Diagnosis and Surgical Treatment of Adhesive Intestinal Obstruction after Spinal Cord Injury: 35 Cases Report

VernacularTitle:脊髓损伤后粘连性肠梗阻35 例报道①
Author: Zhihua LONG ; Fei GAO ; Qing XU
Publication Type:Journal Article
Keywords: spinal cord injury, adhesive intestinal obstruction, neurogenic bowel dysfunction
From: Chinese Journal of Rehabilitation Theory and Practice 2015;21(8):982-985
CountryChina
Language:Chinese
Abstract: Objective To analyze the clinical characteristics of spinal cord injury patients with postoperative adhesive intestinal obstruction, and summarize the clinical experience of diagnosis and treatment. Methods 35 spinal cord injury patients with postoperative adhesive intestinal obstruction in our department from August 2008 to August 2013 were reviewed. Results All of them had a history of abdominal surgery for various reasons, 22 cases received sigmoid colon pouch procedure and 13 cases received cholecystectomy. 25 cases suffered T10-L1 spinal cord injury, 10 cases suffered cervical spinal cord injury; 26 cases (74.3%) received non-operative treatment and recovered, 9 cases (25.7%) were transferred to surgery. Conclusion There is no typical clinical symptom and sign in spinal cord injury patients with adhesive intestinal obstruction after abdominal surgery, so early diagnosis is difficult, and the imaging examination is necessary. When non-operation treatment is not effective to these patients, surgical treatment should be timely carried out.