Objective: To explore the guiding value of radiography after transnasal ileus intubation for the treatment of small bowel obstruction and the selection of surgical timing.
Methods: This retrospective study analyzed the clinical data of 133 patients with small bowel obstruction who were admitted to Gongli Hospital from January 2013 to December 2020. The patients were included in a nasogastric intubation group (n=65) or a transnasal ileus intubation + radiography group (n=68), according to different treatment methods. The response rate of non-surgical treatment, bowel function, observation time before surgery, postoperative complications and the recurrence rate were observed in both groups.
Results: There was no significant difference in the response rate of non-surgical treatment and the incidence of postoperative complications between the two groups (P=0.257 and P=0.959, respectively). The observation time before surgery was shorter and the recurrence rate of obstruction was lower in the transnasal ileus intubation + radiography group than those in the nasogastric intubation group. The pain relief time, first flatus time and hospital stay were shorter in the transnasal ileus intubation + radiography group than those in the nasogastric intubation group, with statistically significant differences (all P<0.05). It was found that ascites and observation time before surgery were the influencing factors of surgical timing in patients with small bowel obstruction.
Conclusion: Transnasal ileus intubation is an effective treatment for small bowel obstruction. Radiography after transnasal ileus intubation is helpful to determine the optimal surgical timing for small bowel obstruction, shorten the postoperative recovery time and reduce the recurrence rate in patients, so it is recommended in clinical practice.
Keywords: Small bowel obstruction; clinical response; complications; nasogastric intubation; radiography after transnasal ileus intubation.
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