Adhesion-related small bowel obstruction

Colorectal Disease : the Official Journal of the Association of Coloproctology of Great Britain and Ireland
B J Moran


Postoperative adhesions are the commonest cause of small bowel obstruction (SBO), a frequent surgical emergency. Adhesion obstruction is potentially lethal and a crucial aspect in management is to differentiate whether there is actual, or impending, small bowel ischaemia and therefore a need for emergency surgery. There are no completely accurate imaging or haematological techniques to exclude the requirement for surgery. Modern computerized tomography (CT) has been a significant advance in noninvasive assessment of SBO and may demonstrate the cause of the obstruction and suggest the presence of bowel ischaemia. It is important to note that adhesions may not be the cause of SBO in a patient who has had abdominal surgery. Recurrent cancer, an obstructive colon lesion in the presence of an incompetent ileocaecal valve, an occult hernia, small bowel arterial or venous ischaemia, amongst others may be the cause and CT may elucidate some of these causes and help plan management. Increasing utilization of laparoscopic surgery may reduce the extent and incidence of adhesions and laparoscopic adhesiolysis, in experienced hands, may be successful in managing acute obstruction or alternatively as a planned procedure when the obstruction ...Continue Reading


Jun 1, 1987·The Surgical Clinics of North America·P Mucha
Jun 29, 1985·British Medical Journal·S FieldA E Scourfield
Nov 1, 1993·The Australian and New Zealand Journal of Surgery·M R CoxA W Heinz
Sep 1, 1993·Radiology·Y T KoJ W Lim
Feb 14, 1998·The British Journal of Surgery·I S BaileyG Fielding
Aug 26, 1998·The British Journal of Surgery·V DonckierJ P Lambilliotte
Sep 6, 2000·The British Journal of Surgery·G MillerP H Gordon
Jun 8, 2001·Diseases of the Colon and Rectum·M C ParkerA M Crowe
Oct 2, 2001·The British Journal of Surgery·R E Andersson
May 28, 2004·The British Journal of Surgery·S B S Sajja, M Schein


Jan 1, 2009·BMJ Case Reports·Vasandhara MahendrayogamNeil Keeling
Oct 14, 2008·Zhong xi yi jie he xue bao = Journal of Chinese integrative medicine·Xin-Zu ChenJian-Kun Hu
Jun 3, 2011·Journal of Emergencies, Trauma, and Shock·D MittapalliP S P Senapati
Sep 28, 2010·Saudi Journal of Gastroenterology : Official Journal of the Saudi Gastroenterology Association·Souvik AdhikariUdipta Ray
Jan 6, 2016·The Indian Journal of Surgery·Bao-Yin WuYu-Tie Zhang
Oct 23, 2009·Advances in Surgery·Myles R Joyce, Victor W Fazio
Sep 22, 2009·The Journal of Surgical Research·Cherif Boutros, N Joseph Espat
Apr 5, 2008·The Medical Clinics of North America·John T Langell, Sean J Mulvihill
Oct 27, 2007·Colorectal Disease : the Official Journal of the Association of Coloproctology of Great Britain and Ireland·M C ParkerH Ellis
Dec 30, 2014·Surgery Today·Shigeoki HayashiTadatoshi Takayama
Dec 14, 2011·American Journal of Obstetrics and Gynecology·Deirdre J Lyell
Aug 16, 2016·Fertility and Sterility·Philippe R KoninckxLeila Adamyan
Aug 20, 2010·Arquivos De Gastroenterologia·Tiago Leal GhezziLaís Pilau de Abreu
May 18, 2012·The Cochrane Database of Systematic Reviews·Tao SuoXinyu Qin
Mar 27, 2018·Ultrasound in Obstetrics & Gynecology : the Official Journal of the International Society of Ultrasound in Obstetrics and Gynecology·J BaronR Hershkovitz
Jan 25, 2018·Chinese Medical Journal·Zi-Kuo WangShuai Zhang
Jan 13, 2018·Obstetrics and Gynecology·Haim A AbenhaimSamy Suissa
Nov 12, 2020·Acute Medicine & Surgery·Jia Wei Valerie TongVishalkumar Girishchandra Shelat

Related Concepts

Trending Feeds


Coronaviruses encompass a large family of viruses that cause the common cold as well as more serious diseases, such as the ongoing outbreak of coronavirus disease 2019 (COVID-19; formally known as 2019-nCoV). Coronaviruses can spread from animals to humans; symptoms include fever, cough, shortness of breath, and breathing difficulties; in more severe cases, infection can lead to death. This feed covers recent research on COVID-19.

STING Receptor Agonists

Stimulator of IFN genes (STING) are a group of transmembrane proteins that are involved in the induction of type I interferon that is important in the innate immune response. The stimulation of STING has been an active area of research in the treatment of cancer and infectious diseases. Here is the latest research on STING receptor agonists.

Chronic Fatigue Syndrome

Chronic fatigue syndrome is a disease characterized by unexplained disabling fatigue; the pathology of which is incompletely understood. Discover the latest research on chronic fatigue syndrome here.

Hereditary Sensory Autonomic Neuropathy

Hereditary Sensory Autonomic Neuropathies are a group of inherited neurodegenerative disorders characterized clinically by loss of sensation and autonomic dysfunction. Here is the latest research on these neuropathies.

Glut1 Deficiency

Glut1 deficiency, an autosomal dominant, genetic metabolic disorder associated with a deficiency of GLUT1, the protein that transports glucose across the blood brain barrier, is characterized by mental and motor developmental delays and infantile seizures. Follow the latest research on Glut1 deficiency with this feed.

Regulation of Vocal-Motor Plasticity

Dopaminergic projections to the basal ganglia and nucleus accumbens shape the learning and plasticity of motivated behaviors across species including the regulation of vocal-motor plasticity and performance in songbirds. Discover the latest research on the regulation of vocal-motor plasticity here.

Neural Activity: Imaging

Imaging of neural activity in vivo has developed rapidly recently with the advancement of fluorescence microscopy, including new applications using miniaturized microscopes (miniscopes). This feed follows the progress in this growing field.

Nodding Syndrome

Nodding Syndrome is a neurological and epileptiform disorder characterized by psychomotor, mental, and growth retardation. Discover the latest research on Nodding Syndrome here.

LRRK2 & Microtubules

Mutations in the LRRK2 gene are risk-factors for developing Parkinson’s disease (PD). LRRK2 mutations in PD have been shown to enhance its association with microtubules. Here is the latest research.