Secular trends in small-bowel obstruction and adhesiolysis in the United States: 1988-2007.

American Journal of Surgery
Frank I ScottJames D Lewis

Abstract

Postoperative adhesions are common after surgery and can cause small-bowel obstruction (SBO) and require adhesiolysis. The impact that laparoscopy and other surgical advances have had on rates of SBO and adhesiolysis remains controversial. This study examines trends in discharges from US hospitals for SBO and adhesiolysis from 1988 to 2007. We performed an analysis of secular trends for SBO and adhesiolysis, using the National Hospital Discharge Survey. Spearman correlation coefficients were calculated to assess trends over time. Rates of SBO were stable over time (ρ = .140; P = .28). Adhesiolysis rates were stable over time (ρ = -.18; P = .17), although there were significant downward trends in patients older than age 65 (ρ = -.55; P = .01) and age 15 to 44 (ρ = -.84; P < .01). There has been no significant change in overall rates of SBO or adhesiolysis from 1988 to 2007. For adhesiolysis, there were decreasing trends when stratified by age. Further research is required to understand the factors associated with adhesion-related complications.

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Citations

May 29, 2014·Clinical Orthopaedics and Related Research·Mariano E MenendezDavid Ring
Nov 28, 2012·Radiologic Clinics of North America·Cynthia S Santillan
May 3, 2016·Emergency Medicine Clinics of North America·Jumana NagarwalaAbraham Markin
Nov 26, 2013·The British Journal of Surgery·B StewartC Mock
Aug 29, 2013·The Journal of Surgical Research·Juan M Zavala-RodriguezCleva Villanueva
Jun 9, 2016·Neurogastroenterology and Motility : the Official Journal of the European Gastrointestinal Motility Society·M H MuellerM E Kreis
Feb 24, 2018·Age and Ageing·Pietro Elias FubiniXavier Roux
Mar 30, 2016·World Journal of Gastrointestinal Surgery·Fausto CatenaHarry Van Goor
Feb 15, 2019·Academic Emergency Medicine : Official Journal of the Society for Academic Emergency Medicine·Brent A BeckerThompson Kehrl
Jul 20, 2016·Annals of Surgery·Christopher T AquinaFergal J Fleming
Jul 1, 2017·AORN Journal
Apr 30, 2019·Advanced Emergency Nursing Journal·Kyle R ElliottDavid A Steele
Apr 26, 2017·Current Gastroenterology Reports·Srinivas R Rami Reddy, Mitchell S Cappell
Jan 28, 2021·The American Surgeon·Rachel S MorrisColleen Trevino
Jun 24, 2020·Journal of the American College of Surgeons·Jeff ChoiThomas G Weiser
Apr 18, 2021·Emergency Medicine Clinics of North America·Ryan Spangler, Sara Manning

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