Article Sidebar

pdf
Date Published: 25/08/2023
Abstract Views: 100
Views pdf: 100
DOI: https://doi.org/10.51298/vmj.v529i1.6229
Issue
Vol. 529 No. 1 (2023)
Section
Các bài báo
How to Cite
Nguyễn, V. T., Vũ, N. V., & Hồ, C. T. (2023). EVALUATION OF RESULTS OF LAPAROSCOPIC MANAGEMENT FOR SMALL BOWEL OBSTRUCTION DUE TO PHYTOBEZOAR AT MILITARY HOSPITAL 103. Vietnam Medical Journal, 529(1). https://doi.org/10.51298/vmj.v529i1.6229

EVALUATION OF RESULTS OF LAPAROSCOPIC MANAGEMENT FOR SMALL BOWEL OBSTRUCTION DUE TO PHYTOBEZOAR AT MILITARY HOSPITAL 103

Văn Tiệp Nguyễn1,, Ngọc Viên Vũ1, Chí Thanh Hồ1
1 Military Medical Academy, Military Medical Hospital 103

Main Article Content

Abstract

Objectives: to evaluate the results of laparoscopic management for small bowel obstruction due to phytobezoar. Patients and research methods: a cross-sectional, retrospective study on 76 patients diagnosed with small bowel obstruction due to phytobezoar and laparoscopic surgery at 103 Military Hospital from May 2018 to October 2022. Results: Small bowel obstruction due to phytobezoar in the ileum, jejunum, jejunum + ileum were 43.4%, 51.3%, and 5.3%, respectively. Phytobezoarin was 1 position accounted for the majority of 94.7%, 2 positions accounted for 5.3%. Laparoscopic surgery (39.5%), assisted laparoscopic surgery (60.5%). Pushing phytobezoardown the colon was applied in 36.8% of cases, colostomy was applied for 63.2%. Laparoscopic surgery and assisted laparoscopic surgery helped patients recover early, the mean post-operative eating time of the 2 groups was 2.38 ± 0.78 days and 3.55 ± 1.49 days, respectively. The mean hospital stay after surgery was 5.17 ± 1.76 days and 7.13 ± 4.90 days, respectively. The rate of complications after surgery is low, serosa tear 6.5%, wound infection 2.6%, early small bowel obstruction after surgery 1.3%. Conclusion: The application of laparoscopic management for small bowel obstruction due to phytobezoarin the selected group of patients is safe, feasible, helps patients recover quickly, and has a low rate of accidents and complications

Article Details

Keywords

Laparoscopy, small bowel obstruction, phytobezoar

References

1. Franklin, M.E., Jr., et al., Laparoscopic diagnosis and treatment of intestinal obstruction. Surg Endosc, 2004. 18(1): p. 26-30.
2. Krausz, M.M., et al., Surgical aspects of gastrointestinal persimmon phytobezoar treatment. Am J Surg, 1986. 152(5): p. 526-30.
3. Yang, S. and M.J. Cho, Clinical Characteristics and Treatment Outcomes Among Patients With Gastrointestinal Phytobezoars: A Single-Institution Retrospective Cohort Study in Korea. Front Surg, 2021. 8: p. 691860.
4. Altintoprak, F., et al., Intestinal obstruction due to bezoars: a retrospective clinical study. Eur J Trauma Emerg Surg, 2012. 38(5): p. 569-75.
5. Yau, K.K., et al., Laparoscopic approach compared with conventional open approach for bezoar-induced small-bowel obstruction. Arch Surg, 2005. 140(10): p. 972-5.
6. Ganpathi, I.S. and W.K. Cheah, Laparoscopic-assisted management of small bowel obstruction due to phytobezoar. Surg Laparosc Endosc Percutan Tech, 2005. 15(1): p. 30-2.
7. de Menezes Ettinger, J.E., et al., Laparoscopic management of intestinal obstruction due to phytobezoar. Jsls, 2007. 11(1): p. 168-71.
8. Dirican, A., et al., Surgical treatment of phytobezoars causes acute small intestinal obstruction. Bratisl Lek Listy, 2009. 110(3): p. 158-61.