube; Recurrence; Splinting