Evaluation of 12 Bowel Obstruction Cases without Laparotomy History

  • SONODA Ichiro
    Department of Digestive Tract Surgery, Hachioji Medical Center, Tokyo Medical University
  • SUMI Tetsuo
    Department of Digestive Tract Surgery, Hachioji Medical Center, Tokyo Medical University
  • ISHIZAKI Tetsuo
    Department of Digestive Tract Surgery, Hachioji Medical Center, Tokyo Medical University
  • NOMURA Tomohisa
    Department of Digestive Tract Surgery, Hachioji Medical Center, Tokyo Medical University
  • OGATA Takashi
    Department of Digestive Tract Surgery, Hachioji Medical Center, Tokyo Medical University
  • YASUDA Yasuhiro
    Department of Digestive Tract Surgery, Hachioji Medical Center, Tokyo Medical University
  • KATSUMATA Kenji
    Third Department of Surgery, Tokyo Medical University
  • TSUCHIDA Akihiko
    Third Department of Surgery, Tokyo Medical University
  • SHIMAZU Motohide
    Department of Digestive Tract Surgery, Hachioji Medical Center, Tokyo Medical University
  • AOKI Tatsuya
    Third Department of Surgery, Tokyo Medical University

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Other Title
  • 開腹歴のないイレウス12例の検討

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We investigated whether a significant difference existed between subjects with a history of laparotomy (lap group) and without (nonlap group) and whether there are significant differences in the presence of systemic inflammatory response syndrome (SIRS) or the sequential organ failure assessment (SOFA) score between patients with simple ileus and those with strangulation ileus in the nonlap group. Of 66 subjects undergoing surgery for ileus from January 2001 to December 2006, 12 were in the nonlap group and 54 in the lap group. Of those in the nonlap group, 6 had strangulation ileus and 6 simple ileus. Significant differences were seen in heart rate, PaCO2, base excess, creatine phosphokinase and muscular defense between those with strangulation ileus and simple ileus in the nonlap group. Both lap and nonlap groups, diffcred significantly in SIRS and SOFA incidence between strangulation and simple ileus, suggesting that SIRS and SOFA scores may be useful in diagnosing strangulation ileus in the nonlap group.

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