2016 Volume 36 Issue 3 Pages 537-542
Background：The timing of conversion from surgical treatment for adhesional ileus is still controversial. Method：We registered 111 cases of adhesional ileus during 13 years. For the earlier 7 years, the timing to change from an indwelling tube to surgical treatment was not set (E-group). For the later 6 years, we set 3 or 4 days as the observation period to change to surgical treatment (L-group). We additionally classified patients into cases cured with only a conservative indwelling approach (C-group), and the cases treated surgically (S-group). Results：In the E-group, the mean days from indwelling to diet, and to hospital discharge, were 10.9, and 24.7 days. The days were 7.5, and 19.2 days in the EC-group, whereas they were 15.7, and 33.1 days in the ES-group. In the L-group, the mean days were 5.7, and 13.2 days. The days were 3.9, and 9.9 days in LC-group, whereas they were 9.1, and 19.0 days in the LS-group. The total mean days of the L, LC, and LS-groups were shorter than for the E, EC, and ES-groups respectively (P<0.01). Conclusions：Setting of a short observation period (3 or 4 days) to change from indwelling to surgical treatment would appear to contribute to shorten the afflicted period with adhesional ileus.
