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KMID : 0356019860010010064
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Koean Jounral of Critical Care Medicine
1986 Volume.1 No. 1 p.64 ~ p.70
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A Clinical Observation of Postoperative Adhesive Iieus
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Abstract
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A clinical observation was made on 212 cases of postoperative adhesive ileus, admitted to Chonnam National University Hospital during 5 years from Jan. 1985. The results were as follows:
1) The most prevalent age group was 6th decade in cases of 64(30, 19%) and male to female ratio was 2. 5: I,
2) The most common cause of postoperative adhesive ileus was appendectomy in 78 cases (36. 79%) and followed by gastric surgery in 40 case(18,87%), small bowel surgery 32 cases (15.09%), large bowel surgery 20 cases(9. 43%), and gynecological surgery 16 cases(3.30% )
3)The cardinal symptoms and signs were abdominal pain(79,92%),vomiting(69.81%), abdominal distension(64.02%), increased bowel sound(84.91%), abdominal tenderness(69.81%) and rebound tenderness(19, 81%).
4) The most prevalent interval from the previous operation to postoperative adhesive ileus was within 1 year.
5) As for the operative procedure of 100 cases(47. 17%), 52 cases were treated by enterolysis or band lysis, 38 cases by intestinal resection, 7 cases by intestinal bypass and 1 case by colostomy.
6) The site of obstruction was 88% in small bowel(37% in ileum) and 12% in large bowel.
7) The incidence of postoperative complication was 24 cases(24%) and most common complication was wound infection in 41.67%.
8) Overall mortality rate was 0.94% and postoperative mortality was 2%, The causes of death were sepsis with bleeding due to disseminated intravascular coagulation and renal failure.
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