KẾT QUẢ SỚM PHẪU THUẬT TẮC RUỘT DO BÃ THỨC ĂN TẠI BỆNH VIỆN BẠCH MAI

Abstract

Objective: Description of clinical and paraclinical characteristics and early results of surgery of small intestinal obstruction caused by phytobezoars. Subjects and methods: Retrospective study including all the cases of post-operative diagnosis with intestinal obstruction due to phytobezoars from 01- 2016 to 12- 2020 in Bach Mai Hospital. Results: 63 patients with common age over 51 years old (87.5%); male/female percentage: 0,66. Abdominal pain was always present (98.4%), mostly was intermittent 66.7%; vomiting 77.8%; no exaust 71.4%. The typical image of small bowel obstruction on Xray was 71,4%; on ultra sound was 50,8% and on CTscan was 82.6%, but the cause wasn’t confirmed. The location of phytobezoar was of 58.7% in ileum. The extraction of phytobezoar by jejunotomy or ileotomy was the most common method (95.2%), the phytobezoar was milked into the cecum in 3 patients (4.8%) and combinated gastrotomy was in 22.2%. The early results was good, there are no operative accidents and no mortality, fewer postoperative complications (wound infection 7.9%). The hospital stay was of 8.17 ± 2.61 days. Conclusion: The diagnosis of intestinal obstruction was usually quite easy but it is very difficult to determine the cause of phytobezoars. The surgical treatment was essential with safety and effectivity.