J.Jpn. Surg. Soc.. 89(10): 1641-1646, 1988

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Original article

ULTRASONOGRAPHIC FINDINGS OF ADHESION ILEUS
ーWITH SPECIAL REFERENCE TO SURGICAL INDICATIONー

Eighty-one cases with adhesion ileus were examined by ultrasonography from January 1983 to July 1987. In this study, the association of ultrasonographic findings with surgical indications for adhesion ileus was evaluated. The subjects were divided into three groups : Group I, consisting of 29 cases of simple ileus improved by conservative treatment ; Group II, 24 cases of simple ileus which required surgical treatment and Group III, 28 cases of strangulaton ileus.
In comparison with Group I, Group＜II+III＞ which required surgical treatment showed a significantly larger maximum diameter of the dilated intestine (3.2±0.7cm for Group I vs 3.8±0.5cm for Group＜II+III＞) and significantly higher incidences of wall thickening and ascites (respectively 21% and 31% from Group I vs 54% and 73% from Group＜II+III＞).
In comparison with the cases of simple ileus (Group＜I+II＞), those of strangulaton ileus (Group III) showed significantly higher incidences of akinetic dilated intestine and ascites (respectively 17% and 43% from Group＜I+II＞ vs 93% and 86% from Group III).
These results make us conclude that ultrasonography is highly useful in deciding surgical indications for adhesion ileus.

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