Treatment of gastroesophageal reflux after the operation of cardia cancer invading the lower esophagus

Abstract

Objective The aim of this study was to investigate the application value of ileus tube arranged in treating the adhesive intestinal obstruction. Methods Thirty cases with adhesive intestinal obstruction from Sep. 2012 to Sep. 2013 in the department of gastrointestinal surgery of China Japan Union Hospital of Jilin University were analysed retrospectively, of which, fifteen cases underwent ileus tube decompression before operation and got intestinal arrangement with ileus tube, as the observation group; another fifteen cases underwent gastrointestinal decompression treatment before operation, without intestinal arrangement, as the control group. We compared two groups of patients with operation time, bleeding volume during operation, postoperative exhaust time, hospitalization time, postoperative recurrence of intestinal obstruction. Results The postoperative exhaust time of the observation group was (1.52 ± 0.87) days and the postoperative recurrence rate was 6.7%. The postoperative exhaust time of the control group was (2.63 ± 0.59 )days and the postoperative recurrence rate was 40.0%.The two groups in operative time, bleeding volume and hospitalization time had no significant difference (P>0.05), but the chance in the postoperative exhaust time and postoperative recurrence of intestinal obstruction, the observation group was significantly better than the control group[(1.52 ± 0.87)days vs (2.63 ± 0.59) days (P=0.013), 1 case vs 6 cases (P=0.001)]. Conclusions Intestinal arrangement with ileus tube can effectively improve the postoperative intestinal function recovery, and prevent the recurrence of adhesive intestinal obstruction. Key words: Transnasal ileus tube; Intestinal arrangement; Adhesive intestinal obstruction; Operation