Surgical treatment for idiopathic abdominal cocoon.
- Author:
Yi LI
1
;
Ning LI
;
Wei-ming ZHU
;
Jian-feng GONG
;
Wei ZHANG
;
Li-li GU
;
Lu-gen ZUO
;
Jie-shou LI
Author Information
- Publication Type:Journal Article
- MeSH: Adolescent; Adult; Aged; Female; Humans; Ileus; prevention & control; Male; Middle Aged; Peritoneal Fibrosis; surgery; Postoperative Complications; prevention & control; Retrospective Studies; Young Adult
- From: Chinese Journal of Surgery 2013;51(2):139-141
- CountryChina
- Language:Chinese
-
Abstract:
OBJECTIVETo investigate diagnosis and treatment of abdominal cocoon.
METHODSClinical data of patients received treatment for abdominal cocoon from January 2000 to January 2011 was retrospectively analyzed.
RESULTSA 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.
CONCLUSIONSAppropriate 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.
