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2001, Number 4

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Rev Hosp M Gea Glz 2001; 4 (4)

Factores pronósticos en oclusión intestinal por adherencias postoperatorias

León RD, Cárdenas LE, González MLE, Palacios RJA, Ramírez SME, Voirol GA, Coutté MAJ

Language: Spanish
References: 12
Page: 106-109
PDF size: 105.98 Kb.


ABSTRACT

Objective: To analyze clinical and paraclinical features of patients with intestinal obstruction and related laparotomy; to find out prognostic factors for the resolution.
Methods: We checked clinical files of patients with intestinal obstruction and a history of laparotomy between 1996 and 2001. Group 1: patients with resolution of the disease without surgery, group 2: patients who needed laparotomy and section of adhesions; we recorded and compared: number and type of surgery, time left since the last laparotomy, previous intestinal obstruction, previous section of adhesions and increased white blood cells (WBC) count and/or bands.
Results: 62 patients, 36 (58%) considered as group 1 and 26 (42%) group 2; only the increased WBC count showed significant differences: 13/36 (36%) group 1 vs 18/26 (69%) group 2 (p = 0.011, OR: 3.98).
Conclusions: The number of previous laparotomies, type of surgery, previous intestinal obstruction aren’t prognostic factors for intestinal obstruction. An increased WBC count, or bands at the time of hospitalization is the only factor which is associated with needing of laparotomy in these patients.


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