strangulation ileus
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2021 ◽  
Author(s):  
Toshihiro Shimizu ◽  
Saki Katano ◽  
Sho Nishida ◽  
Yoshitaka Kinoshita ◽  
Takahiro Shinzato ◽  
...  

2021 ◽  
Vol 105 (1-3) ◽  
pp. 278-283
Author(s):  
Masahide Ikeguchi ◽  
Takehiko Hanaki ◽  
Kyo-ichi Kihara ◽  
Kanenori Endo ◽  
Kazunori Suzuki ◽  
...  

Emergent surgery is necessary in patients with strangulation ileus. However, such procedures are associated with high morbidity and mortality. A retrospective analysis was performed to determine whether the preoperative C-reactive protein/albumin ratio (CAR); neutrophil/lymphocyte ratio (NLR); and prognostic nutritional index (PNI) are good indicators of mortality or morbidity in patients undergoing emergent operations for treatment of strangulation ileus. Emergent surgery was performed for 1698 patients at Tottori Prefectural Central Hospital from 2012 and 2015. Among them, 45 patients (2.7%) were preoperatively diagnosed with strangulation ileus. We evaluated the clinical importance of the preoperative CAR, NLR, and PNI in these patients. We excluded pediatric patients from this study. Postoperative complications developed in 14 of 45 (31.1%) patients. The mean postoperative hospital stay among the 14 patients with postoperative complications was significantly longer than that of the 31 patients without postoperative complications (44.0 versus 11.3 days, respectively; P = 0.006). Three patients died of postoperative complications. The overall operative mortality and morbidity rates were 6.7% and 31.1%, respectively. We found strong correlations of postoperative complications with older age, a longer operation time, and an abnormal preoperative CAR, NLR, and PNI. Not only inflammation, but also a patients' nutritional and immune status appear to be strongly correlated with mortality or morbidity after emergent operations for strangulation ileus. Patients with a high CAR and NLR and low PNI preoperatively must be closely monitored for the occurrence of postoperative complications such as surgical site infections or pulmonary complications.


2021 ◽  
Vol 54 (1) ◽  
pp. 50-56
Author(s):  
Takanori Jinno ◽  
Jun Morioka ◽  
Satoshi Kobayashi ◽  
Kenichi Komaya ◽  
Takehiro Takagi ◽  
...  

2020 ◽  
Vol 21 ◽  
Author(s):  
Ryohei Takei ◽  
Keiichiro Kanamoto ◽  
Yuta Tamaru ◽  
Koki Nojima ◽  
Kazuyoshi Mitta ◽  
...  

2019 ◽  
Vol 44 (6) ◽  
pp. 1062-1066
Author(s):  
Kentaro Chikaraishi ◽  
Masahisa Ohkuma ◽  
Makoto Kosuge ◽  
Ken Eto ◽  
Katsuhiko Yanaga

Author(s):  
Yoshinori OKAHATA ◽  
Kou SHIMADA ◽  
Shinsuke SUGENOYA ◽  
Arano MAKINO ◽  
Kuniyuki GOMI ◽  
...  

2018 ◽  
Vol 79 (12) ◽  
pp. 2425-2429
Author(s):  
Chika MAEDA ◽  
Yoshiki MIZUKAMI ◽  
Hiroaki OGIWARA ◽  
Manabu HIRAGURI ◽  
Naoto HORIGOME ◽  
...  

Author(s):  
Koichiro Niwa ◽  
Kumpei Honjo ◽  
Shinya Munakata ◽  
Rina Takahashi ◽  
Shun Ishiyama ◽  
...  

2016 ◽  
Vol 77 (7) ◽  
pp. 1697-1700
Author(s):  
Kanechika DEN ◽  
Kazuteru WATANABE ◽  
Kenichiro TORITANI ◽  
Yusuke KAZAMI ◽  
Kaoru FURUSHIMA ◽  
...  
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