The Relationship Between the Presence of Ileus and the Clinical Picture in Cases with Gastrointestinal Bezoar and Its Effect on the Duration of Hospitalization

Abstract

Aim: In this retrospective study, we aimed to investigate the relationship between the presence of ileus and the clinical picture in GI bezoar cases and its effect on the length of hospital stay. Materials and Methods: The study was conducted by Op. Dr. Vahit Mutlu at various centers used patient files that underwent surgery between January 2007 and December 2020. The study analyzed the patients' gender, age, symptoms (abdominal pain, nausea, vomiting, gas), duration of complaints, ileus findings, comorbidities, and operation times. Results: Gender, constipation, DM, CVD, hypothyroid, location, surgical method, recurrence, and duration differences were statistically insignificant (p>0.05). Abdominal pain, nausea & vomiting, and HT were significantly more common in the ileus group (p<0.05). Having ileus was significantly correlated with abdominal pain (r=0.441; p<0.01), nausea & vomiting (r=0.526; p<0.01), and HT (r=0.262; p<0.05). All other baseline characteristics were insignificantly correlated with having ileus (p>0.05). Abdominal pain (B=-1.665; p<0.05) and nausea & vomiting (B=1.937; p<0.01) had a positive and significant effect on ileus. The effect of hypertension was insignificant (p>0.05). In no ileus patients, post-operation hospitalization duration was significantly correlated with age (r=0.432; p<0.05) and surgical method (r=-0.473; p<0.05). In ileus patients, correlations between baseline characteristics and post-operation hospitalization duration were insignificant (p>0.05). Discussion: Among other symptoms, abdominal pain, nausea, and vomiting were the clinical findings that were multivariately significant in patients with ileus, and the postoperative hospital stay in patients with ileus was independent of age compared to patients without ileus.