Abstract
Of 257 patients with mechanical ileus treated at the Department of Surgery of the Miyakonojo National Hospital during the 10 years since 1973, 225 (87.5%) had simple ileus and 32 (12.5%) had complications. Two hurdred and five patients (91.2%) of these 225 with simple ileus had adhesion ileus. These patients had a history of previous operation for gastrectomy, ileus, or appendectomy. Tumorous ileus was observed in approximately half of the patients without any previous surgical treatment.
Sixty-four (28.4%) of the 225 patients with simple ileus and all of the 32 patients with complications required surgical treatment. As for the operation, 30 patients (46.9%) with simple ileus were surgically treated for separation of adhesions, enterectomy in 14 (21.9%), and enterectomy in 18 (56.2%) with complications.
Patients with simple ileus were treated surgically evenly for the period from the first day to the 5th day, and approximately half of patients with complicated ileus received operations on the first day or the following day. Seven patients (2.7%) died mostly due to sepsis.
