Prospective evaluation of intestinal decompression in treatment of acute bowel obstruction from Crohn's disease

Conservative therapy for Crohn's disease (CD)-related acute bowel obstruction is essential to avoid emergent surgery. The present study aimed to evaluate the efficacy of using a long intestinal decompression tube (LT) in treatment of CD with acute intestinal obstruction. This is a prospective o...

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Published in:Gastroenterology report 2019-08, Vol.7 (4), p.263-271
Main Authors: Liu, Rui-Qing, Qiao, Shuai-Hua, Wang, Ke-Hao, Guo, Zhen, Li, Yi, Cao, Lei, Gong, Jian-Feng, Wang, Zhi-Ming, Zhu, Wei-Ming
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Language:English
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Summary:Conservative therapy for Crohn's disease (CD)-related acute bowel obstruction is essential to avoid emergent surgery. The present study aimed to evaluate the efficacy of using a long intestinal decompression tube (LT) in treatment of CD with acute intestinal obstruction. This is a prospective observational study. Comparative analysis was performed in CD patients treated with LT (the LT group) and nasogastric tube (the GT group). The primary outcome was the avoidance of emergent surgery. Additionally, predictive factors for failure of decompression and subsequent surgery were investigated. There were 27 and 42 CD patients treated with LT and GT, respectively, in emergent situations. Twelve (44.4%) patients using LT were managed conservatively without laparotomy, while only nine (21.4%) patients in the GT group were spared from emergent surgery (  
ISSN:2052-0034
2052-0034
DOI:10.1093/gastro/goz002