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Nasogastric decompression treats Small-Bowel obstruction: Expectant management usually successful.
SAN DIEGO -- Small-bowel obstruction after abdominal surgery can be expectantly managed using nasogastric decompression, Dr. Sharif H. Ellozy said at the annual meeting of the American Society of Colon and Rectal Surgeons.
Within 6 days, 22 of 23 cases managed expectantly resolved. The remaining case did not respond. "Exploration at this point seems warranted even in the absence of clinical deterioration," said Dr. Ellozy of Mount Sinai School of Medicine, New York.
He presented a prospective study of 242 consecutive patients followed for 30 days after abdominal surgery. There were 23 cases (9.5%) of early postsurgical small-bowel obstruction as defined by initial return of bowel function followed by crampy abdominal pain, vomiting, and radiographic evidence of mechanical intestinal obstruction. Three patients required repeat laparotomy. ...
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- Small Bowel Obstruction.
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- Small Bowel Obstruction.(Senior Health Advisor 2004.1)
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...reducing the incidence of adhesive small bowel obstruction following colorectal surgery. The...reduce the incidence of adhesive small bowel obstruction. The control group did not receive...adhesion barrier. The incidence of bowel obstruction of any cause between the treatment...
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