Use of tubes and radiographs in the management of XXXX .

@entity1 @entity260 @entity5274 @entity86 @entity1744
During the past 10 years 311 consecutive @entity1 were admitted with 342 episodes of @entity1744 ( @entity1744 ). There were 193 cases of @entity1744 ( @entity1744 ) and 149 cases of @entity1744 ( @entity1744 ) as determined by interpretation of the abdominal radiographs done on admission. The purpose of this review was to determine the reliability of the admission plain abdominal radiographs and subsequent upper gastrointestinal (UGI) contrast studies in predicting the need for operative intervention. The use of @entity5274 ( @entity5274 ) versus nasointestinal (long) tubes (NIT) was correlated with the following outcome variables; length of hospital stay (LOS), timing of operative intervention, incidence of @entity260 , and duration of @entity86 . Long tubes (NIT) were used in 64 episodes of @entity1744 and 81 episodes of @entity1744 , whereas @entity5274 ( @entity5274 ) were used in 116 cases of @entity1744 and 68 cases of @entity1744 . Thirty-eight of 193 (19%) @entity1 with @entity1744 required operation (20 of 116 with @entity5274 and 18 of 64 with NIT), whereas 125 of 149 (84%) @entity1 with @entity1744 required operation (60 of 68 with @entity5274 and 65 of 81 with NIT). Need for operation was not correlated with whether or not long tubes passed beyond the pylorus; 50 passed versus 33 not passed in operative groups (p = 0.15). Twelve of 83 @entity1 with NIT had operation within 24 hours versus 52 of 80 @entity1 with @entity5274 (p less than 0.001). In six of 64 @entity1 who had surgery within 24 hours, complications developed versus in 39 of 99 @entity1 operated on more than 24 hours after admission (p less than or equal to 0.001). In 29 of 83 @entity1 treated with NIT, @entity260 developed versus in 16 of 80 @entity1 with @entity5274 (p less than or equal to 0.04). The mean duration of @entity86 in @entity1 with NIT was 7 days versus 4.1 days for @entity5274 @entity1 (p less than 0.001). The mean LOS was 12.2 days for @entity5274 @entity1 versus 21 days for @entity1 with NIT (p less than 0.001). Barium UGI contrast studies were performed in 57 @entity1 to establish the presence of obstruction. In 34 of 57 @entity1 the UGI disclosed mechanical obstruction that required operative intervention. In the remaining 23 @entity1 no obstruction was demonstrated, and all 23 @entity1 recovered without operation. In conclusion, there is no inherent superiority of NIT versus @entity5274 in the treatment of @entity1744 .(ABSTRACT TRUNCATED AT 400 WORDS)
