ID 83805
Author
Miyauchi, Takayuki Department of Surgery, Tokushima Prefectural Miyoshi Hospital
Kuroda, Takeshi First Department of Surgery, The University of Tokushima School of Medicine
Nishioka, Masanori Department of Surgery, Tokushima Prefectural Miyoshi Hospital
Hashimoto, Takuya Department of Surgery, Tokushima Prefectural Miyoshi Hospital
Kasamatu, Tetuji Department of Surgery, Tokushima Prefectural Miyoshi Hospital
Kuratate, Shinji Department of Surgery, Tokushima Prefectural Miyoshi Hospital
Yada, Seigo Department of Surgery, Tokushima Prefectural Miyoshi Hospital
Fujimine, Masaaki Department of Surgery, Tokushima Prefectural Miyoshi Hospital
Keywords
strangulation obstruction
simple obstruction
systemic inflammatory response syndrome (SIRS)
Content Type
Journal Article
Description
Early diagnosis of strangulation obstruction is very important for surgeons because delayed diagnosis often leads to severe complications. Thirty patients underwent an operation because of small bowel obstruction between April, 1993 and December, 1999. In the present study, we examined the differences in clinical findings between simple obstruction and strangulation obstruction. In addition, we examined the manifestation of systemic inflammatory response syndrome (SIRS) and whether it is useful for early diagnosis of strangulation obstruction, and whether it is correlated with the severity of ischemia due to strangulation. Tenderness was examined in all patients and signs such as abdominal irritation were detected more often in patients with strangulation obstruction than in the patients with simple obstruction. According to SIRS, the large number of the patients with strangulation obstruction showed SIRS before operation and the manifestation of SIRS correlated well with the length of the necrosis in the strangulated small bowel. We recognized the importance of anamnesis and clinical findings in examinations of small bowel obstruction, furthermore, it was suggested that SIRS should be the warning sign for strangulation obstruction.
Journal Title
The journal of medical investigation : JMI
ISSN
13431420
NCID
AA11166929
Volume
48
Issue
1-2
Start Page
66
End Page
72
Sort Key
66
Published Date
2001
Remark
FullText File
language
eng