scholarly journals Early operative management in patients with adhesive small bowel obstruction: population‐based cost analysis

BJS Open ◽  
2020 ◽  
Vol 4 (5) ◽  
pp. 914-923
Author(s):  
R. Behman ◽  
A. B. Nathens ◽  
P. Pechlivanoglou ◽  
P. Karanicolas ◽  
J. Jung ◽  
...  
Keyword(s):  
Small Bowel ◽  
Cost Analysis ◽  
Small Bowel Obstruction ◽  
Bowel Obstruction ◽  
Operative Management ◽  
Population Based ◽  
Adhesive Small Bowel Obstruction

Longer Trials of Non-operative Management for Adhesive Small Bowel Obstruction Are Associated with Increased Complications

2019 ◽  
Vol 24 (4) ◽  
pp. 890-898 ◽  
Author(s):  
Benjamin S. C. Fung ◽  
Ramy Behman ◽  
May-Anh Nguyen ◽  
Avery B. Nathens ◽  
Nicole J. Look Hong ◽  
...  
Keyword(s):  
Small Bowel ◽  
Small Bowel Obstruction ◽  
Bowel Obstruction ◽  
Operative Management ◽  
Adhesive Small Bowel Obstruction ◽  
Non Operative Management

scholarly journals Operative versus non-operative management of adhesive small bowel obstruction: A systematic review and meta-analysis

2017 ◽  
Vol 45 ◽  
pp. 58-66 ◽  
Author(s):  
Shahab Hajibandeh ◽  
Shahin Hajibandeh ◽  
Nilanjan Panda ◽  
Rao Muhammad Asaf Khan ◽  
Samik Kumar Bandyopadhyay ◽  
...  
Keyword(s):  
Systematic Review ◽  
Small Bowel ◽  
Small Bowel Obstruction ◽  
Bowel Obstruction ◽  
Meta Analysis ◽  
Operative Management ◽  
Adhesive Small Bowel Obstruction ◽  
Non Operative Management

Evolving Management Strategies in Patients with Adhesive Small Bowel Obstruction: a Population-Based Analysis

2018 ◽  
Vol 22 (12) ◽  
pp. 2133-2141 ◽  
Author(s):  
Ramy Behman ◽  
Avery B. Nathens ◽  
Nicole Look Hong ◽  
Petros Pechlivanoglou ◽  
Paul J Karanicolas
Keyword(s):  
Small Bowel ◽  
Small Bowel Obstruction ◽  
Bowel Obstruction ◽  
Management Strategies ◽  
Population Based ◽  
Adhesive Small Bowel Obstruction

scholarly journals Is non-operative management still justified in the treatment of adhesive small bowel obstruction in children?

2013 ◽  
Vol 10 (3) ◽  
pp. 259 ◽  
Author(s):  
AbdulrasheedA Nasir ◽  
LukmanO Abdur-Rahman ◽  
KayodeT Bamigbola ◽  
AdewaleO Oyinloye ◽  
NurudeenT Abdulraheem ◽  
...  
Keyword(s):  
Small Bowel ◽  
Small Bowel Obstruction ◽  
Bowel Obstruction ◽  
Operative Management ◽  
Adhesive Small Bowel Obstruction ◽  
Non Operative Management

scholarly journals Mechanisms of adhesive small bowel obstruction and outcome of surgery; a population-based study

BMC Surgery ◽  
2020 ◽  
Vol 20 (1) ◽  
Author(s):  
Thorbjörn Sakari ◽  
Malin Christersson ◽  
Urban Karlbom
Keyword(s):  
Small Bowel ◽  
Small Bowel Obstruction ◽  
Bowel Obstruction ◽  
Operation Time ◽  
Population Based ◽  
Adhesive Small Bowel Obstruction ◽  
Population Based Study ◽  
American Society ◽  
Complications And Mortality

Abstract Background This study aims to describe the mechanisms of adhesive small bowel obstruction (SBO) and its morbidity, mortality and recurrence after surgery for SBO in a defined population. Method Retrospective study of 402 patients (240 women, median age 70 years, range 18–97) who underwent surgery for SBO in the Uppsala and Gävleborg regions in 2007–2012. Patients were followed to last note in medical records or death. Result The cause of obstruction was a fibrous band in 56% and diffuse adhesions in 44%. Early overall postoperative morbidity was 48 and 10% required a re-operation. Complications, intensive care and early mortality (n = 21, 5.2%) were related to age (p < 0.05) and American Society of Anesthesiologist’s class (p < 0.01). At a median follow-up of 66 months (0–122), 72 patients (18%) had been re-admitted because of SBO; 26 of them underwent a re-operation. Previous laparotomies (p = 0.013), diffuse adhesions (p = 0.050), and difficult surgery (bowel injury, operation time and bleeding, p = 0.034–0.003) related to recurrent SBO. The cohort spent 6735 days in hospital due to SBO; 772 of these days were due to recurrent SBO. In all, 61% of the cohort was alive at last follow-up. Late mortality was related to malignancies, cardiovascular disease, and other chronic diseases. Conclusions About half of patients with SBO are elderly with co-morbidities which predispose to postoperative complications and mortality. Diffuse adhesions, which make surgery difficult, were common and related to future SBO. Overall, nearly one-fifth of patients needed re-admission for recurrent SBO. Continued research for preventing SBO is desirable. Trial registration The study was registered at ClinicalTrials.gov (NCT03534596, retrospectively registered, 2018-05-24).

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