Adhesive small bowel obstruction

C, Tanphiphat; Chittmlttrapap, Soottiporn; Prasopsunti, Kriangsak

doi:10.1016/0002-9610(89)90611-9

Cited by 53 publications

(16 citation statements)

References 8 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Although benign, postoperative adhesions usually constitute the most common cause for SBO [9,11,18] and laparoscopic adhesiolysis is successful in 72% or more patients [9,11], the procedure also may succeed in malignant adhesions, as it did in one of two patients in the current study. The second patient required open salpingooophorectomy for ovarian carcinoma.…”

Section: Discussionmentioning

confidence: 67%

Laparoscopic management of acute small bowel obstruction

Al-Mulhim

2000

Surg Endosc

View full text Add to dashboard Cite

show abstract

Section: Discussionmentioning

confidence: 67%

Laparoscopic management of acute small bowel obstruction

Al-Mulhim

2000

Surg Endosc

View full text Add to dashboard Cite

show abstract

“…3,4,[10][11][12][13] During that time, an enormous number of clinical and laboratory tests have become available to assist the general surgeon with diagnosis, and our data suggests that almost none of them should reliably contribute to preoperative decision making in this setting. However, the importance of CT scanning to the armamentarium of the contemporary surgeon cannot be over-emphasized, since the single most significant predictor of compromised bowel by multivariate analysis using dozens of preoperative criteria was reduced intestinal wall enhancement on contrast abdominal CT scan.…”

Section: Discussionmentioning

confidence: 88%

Predicting Strangulated Small Bowel Obstruction: An Old Problem Revisited

Jancelewicz

Shawo

et al. 2009

Journal of Gastrointestinal Surgery

109

View full text Add to dashboard Cite

show abstract

“…Uludag et al (9), however, did not establish the timing of therapy to be significantly associated with complications and mortality. The study on adhesive small bowel obstructions conducted by Tanhiphat et al (14) compared patients operated on 48 h after hospitalization with patients operated on 12 h after hospitalization in terms of mortality, and reported that the difference was not significant. In the present study, 71.4% of the patients who died, 65.4% of the patients observed with complications and 52.6% of all patients had been hospitalized 72 h after the onset of symptoms.…”

Section: Discussionmentioning

confidence: 97%

“…Foreign body 0 (0) 1 (25) 3 (75) 4 (14) also reported appendectomy to be the most common abdominal surgery with 34.2%, followed by peptic ulcer and other abdominal operations in their study on adhesive small bowel obstruction with 266 cases. In the present study, we observed appendectomy to be the most common type of abdominal surgery with 14.0%, followed by colorectal surgery with 9.4%.…”

Section: Characteristicmentioning

confidence: 90%

Factors Associated with Morbidity and Mortality in Patients with Mechanical Bowel Obstruction

Halis¹,

Söğüt

Güloğlu

et al. 2012

JAEM

View full text Add to dashboard Cite

IntroductionAcute mechanical bowel obstruction is a common condition among surgical emergencies. It has high morbidity and creates a major burden financially due to its recurrent nature. Natural progression and risk factors of bowel obstruction have not been clearly defined, and the surgical approach to be adopted, timing of the intervention and procedures for preventing relapses are still issues that are being debated (1). The causes and therapeutic approaches of bowel obstruction vary (2). Previous studies carried out in different parts of Turkey reported that, although an increase was observed in the incidence of post-surgical adhesion related bowel obstruction in socioeconomically developed regions, incarcerated hernia was still the leading cause of bowel obstruction (3-6). Development of effective medical and surgical therapeutic approaches, combined with better diagnostic tests, have contributed significantly to the decrease in the incidence of complications and mortality and morbidity rates in patients with bowel obstruction (7,8). The purpose of the present Abstract Objective: The aim of this study was to investigate the factors affecting morbidity and mortality by evaluating the demographical, etiological and clinical characteristics of patients with mechanical bowel obstruction. Materials and Methods: Data for 171 mechanical bowel obstruction patients were evaluated retrospectively. The patients were assessed in mortality (n=21), morbidity (n=55) and recovery (n=95) groups. Results: Of the patients, 70% were men; and 27.4% were ≥55 years of age. While gender had no impact on mortality and morbidity, age did. Adhesion was observed to be the leading cause (45.6%) of mechanical bowel obstruction, followed by incarcerated hernia in 17.5%. Intestinal necrosis was associated with mortality but not with morbidity. Late presentation and multiple concomitant diseases had no impact on mortality but were associated with morbidity. The presence of a concomitant disease and leukocytosis or leukopenia had a significant impact on both mortality and morbidity. Conclusion: Older age and presence of a concomitant disease, leukocytosis or leukopenia were established to be associated with mortality and morbidity. Late presentation and multiple concomitant diseases were associated only with morbidity. The presence of intestinal necrosis was associated only with mortality. Establishing the risk factors well will be beneficial in lowering the incidences of morbidity and mortality. (JAEM 2012; 11: 1-5) Özet Amaç: Mekanik barsak tıkanıklığı tanısı konulmuş hastalarda demografik, etiyolojik ve klinik özellikler değerlendirilerek morbidite ve mortaliteyi etkileyen faktörlerin araştırılması amaçlandı. Gereç ve Yöntemler: Mekanik barsak tıkanıklığı tanısı alan 171 hastanın bilgileri retrospektif olarak değerlendirildi. Hastalar; mortalite grubu (n=21), morbidite grubu (n=55) ve şifa grubuna (n=95) ayrılarak değerlendirildi. Bulgular: Hastaların %70'i erkek olup, %27.4'ü ≥55 yaş idi. Cinsiyetin mortalite ve morbiditeye etkisi anla...

show abstract

Adhesive small bowel obstruction

Cited by 53 publications

References 8 publications

Laparoscopic management of acute small bowel obstruction

Laparoscopic management of acute small bowel obstruction

Predicting Strangulated Small Bowel Obstruction: An Old Problem Revisited

Factors Associated with Morbidity and Mortality in Patients with Mechanical Bowel Obstruction

Contact Info

Product

Resources

About