关键词: 术后早期炎性肠梗阻, 肠粘连, 小肠减压

Abstract:

Early postoperative inflammatory intestinal obstruction after gastrointestinal surgery：a reconsideration        ZHU Wei-ming. Department of General Surgery, Nanjing General Hospital of Nanjing Military Command, Nanjing 210002, China
Abstract    A detail revision of the history and intraoperative findings are essential for the correct diagnosis of early postoperative inflammatory intestinal obstruction. Small intestinal decompression via a long tube could not only relieve obstructive symptoms, but also enable enteroclysis with gastrografin, a very helpful measure facilitating relief of obstruction during conservative treatment. For patients with early postoperative intestinal obstruction receiving conservative treatment, care should be given to avoid worsening of symptoms. If relaparotomy must be performed, one must follow the damage control principle to ensure safety of the gut and resumption of oral diet or enteral nutrition. Minimal invasiveness during abdominal operation is the key to the prophylaxis of early postoperative inflammatory intestinal obstruction.

Key words: early postoperative inflammatory intestinal obstruction, intestinal adhesion, small intestinal decompression