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[Surgical treatment for idiopathic abdominal cocoon]
1Research Institute of General Surgery, Nanjing University School of Medicine, Nanjing General Hospital of Nanjing Military Command, Nanjing 210002, China.
Objective:
To investigate diagnosis and treatment of abdominal cocoon.
Methods:
Clinical data of patients received treatment for abdominal cocoon from January 2000 to January 2011 was retrospectively analyzed.
Results:
A total of 67 patients underwent treatment in our hospital were analyzed, the preoperatively diagnosis rate was only 47.8% (32/67). Patients who received preoperatively nutrition support have a lower postoperative complication (8/27 vs.13/20, χ(2) = 5.815, P < 0.05) and patients with less extent of intestine involved had a lower early postoperative inflammatory ileus (EPII) rate (9/25 vs. 1/22, χ(2) = 6.912, P < 0.05) when compared with large extent.
Conclusions:
Appropriate perioperative management play an important role in the prognosis of abdominal cocoon. The main treatment is surgery while preoperatively nutrition support can reduce postoperative complications.
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