Risk factors of early postoperative bowel obstruction for patients undergoing selective colorectal surgeries

Yang, Sui-Qin; Zhao, Huiying; Yang, Jian; An, Youzhong; Zhang, Hua; Bao, Yudi; Gao, Zhidong; Ye, Yingjiang

doi:10.1186/s12876-021-02025-8

Cited by 3 publications

(3 citation statements)

References 41 publications

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“…There are many risk factors for EPSBO according to clinical characteristics such as age, hypothyroidism, ASA (American Society of Anesthesiologists) classification, laparotomy, preoperative antibiotics, time of first postoperative feeding, time to maintain drainage tube, etc. 3 . Routine prophylactic abdominal drainage does not provide any benefit after colon cancer surgery 4 .…”

Section: Introductionmentioning

confidence: 99%

Early small bowel obstruction as a complication of abdominal drain in colon cancer surgery: a case report and literature review

Nguyen,

Pham

2023

Annals of Medicine &Amp; Surgery

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Introduction: Early postoperative small bowel obstruction (EPSBO) is an obstruction that occurs within four weeks after the initial surgery. Routine prophylactic abdominal drainage does not provide any benefit in colon cancer surgery. The cause of EPSBO due to the abdominal drainage tube is infrequent. Case Presentation: A 72-year-old male patient was diagnosed with sigmoid carcinoma and underwent laparoscopic left colectomy. A surgical drain was placed in the pouch of Douglas through the incision of the right iliac fossa trocar site. On the 4th day, he began to flatus, and the abdominal pain decreased. However, on the 9th day after surgery, the patient had more abdominal pain, could not pass gas and defecate, and the abdomen was more distended. An abdominal CT scan showed a dilated loop of the small intestine above the transition site with a drainage sonde and no dilation of the loop below the sonde. The patient was indicated to remove the sonde. He could pass gas and defecate the next day again and was relieved of the abdominal distention. Discussion: Once an EPSBO is considered, it is essential to think of the bowel obstruction caused by the drainage tube in the case of abdominal drainage. It is necessary to have a contrast CT scan to examine. Conclusion: EPSBO due to intra-abdominal drainage is a rare condition that presents a challenge in diagnosis and treatment. Diagnosis usually begins on the 4th postoperative day, mainly in operations in the lower transverse mesentery, including drainage placement after laparoscopic surgery.

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Section: Introductionmentioning

confidence: 99%

Early small bowel obstruction as a complication of abdominal drain in colon cancer surgery: a case report and literature review

Nguyen,

Pham

2023

Annals of Medicine &Amp; Surgery

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“…This is more common in operations with anastomoses but can potentially occur in any operation secondary to adhesions, internal hernias, intraluminal clots, or strictures 3 . Early bowel obstruction (BO) is defined as a bowel obstruction that occurs within the first 30 postoperative days 4 . The rates of early bowel obstruction vary greatly according to procedure and surgical technique.…”

mentioning

confidence: 99%

“…3 Early bowel obstruction (BO) is defined as a bowel obstruction that occurs within the first 30 postoperative days. 4 The rates of early bowel obstruction vary greatly according to procedure and surgical technique.…”

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confidence: 99%

Early Bowel Obstruction after Bariatric Surgery: An Analysis of the 2020-2021 MBSAQIP Database

Clapp,

Abi Mosleh,

Corbett

et al. 2023

Surgical Laparoscopy, Endoscopy &Amp; Percutaneous Techniques

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Background: The Metabolic and Bariatric Surgery Accreditation and Quality Improvement Program evaluates 30-day outcomes of bariatric cases performed in the United States. The Participant Use File in 2020 introduced bowel obstruction (BO). We compared the rates of BO, risk factors, and postoperative outcomes after laparoscopic Roux-en-Y gastric bypass (RYGB), sleeve gastrectomy (SG), and duodenal switch (DS). Methods: Retrospective analysis of patients who underwent laparoscopic RYGB, SG, or DS obtained from the 2020-2021 Metabolic and Bariatric Surgery Accreditation and Quality Improvement Program. Patients who underwent either as a primary procedure with a body mass index >35 kg/m2 were selected. Baseline characteristics, operative details, and postoperative complications were collected. The outcome of interest was BO occurring within 30 days. Results: A total of 205,533 cases of which 148,944 were SG (72.4%), 54,606 were RYGB (26.5%), and 1983 were DS (1%). BO occurred in 0.74%, 0.4%, and 0.03% of patients who underwent an RYGB, DS, or SG, respectively. Patients with a BO in the RYGB group were more likely to be on immunosuppressive therapy (5.4% vs. 1.9%, P<0.001) with longer operative time (136.2 min±58.0 min vs. 117.4 min±53.6 min, P<0.001). SG patients with a BO were older (47.5±13.6 vs. 41.9±11.6, P=0.011) with longer operating times (98.6±63.8 vs. 68.9±33.4, P=0.002). Patients in the RYGB group with a BO had the highest rates of readmissions (71.9%) and reoperations (58.4%). Conclusions: Early bowel obstruction is rare after bariatric surgery. It is more common after RYGB and least common after SG. Readmission and reoperation rates were highest in patients with BO in the RYGB group.

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Initial approach to the patient with abdominal pain

Ionescu¹,

Gherghiceanu²,

GHEORGHE³

et al. 2022

AnnalsARSciMed

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Abdominal pain is one of the most common symptoms for which patients present to the hospital. The causes of abdominal pain are diverse, so the diagnosis management often involves a multidisciplinary team. The initial evaluation of patients with abdominal pain must focus on excluding conditions that may endanger the patient’s life in short time. The prognosis of patients complaining of abdominal pain proved to be different depending on age. Despite the progress registered in the field of imaging and molecular investigations in recent years, in a significant percentage of patients who present with abdominal pain, the cause is not identified.

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Risk factors of early postoperative bowel obstruction for patients undergoing selective colorectal surgeries

Cited by 3 publications

References 41 publications

Early small bowel obstruction as a complication of abdominal drain in colon cancer surgery: a case report and literature review

Early small bowel obstruction as a complication of abdominal drain in colon cancer surgery: a case report and literature review

Early Bowel Obstruction after Bariatric Surgery: An Analysis of the 2020-2021 MBSAQIP Database

Initial approach to the patient with abdominal pain

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