Small Bowel Obstruction

The Surgical Clinics of North America
Katie Love BowerCurtis E Bower

Abstract

Identifying patients with small bowel obstruction who need operative intervention and those who will fail nonoperative management is a challenge. Without indications for urgent intervention, a computed tomography scan with/without intravenous contrast should be obtained to identify location, grade, and etiology of the obstruction. Most small bowel obstructions resolve with nonoperative management. Open and laparoscopic operative management are acceptable approaches. Malnutrition needs to be identified early and managed, especially if the patient is to undergo operative management. Confounding conditions include age greater than 65, post Roux-en-Y gastric bypass, inflammatory bowel disease, malignancy, virgin abdomen, pregnancy, hernia, and early postoperative state.

Citations

Jun 7, 2019·World Journal of Emergency Surgery : WJES·Fausto CatenaLuca Ansaloni
May 10, 2019·ANZ Journal of Surgery·Allan M F Kwok, Abigail Attwell-Heap
Apr 25, 2019·BMJ Case Reports·Arnaldo Neves Santos SilvaJonathan R Morton
Mar 13, 2020·Journal of Surgical Case Reports·Rachel Robertson, Linus Wu
Jun 9, 2020·The Journal of Surgical Research·Richard E OvermanSamir H Gadepalli
Nov 12, 2020·Acute Medicine & Surgery·Jia Wei Valerie TongVishalkumar Girishchandra Shelat
Dec 10, 2020·Journal of Surgical Case Reports·Nicole ReyesDavid Bruce
Apr 13, 2021·Curēus·Derrick HuangLatha Ganti

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