Application Of Intestinal Obstruction Catheter In The Therapy Of Early Postoperative Inflammatory Small Bowel Obstruction After Colorectal Cancer Surgery

Objective: There is controversy over the treatment of early postoperative inflammatory small bowel obstruction in colorectal cancer.We collected and analyzed relevant clinical data to investigate the clinical effect of Intestinal obstruction catheter in the treatment of early postoperative inflammatory ileus in colorectal cancer,and provided evidence-based evidence.Method: Sixty-eight patients with early postoperative inflammatory small bowel obstruction who received surgical treatment for colorectal cancer in the department of gastrointestinal and colorectal surgery of our hospital from January 2013 to July 2019 were selected as the study subjects.Thirty-seven patients received nasogastric catheterization(routine treatment group)and 31 patients received ileus catheterization(ileus catheter group).The gender,age,tumor location,surgical method,operation time,anesthesia time,pathological data and the time of postoperative obstruction,daily gastrointestinal decompression after treatment,total amount of gastrointestinal decompression,bowel sounds recovery time,exhaust recovery time,defecation recovery time,feeding recovery time,leukocyte count after obstruction and leukocyte count after remission of obstruction and other clinical data were collected and compared between the two patient groups.All statistical analyses were performed using SPSS version 23 with two-sided P < 0.05 as statistically significant.Results: 1.No significant differences were found in Gender,age,tumor location,surgical method,operative time,anesthetic time,pathological data and Duration of postoperative obstruction between the conventional treatment group and the intestinal obstruction catheter treatment group(P>0.05)? 2.Significant difference was observed in the average daily gastrointestinal decompression volume,total gastrointestinal decompression volume,recovery time of bowel sounds,recovery time of exhaust,recovery time of defecation and recovery time of food intake between the conventional treatment group and the intestinal obstruction catheter treatment group(P <0.05).3.No significant differences were found in the intergroup leukocyte count after the occurrence of obstruction and the leukocyte count after the remission of obstruction between the conventional treatment group and the intestinal obstruction catheter treatment group(P>0.05)?Conclusion: In patients with early postoperative inflammatory small bowel obstruction of colorectal cancer,the treatment of obstruction catheter has no obvious advantage in reducing the infection of patients.However,it can significantly increase the amount of gastrointestinal decompression and accelerate the recovery of patients' bowel sounds.In addition,it can shorten the patient's exhaust,defecation and feeding time significantly,which is worth promoting in the clinic.