Endoscopic catheterization of ileus tube combined enterectomy for the treatment of elderly patients with acute sigmoid volvulus:feasibility and efficacy
10.3969/j.issn.1006-5725.2017.24.019
- VernacularTitle:肠梗阻导管置入联合肠切除术治疗老年急性乙状结肠扭转的可行性及疗效
- Author:
Jiangnan DONG
1
;
Daiquan FU
;
Qingyun ZHU
;
wei Shi CHEN
;
Delin QIAO
;
Jun LI
;
Jiangqi LIU
;
Xiaoyan CAO
Author Information
1. 第二军医大学附属浦东新区公利医院普外科
- Keywords:
volvulus;
ileus;
endoscopic therapy;
ileus tube;
enterectomy
- From:
The Journal of Practical Medicine
2017;33(24):4097-4101
- CountryChina
- Language:Chinese
-
Abstract:
Objective To investigate the feasibility and efficacy of endoscopic catheterization of ileus tube combined enterectomy for the treatment of elderly patients with acute sigmoid volvulus. Methods From August 2015 to August 2017,27 cases of elderly patients with acute sigmoid volvulus received treatment of endoscopic placement of ileus tube combined enterectomy in Pudong New Area Gongli Hospital.Retrospectively collected clin-ic parameters of pre-catheterization,post-catheterization,enterectomy and postoperative follow-up;the success rate of catheterization and enterectomy,compression efficiency,post-operative complications,and efficacy of the com-bined therapy were analyzed. Results Emergency catheterizations of anorectal ileus tube were succeeded in 27 (100%)patients;one patient who developed intestinal gangrene received emergency enterectomy,the hemogram and internal environmental disturbance of the 26 cases were significantly relieved,and the efficacy rate of decom-pression was 96.3%. The success rate of was enterectomy was 100%;the incidence of severe complications and mortality were 22.2% and 3.7%,respectively. During the follow-up,2(7.4%)patients developed ileus,and the efficacy rate of the combined therapy was 85.2%. Conclusions The catheterization of ileus tube could effectively depress intestinal pressure. The success rate of enterectomy was significantly improved and postoperative mortality was reduced. The therapy of endoscopic ileus tube catheterization combined enterectomy is a safe and effective method for the treatment of acute sigmoid volvulus in the elderly.
