Observation on the curative effect of long intestinal tube in the treatment of phytobezoar intestinal obstruction.

Liang Li,Bing Xue, Qiang Zhao, Hong-Qiang Xie,Xue-Rong Luan,Qing Cui

MEDICINE(2019)

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Abstract
The aim of the study was to observe the curative effect of long intestinal tube (LT) in the treatment of phytobezoar intestinal obstruction.We performed a retrospective study of patients with phytobezoar intestinal obstruction who underwent decompression with different tube insertion method. A total of 80 patients were collected and divided into nasogastric tube (NGT) group (n=36) and LT group (n=44) between August 2015 and August 2018 at our hospital. Univariate analysis was used to assess the clinical efficacy of 2 groups of patients.There were no significant differences in the mean age, sex ratio, and previous surgical history between the 2 groups. There were statistically significant differences between the 2 groups in terms of improvement time of clinical indications (4.21.4 vs 2.5 +/- 0.6 days; P=.008), liquid decompression amount on the first day of catheterization (870.4 +/- 400.8 vs 1738.4 +/- 460.2mL; P=.000), transit operation rate (4/36 vs 0/44; P=.023), clinical cure rate (25/36 vs 40/44; P=.014), total treatment efficiency (32/36 vs 44/44; P=.023), and total hospitalization cost (3.25 +/- 0.39 vs 2.07 +/- 0.41 yen ten thousand; P=.000).The curative effect of LT in the treatment of phytobezoar intestinal obstruction is accurate and reliable, which can effectively improve the clinical symptoms of patients, comprehensively improve the non-surgical rate of intestinal obstruction treatment, reduce the total cost of hospitalization, and is worthy of promotion in clinical application.
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Key words
intestinal obstruction,long intestinal tube,nasogastric tube,phytobezoar,rhubarb
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