REVIEW OF SURGICAL TREATMENT RESULTS FOR INTESTINAL OBSTRUCTION DUE TO PHYTOBEZOARS AT HAI DUONG PROVINCIAL GENERAL HOSPITAL
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Abstract
Objective: To describe the clinical and paraclinical characteristics, risk factors for bowel obstruction due to phytobezoars, and evaluate treatment outcomes in patients undergoing surgery at Hai Duong Provincial General Hospital (January 2021 – December 2023). Subjects and methods: A retrospective cross-sectional study was conducted on all patients who underwent surgical treatment for bowel obstruction due to phytobezoars at Hai Duong Provincial General Hospital from 2021 to 2023. Results: The average age was 67.26 ± 19.68 years, with a female-to-male ratio of 1.1:1. Abdominal cramps in 26 patients, and over 60% had vomiting, inability to pass gas, or defecate. Abdominal distension and prominent bowel loops accounted for 100% and 76.19%, respectively. Laboratory findings showed 26/42 patients had white blood cell counts >10,000/mm³, 85.71% had elevated urea levels, and 7.14% had elevated creatinine. Diagnosis rates for mechanical bowel obstruction were 61.76% on X-ray, 41.03% on ultrasound, and 94.87% on CT scan, with 23.08% showing phytobezoars on CT. Among the 42 cases, 95.24% underwent open surgery initially, with 26 cases having the bezoar pushed through the cecum, and 14 requiring bowel incision for bezoar removal. Laparoscopic surgery have 2 patients and total laparoscopicc surgery is 1 case. The average surgery time for open procedures was 105.12 ± 47.10 minutes, and for laparoscopy, it was 90.0 ± 14.14 minutes. The total and postoperative hospital stay for open surgery was 12.07 ± 5.01 days and 10 ± 3.76 days, respectively, while for laparoscopy, it was 9 ± 1.41 days and 8 ± 0.00 days. No intraoperative complications were reported, but there were 4 cases of postoperative complications (9.52%).Conclusion: Mechanical bowel obstruction predominantly occurs in the elderly, often in the latter half of the year. CT scan is the most effective diagnostic method. Open surgery is the main treatment approach, with a low postoperative complication rate (9.52%).
Article Details
Keywords
Bowel obstruction, Phytobezoar, Hai Duong Provincial General Hospital.
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