Clinical observation of early postoperative inflammatory small bowel obstrution with the therapy of somatostatin and the nasal ileus catheter

Objective:To probe into the curative effect of early postoperative inflammatory small bowel obstrutions with the therapy of somatostatin and the nasal ileus catheter.Method: Forty-three cases of early postoperative inflammatory small bowel obstrution,admitted by People's Hospital of Nanchuan District,Chongqing from September 2003 to November 2011,were respectively treated by following conservative treatments.One was group,was treated by combing somatostatin with the nasal ileus catheter decompression;one group(somatostatin control group),which was treated by combing somatostatin with nasogastric tube decompression;the another was the stomach tube control group,treated by means of a nasogastric tube decompression.Then contrast betweer these three clinic treatments were then assessed.Results: The fifteen cases of the treated group were all cured by way of conservative treatment.The time of abdominal pain remission was significantly shorter than other two groups.Any two of the three groups compare was statistically significant(P0.05).It is obviously that treatment group and somatostatin control group was quicker to restore exsufflation than the stomach tube control group(P0.05);while no significant difference was found between the treated group and somatostatin control group(P0.05).Conclusions: For early postoperative inflammatory small bowel obstrution,somatostatin and nasogastric tube decompresssion can be first provided as a treatment;Somatostatin and the nasal ileus catheter depression can replace the former if there is no significant effect in 48 h.An operation must be given if the patient may suffer from strangulating intestinal obstruction or if conservative treatment fails.