Small Bowel Obstruction

Aka, Allison A.; Wright, Jesse P.; deBeche-Adams, Teresa

doi:10.1055/s-0041-1725204

Cited by 10 publications

(10 citation statements)

References 42 publications

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“…Intussusception, Crohn's disease, gallstone ileus, intestinal volvulus, internal hernia, foreign bodies, and bezoars must also be considered in the differential diagnosis. Moreover, approximately 65%–75% of SBO cases in developed countries are due to postoperative intra-abdominal adhesions ( 14 , 20 – 25 ). In our case series, only 40% of the patients had undergone prior abdominopelvic surgery.…”

Section: Discussionmentioning

confidence: 99%

“…If SBO progresses to complications such as bowel ischemia, perforation, severe physiological disorders, and sepsis, especially in the pediatric population, any delay in surgical intervention may result in a high risk of morbidity and mortality ( 33 , 37 ). Once a patient presents with suspected SBO, an early surgical evaluation should be performed ( 6 , 20 ). Conservative treatment, including fasting, nasogastric suction, and fluid therapy, is the first choice in adult patients, and it exhibits a success rate of 16%–63% ( 17 , 26 , 40 ).…”

Section: Discussionmentioning

confidence: 99%

“…Regarding the surgical approach for SBO, the Working Group on ASBO of the World Society of Emergency Surgery recommends that laparoscopic surgery should be attempted in patients with a first episode or shorter duration of symptom onset, simple adhesion, stable hemodynamics, no abdominal distension, or peritonitis ( 11 , 25 , 31 , 45 – 47 ). A faster recovery ( 49 ) and reduced adhesive formation are the main advantages of laparoscopic exploration ( 20 , 24 , 48 , 50 ). However, occult small bowel perforation and signs of ischemia should be carefully examined, as shown in Figure 2 .…”

Section: Discussionmentioning

confidence: 99%

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Diagnosis and surgical management strategy for pediatric small bowel obstruction: Experience from a single medical center

et al. 2023

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Identifying Bowel strangulation and the approach and timing of surgical intervention for pediatric SBO are still uncertain. In this study, 75 consecutive pediatric patients with surgically confirmed SBO were retrospectively reviewed. The patients were divided into group 1 (n = 48) and group 2 (n = 27) according to the presence of reversible or irreversible bowel ischemia, which was analyzed based on the degree of ischemia at the time of operation. The results demonstrated that the proportion of patients with no prior abdominopelvic surgery was higher, the serum albumin level was lower, and the proportion of patients in which ascites were detected by ultrasonography was higher in group 2 than that in group 1. The serum albumin level was negatively correlated with ultrasonographic findings of the fluid sonolucent area in group 2. There were significant differences in the choice of surgical approach between group 1 and group 2. A symptom duration of >48 h was associated with an increased bowel resection rate. The mean length of hospital stay was shorter in group 1 than that in group 2. In conclusion, immediate surgical intervention should be considered in patients with a symptom duration of >48 h or the presence of free ascites between dilated small bowel loops on ultrasonography. Laparoscopic exploration is recommended as first-line treatment in patients with stable status.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

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Diagnosis and surgical management strategy for pediatric small bowel obstruction: Experience from a single medical center

et al. 2023

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“…Small bowel obstruction (SBO) is a common surgical pathology, accounting for up to 20% of emergency department attendances in patients presenting with abdominal pain 1 2. It is also potentially life threatening, carrying a significant mortality risk of approximately 8% 3. There are a number of causes of SBO, which can be classified according to their relationship to the small bowel; ‘outside the wall of the small bowel’, ‘in the wall of the small bowel’ and ‘in the lumen of the small bowel’ 4.…”

Section: Introductionmentioning

confidence: 99%

“…There are a number of causes of SBO, which can be classified according to their relationship to the small bowel; ‘outside the wall of the small bowel’, ‘in the wall of the small bowel’ and ‘in the lumen of the small bowel’ 4. The most common cause of SBO are intra-abdominal adhesions, accounting for 55%–75% of SBO 3 5 6. Adhesions are classified as occurring outside the wall of the small bowel.…”

Section: Introductionmentioning

confidence: 99%

Small bowel obstruction secondary to phytobezoar in a patient with myotonic dystrophy

Harrison,

Santoro,

Ellerby

et al. 2023

BMJ Case Rep

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A male patient in his 30s, with myotonic dystrophy (DM), presented to the emergency department with abdominal pain and vomiting. CT imaging revealed a soft tissue lesion in the terminal ileum causing small bowel obstruction (SBO). The patient underwent diagnostic laparoscopy which allowed identification and removal of the obstructing lesion. This was in the form of an intact, undigested potato, a phytobezoar. Bezoars are collections of undigested material found in the gastrointestinal (GI) tract, a phytobezoar is composed of plant material and is the most common form of bezoar. DM is a multisystem disorder characterised by skeletal muscle weakness, however it often presents with GI symptoms and the muscles of mastication are often affected. DM is a known risk factor for bezoar formation and should be considered as an important differential in DM patients presenting with SBO.

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