Li Yi, Li Ning, Zhu Wei-ming, Gong Jian-feng, Zhang Wei, Gu Li-li, Zuo Lu-gen, Li Jie-shou
Research Institute of General Surgery, Nanjing University School of Medicine, Nanjing General Hospital of Nanjing Military Command, Nanjing 210002, China.
Zhonghua Wai Ke Za Zhi. 2013 Feb 1;51(2):139-41.
To investigate diagnosis and treatment of abdominal cocoon.
Clinical data of patients received treatment for abdominal cocoon from January 2000 to January 2011 was retrospectively analyzed.
A total of 67 patients underwent treatment in our hospital were analyzed, the preoperatively diagnosis rate was only 47.8% (32/67). Patients who received preoperatively nutrition support have a lower postoperative complication (8/27 vs.13/20, χ(2) = 5.815, P < 0.05) and patients with less extent of intestine involved had a lower early postoperative inflammatory ileus (EPII) rate (9/25 vs. 1/22, χ(2) = 6.912, P < 0.05) when compared with large extent.
Appropriate perioperative management play an important role in the prognosis of abdominal cocoon. The main treatment is surgery while preoperatively nutrition support can reduce postoperative complications.
