書誌事項
- タイトル別名
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- CLINICAL CHARACTERISTICS OF SMALL BOWEL OBSTRUCTION WITHOUT A HISTORY OF ABDOMINAL SURGERY
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説明
Determining the cause of small bowel obstruction in patients who have not undergone abdominal surgery is difficult and can result in a delay of treatment. Out of 295 consecutive patients with small bowel obstruction treated surgically at our hospital during a 7-year period 1998-2004, 36 had neither a palpable strangulated hernia nor a history of laparotomy. We investigated the timing of surgery and necessity of bowel resection in these 36 patients. Small bowel obstruction was caused by adhesive bands in 12 patients, obturator hernia in 10, internal hernia in 5, food-induced obstruction in 4, intussusception in 4, and volvulus in 1, and all except the food-induced obstruction were precisely diagnosed by means of computed tomography. Fourteen of the 36 patients required intestinal resection. Significant differences observed between the 14 patients who required resection and the remaining 22 who did not were in the duration of symptoms before surgery and surgical treatment within 24 hours after admission. These findings suggest that computed tomography diagnosis and surgical intervention within 24 hours after admission can prevent unnecessary resection in patients with small bowel obstruction and no prior laparotomy.
収録刊行物
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- 日本臨床外科学会雑誌
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日本臨床外科学会雑誌 67 (4), 741-745, 2006
日本臨床外科学会
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詳細情報 詳細情報について
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- CRID
- 1390001204848118144
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- NII論文ID
- 10018015135
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- NII書誌ID
- AA11189709
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- ISSN
- 18825133
- 13452843
- http://id.crossref.org/issn/13452843
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- 本文言語コード
- ja
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- データソース種別
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- JaLC
- Crossref
- CiNii Articles
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- 抄録ライセンスフラグ
- 使用不可