Small bowel obstruction

Detz, David J.; Podrat, Jerica L.; Castro, Jose C Muniz; Lee, Yoon K; Zheng, Feibi; Purnell, Shawn M.; Pei, Kevin Y.

doi:10.1016/j.cpsurg.2020.100893

Cited by 10 publications

(5 citation statements)

References 129 publications

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“…It's important to note, however, that laparoscopic surgery may not be suitable for all patients with intestinal obstruction [14]. The decision to use this technique should be based on individual patient characteristics, the cause and location of the obstruction, the patient's overall health and surgical history, and the surgeon's expertise.…”

Section: Discussionmentioning

confidence: 99%

Analysis of the Clinical Effectiveness of Laparoscopic Surgery in the Treatment of Intestinal Obstruction

2023

IJFM

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This study aims to evaluate the clinical efficacy of laparoscopic surgery for patients with intestinal obstruction and to determine its value for broader clinical applications. Ninety patients with intestinal obstruction admitted between April 2020 and April 2021 were selected for this study. They were randomly assigned into two groups: the control group, comprising 45 patients treated with conventional open surgery, and the study group, comprising 45 patients treated with laparoscopic surgery. Various surgical parameters were summarized and analyzed to evaluate the treatment outcomes. The study group exhibited significantly better overall treatment outcomes compared to the control group. They showed improvements in operative time, blood loss, treatment costs, and incision length. Additionally, the incidence of postoperative complications was lower, and the overall effectiveness of the treatment was higher in the study group, with significant differences between the two groups (P<0.05). For surgical treatment of intestinal obstruction, the introduction of laparoscopic surgery can achieve positive results. It ensures the quality of the surgery, shortens the patient's hospital stay, and reduces the likelihood of complications. Thus, this surgical approach is worthy of wider adoption.

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Section: Discussionmentioning

confidence: 99%

Analysis of the Clinical Effectiveness of Laparoscopic Surgery in the Treatment of Intestinal Obstruction

2023

IJFM

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“…SBO has been recognized as a medical emergency from the ancient years as descriptions of the disease date back even in the era of ancient Egypt and ancient Greece [ 6 , 7 ]. It is a quiet common emergency medical issue as about 2–4% of abdominal pain cases seen in the emergency department and a percentage as high as 12–16% of surgical admissions are due to SBO [ 6 , 8 ].…”

Section: Bowel Obstructionmentioning

confidence: 99%

The EUPEMEN (EUropean PErioperative MEdical Networking) Protocol for Bowel Obstruction: Recommendations for Perioperative Care

Ioannidis

Ramírez-Rodríguez

Ubieto

et al. 2023

JCM

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Mechanical bowel obstruction is a common symptom for admission to emergency services, diagnosed annually in more than 300,000 patients in the States, from whom 51% will undergo emergency laparotomy. This condition is associated with serious morbidity and mortality, but it also causes a high financial burden due to long hospital stay. The EUPEMEN project aims to incorporate the expertise and clinical experience of national clinical specialists into development of perioperative rehabilitation protocols. Providing special recommendations for all aspects of patient perioperative care and the participation of diverse specialists, the EUPEMEN protocol for bowel obstruction, as presented in the current paper, aims to provide faster postoperative recovery and reduce length of hospital stay, postoperative morbidity and mortality rate.

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“…Assessing of the bowel viability is one of the main issues during bowel obstruction surgery [1][2][3][4]. Consequences of assessing viability errors are serious complications.…”

Section: Introductionmentioning

confidence: 99%

The determining the photoluminescence intensity for assessing of the small bowel viability in the experiment

2023

FEM

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Aims: Explore the potential of utilising photoluminescence intensity (PhLI) indicators for evaluating bowel viability. Methodology: PhLI of the small bowel walls on the initial, middle, and distal parts were measured in the control group (10 rats). The loop of the initial (10 rats), middle (10 rats) and distal (10 rats) part of the bowel with the mesentery was ligated. PhLI of the bowel walls were measured on the afferent (AP), efferent (EP) and ligated (LP) parts in 6 hours. LGN-503 argon laser with a wavelength of 458 nm and a power of 200 mW was used. Sections of bowels were taken for histological examinations. Results: In AP revealed dystrophic disorders, in EP revealed minor changes, in LP revealed necrosis. The small bowel wall PhLI with altered viability decreased at the wavelength range λ = 470-490 nm, but the absolute indicators were significantly variable. The ratio of PhLI at wavelengths λ = 474 nm/λ = 489 nm on the initial, middle, distal bowel's parts didn’t significantly differ in control. The ratio on each bowel part didn’t significantly differ on the AP, EP, LP. The ratio's differences of the viable and non-viable bowels were significant on each part. Conclusion: 1. The small bowel wall PhLI with altered viability decreases at the wavelength range λ = 470-490 nm. 2. The ratio of the small bowel walls PhLI indicators at the wavelengths λ=474/λ=489 nm is statistically significantly different in the bowel parts without altered viability and the bowel parts with necrosis. 3. Indicators of the ratio > 17 units testify the absence of viability altered, indicators in the range of 13-17 units testify the morphological disorders without necrosis, indicators < 13 units testify the bowel necrosis. 4. The determination of this ratio is promising for use in patients to assess its informativeness.

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Small bowel obstruction

Cited by 10 publications

References 129 publications

Analysis of the Clinical Effectiveness of Laparoscopic Surgery in the Treatment of Intestinal Obstruction

Analysis of the Clinical Effectiveness of Laparoscopic Surgery in the Treatment of Intestinal Obstruction

The EUPEMEN (EUropean PErioperative MEdical Networking) Protocol for Bowel Obstruction: Recommendations for Perioperative Care

The determining the photoluminescence intensity for assessing of the small bowel viability in the experiment

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