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[Mechanical ileus (author's transl)].

K Dinstl, F Hofbauer, R Schiessel

    Zentralblatt Fur Chirurgie
    |January 1, 1976
    PubMed
    Summary
    This summary is machine-generated.

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    This study analyzed 181 mechanical bowel obstruction cases, finding a 24.3% mortality rate. Advanced cancer, age over 60, and peritonitis significantly increased mortality risk in surgical patients.

    Area of Science:

    • Gastroenterology
    • Surgical Oncology
    • Clinical Medicine

    Context:

    • Mechanical bowel obstruction is a common surgical emergency.
    • Treatment strategies have evolved significantly since the study period (1965-1974).
    • Understanding historical outcomes informs current best practices.

    Purpose:

    • To report outcomes of mechanical bowel obstruction treatment.
    • To identify factors influencing mortality in these patients.
    • To evaluate specific surgical interventions.

    Summary:

    • 181 patients with mechanical bowel obstruction underwent treatment, with 172 requiring surgery.
    • Overall mortality was 24.3%, with higher rates in patients with advanced malignancy, age >60, or pre-existing peritonitis.

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  • Enterotomy for decompression was safe, while the Noble operation and one-stage procedures for large bowel obstruction require careful patient selection.

    • Impact:

    • Highlights the critical impact of patient comorbidities and disease stage on outcomes.
    • Underscores the importance of patient selection for complex surgical procedures.
    • Provides historical data for comparison with contemporary treatment outcomes.