Significance of Long Tube Management and Timing of Surgical Operation for Conservative Treatment of Adhesion Ileus

Parameter Predicting the Recurrence of Adhesive Small Bowel Obstruction in Patients Managed with a Long Tube

“…If ASBO persists more than 3 days and the drainage volume on day 3 is > 500 ml, we recommend surgery for ASBO. 19 We also found that some patients have a recurrence of ASBO after successful nonoperative management. The recurrent nature of ASBO poses a major clinical problem.…”

“…Each case should be evaluated comprehensively, but these two parameters may be useful when deciding on a treatment policy. If ileus persists more than 3 days and the drainage volume on day 3 is > 500 ml, we recommend surgery for ASBO 19. Moreover, in this study, the patients who did not respond to the long‐tube treatment within 72 hours have a significantly higher chance of developing recurrent ASBO.…”

“…With nonoperative management of ASBO, long‐tube placement should be done as soon as possible and the change of the volume from the long tube observed. If ASBO persists more than 3 days and the drainage volume on day 3 is > 500 ml, we recommend surgery for ASBO 19. We also found that some patients have a recurrence of ASBO after successful nonoperative management.…”

“…Group who received conservative treatment by long tube for more than 72 hours showed significantly higher recurrence rates (P < 0.0001). cm, [25][26][27][28] we insert the long tube as soon as possible to decrease edema of the bowel wall, 19,29 enhance bowel motility, and control bacterial translocation. 30,31 There is considerable controversy regarding whether the short tube or the long tube is better for intestinal decompression.…”

“…We also demonstrated that the drainage volume through the long tube on day 3 (more or less than 500 ml) was a parameter predicting the need of surgery. 19 We clarified the limits of nonoperative management by long tube and examined the surgical timing. It is difficult to identify the patients needing surgery.…”