Complete release of intestinal loops followed by orderly alignment of freed loops in the treatment of severe tuberculous peritonitis complicated with intestinal obstruction
- VernacularTitle:全小肠分离排列术治疗严重结核性腹膜炎合并完全性小肠梗阻44例分析
- Author:
Jianmiao HE
;
Yongdong PU
;
Long HAI
- Publication Type:Journal Article
- Keywords:
tuberculosis, peritoneal;
intestinal obstruction;
surgical procedures, operative
- From:
Medical Journal of Chinese People's Liberation Army
2001;0(12):-
- CountryChina
- Language:Chinese
-
Abstract:
Objective To evaluate the technique of treating severe tuberculous peritonitis complicated with intestinal obstruction. Method Clinical data covering 44 cases from Jan. 1994 to Dec. 2004 were analyzed retrospectively. All the 44 cases were suffering from severe tuberculous peritonitis complicated with intestinal obstruction for a long time. Among them 36 cases were diagnosed pre-operatively and 8 cases were confirmed post-operatively. All the patients underwent laparotomy, and all intestinal adhesions were divided, then the intestine loops were regularly aligned. Result 43 cases were cured, 2 patients developed postoperative intestinal fistula, and one patient died. Conclusion No curative effect could be obtained if medical treatment only was given for tuberculous peritonitis complicated with complete intestinal obstruction. The present surgical technique offers a better chance to relieve intestinal obstruction as a reult of tuberculous peritonitis.
