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Postoperative Adhesive Small Bowel Obstruction Treated using Acupuncture and Moxibustion: A Case Report

장기간 호전되지 않던 수술 후 유착성 소장폐색이 침구 치료를 통해 치료된 1례 : 증례보고

  • Jeon, Cheon-hoo (Dept. of Internal Korean Medicine, College of Korean Medicine, Dae-Jeon University) ;
  • Cho, Chung-sik (Dept. of Internal Korean Medicine, College of Korean Medicine, Dae-Jeon University)
  • 전천후 (대전대학교 한의과대학 신계내과학교실) ;
  • 조충식 (대전대학교 한의과대학 신계내과학교실)
  • Received : 2020.04.09
  • Accepted : 2020.05.29
  • Published : 2020.05.30

Abstract

Objectives: This report presents a case using acupuncture and moxibustion to treat postoperative adhesive small bowel obstruction. Case Presentation: A 62-year-old male with two previous intra-abdominal surgeries, complaining of abdominal pain, abdominal distention, and general weakness, visited Korean medicine hospital. He was suffering from small bowel obstruction that had not improve for three weeks. Methods: The patient was diagnosed with postoperative adhesive small bowel obstruction. The patient received acupuncture and moxibustion in addition to intravenous fluid treatment. The patient underwent radiologic testing on a daily basis. Results: The symptoms improved quickly with the treatment, including acupuncture and moxibustion. He was able to start eating three days after he started receiving treatment. The abdomen X-ray also showed rapid improvement. No adverse effect was observed during the nine days of hospitalization. Conclusions: This report demonstrates that acupuncture and moxibustion may be effective in treating adhesive small bowel obstruction. However, further research is needed to confirm these findings.

Keywords

References

  1. Parker MC, Ellis H, Moran BJ, Thompson JN, Wilson MS, Menzies D, et al. Postoperative adhesions: ten-year follow-up of 12,584 patients undergoing lower abdominal surgery. Dis colon rectum 2001;44(6):822-9. https://doi.org/10.1007/BF02234701
  2. Jackson P, Raiji MT. Evaluation and Mangement of Intestinal Obstruction. Am Fam Physician 2011;83(2):159-65.
  3. Luckey A, Livingston E, Tache Y. Mechanisms and treatment of postoperative ileus. Arch Surg 2003;138(2):206-14. https://doi.org/10.1001/archsurg.138.2.206
  4. Cappell MS, Batke M. Mechanical obstruction of the small bowel and colon. Med Clin North Am 2008;92(3):575-97. https://doi.org/10.1016/j.mcna.2008.01.003
  5. Miller G, Boman J, Shrier I, Gordon PH. Natural history of patients with adhesive small bowel obstruction. Br J Surg 2000;87(9):1240-7. https://doi.org/10.1046/j.1365-2168.2000.01530.x
  6. Healthcare Bigdata Hub. Health insurance review & assessment service. http://opendata.hira.or.kr/op/opc/olap3thDsInfo.do. Accessed March 20, 2020.
  7. Lee HG, Jeong YK, Jung MH, Jung WS, Moon SK, Cho KH. Clinical Report on a Cerebral Infarction Patients with Paralytic Ileus Treated by Bo-ryu Enema and Daeshiho-tang. J Intern Korean Med 2016;37(2):225-31.
  8. Kim SY, Choi YJ, Son JS, Kim NY, Jeong JC. A Clinical Report of One Old Aged Patient with Paralytic Ileus by Gwakhyangjeonggi-san. J Intern Korean Med 2014;fal:274-9.
  9. Lee JB, Won JH, Moon YH, Lee SY. Clinical Report of Adhesive Intestinal Obstruction. J Intern Korean Med 2002;fal:137-41.
  10. Attard JP, MacLean AR. Adhesive small bowel obstruction: epidemiology, biology and prevention. Can J Surg 2007;50(4):291.
  11. Ouaissi M, Gaujoux S, Veyrie N, Deneve E, Brigand C, Castel B, et al. Post-operative adhesions after digestive surgery: their incidence and prevention: review of the literature. J Visc Surg 2012;149(2):e104-e114. https://doi.org/10.1016/j.jviscsurg.2011.11.006
  12. Lower AM, Hawthorn RJS, Emeritus HE, O'Brien F, Buchan S, Crowe AM. The impact of adhesions on hospital readmissions over ten years after 8849 open gynaecological operations: an assessment from the Surgical and Clinical Adhesions Research Study. BJOG An Int J Obstet Gynaecol 2000;107(7):855-62. https://doi.org/10.1111/j.1471-0528.2000.tb11083.x
  13. Ellis H, Moran BJ, Thompson JN, Parker MC, Wilson MS, Menzies D, et al. Adhesion-related hospital readmissions after abdominal and pelvic surgery: a retrospective cohort study. Lancet 1999;353(9163):1476-80. https://doi.org/10.1016/S0140-6736(98)09337-4
  14. Saunders MD. Acute colonic pseudo-obstruction. Best Pract Res Clin Gastroenterol 2007;21(4):671-87. https://doi.org/10.1016/j.bpg.2007.03.001
  15. Bickell NA, Federman AD, Aufses Jr AH. Influence of time on risk of bowel resection in complete small bowel obstruction. J Am Coll Surg 2005;201(6):847-54. https://doi.org/10.1016/j.jamcollsurg.2005.07.005
  16. Millet I, Ruyer A, Alili C, Curros DF, Molinari N, Pages E, et al. Adhesive small-bowel obstruction: value of CT in identifying findings associated with the effectiveness of nonsurgical treatment. Radiology 2014;273(2):425-32. https://doi.org/10.1148/radiol.14132872
  17. Reijnen M, Bleichrodt RP, Van Goor H. Pathophysiology of intra-abdominal adhesion and abscess formation, and the effect of hyaluronan. Br J Surg 2003;90(5):533-41. https://doi.org/10.1002/bjs.4141
  18. Rheu KH, Im IH, Kim DH, Na BJ, Lee BJ, Park SU, et al. Effect of Acupuncture at PC6 (Neiguan) and SP4 (Gongsun) points on Autonomic Nervous System in Healthy Adults. J Intern Korean Med 2006;27(3):698-705.
  19. Lim JG. New Therapeutics of Acupuncture and Moxibustion. Seoul: Jipmundang; 1986.
  20. Park MC, Kim DJ, Lee HS, ChoNG, Ju YS, Yook TH, et al. Experimental study of the combined effects of ST36, ST37, and ST39 using electroacupuncture. J Acupunct Res 2006;23(5):79-92.
  21. Li Z, Hong YC, Zhong XL, Liu YC, Liang SZ, Wang Z. Effects of Traditional Chinese Medicine Enema External Application and Acupuncture on Inflammatory Factors of ${\alpha}v{\beta}3$ and IL-6 of Patients with Adhesive Intestinal Obstruction [J]. J Liaoning Univ Tradit Chinese Med 2012;14(10):202-4.

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  1. 암 환자의 마약성 진통제로 인한 변비 치료법에 대한 문헌고찰 vol.25, pp.2, 2020, https://doi.org/10.15432/jkto.2020.25.2.037