Laparoscopic management of adhesive small bowel obstruction with strangulation: when to resect and how to distinguish reversible from nonreversible bowel ischaemia – a video vignette

2019 ◽  
Vol 21 (6) ◽  
pp. 727-729 ◽  
Author(s):  
S. Di Saverio ◽  
A. Gori ◽  
E. Chisari ◽  
J. Wheeler ◽  
R. Lim
Keyword(s):  
Small Bowel ◽  
Small Bowel Obstruction ◽  
Bowel Obstruction ◽  
Adhesive Small Bowel Obstruction ◽  
Bowel Ischaemia ◽  
Laparoscopic Management ◽  
Video Vignette

scholarly journals Laparoscopic Management of Adhesive Small Bowel Obstruction

2016 ◽  
Vol 24 (1) ◽  
pp. 69 ◽  
Author(s):  
Ferid Konjic ◽  
Enes Idrizovic ◽  
Ismar Hasukic ◽  
Alen Jahic
Keyword(s):  
Small Bowel ◽  
Small Bowel Obstruction ◽  
Bowel Obstruction ◽  
Adhesive Small Bowel Obstruction ◽  
Laparoscopic Management

Single-port laparoscopic management of adhesive small bowel obstruction

Surgery Today ◽  
2013 ◽  
Vol 44 (3) ◽  
pp. 586-590 ◽  
Author(s):  
Junichiro Hiro ◽  
Yasuhiro Inoue ◽  
Yoshinaga Okugawa ◽  
Aya Kawamoto ◽  
Yoshiki Okita ◽  
...  
Keyword(s):  
Small Bowel ◽  
Small Bowel Obstruction ◽  
Bowel Obstruction ◽  
Single Port ◽  
Adhesive Small Bowel Obstruction ◽  
Laparoscopic Management

Laparoscopic management of recurrent adhesive small-bowel obstruction: Long-term follow-up

Surgery Today ◽  
2009 ◽  
Vol 39 (6) ◽  
pp. 493-499 ◽  
Author(s):  
Qiang Wang ◽  
Zhi Qian Hu ◽  
Wei Jun Wang ◽  
Jian Zhang ◽  
Yi Wang ◽  
...  
Keyword(s):  
Small Bowel ◽  
Small Bowel Obstruction ◽  
Bowel Obstruction ◽  
Adhesive Small Bowel Obstruction ◽  
Laparoscopic Management ◽  
Long Term Follow Up

Adhesive Small Bowel Obstruction Protocol in Geriatric Patients

2019 ◽  
Vol 229 (4) ◽  
pp. S87
Author(s):  
Jose A. Aldana ◽  
Javier E. Rincon ◽  
Ricardo A. Fonseca ◽  
Rohit K. Rasane ◽  
Christina X. Zhang ◽  
...  
Keyword(s):  
Small Bowel ◽  
Small Bowel Obstruction ◽  
Bowel Obstruction ◽  
Geriatric Patients ◽  
Adhesive Small Bowel Obstruction

scholarly journals Adhesive Small Bowel Obstruction and the six w’s: Who, How, Why, When, What, and Where to diagnose and operate?

2021 ◽  
pp. 145749692098276
Author(s):  
M. Podda ◽  
M. Khan ◽  
S. Di Saverio
Keyword(s):  
Small Bowel ◽  
Small Bowel Obstruction ◽  
Bowel Obstruction ◽  
Conservative Management ◽  
Bowel Ischemia ◽  
Current Evidence ◽  
First Episode ◽  
Adhesive Small Bowel Obstruction ◽  
Highly Effective

Background and Aims: Approximately 75% of patients admitted with small bowel obstruction have intra-abdominal adhesions as their cause (adhesive small bowel obstruction). Up to 70% of adhesive small bowel obstruction cases, in the absence of strangulation and bowel ischemia, can be successfully treated with conservative management. However, emerging evidence shows that surgery performed early during the first episode of adhesive small bowel obstruction is highly effective. The objective of this narrative review is to summarize the current evidence on adhesive small bowel obstruction management strategies. Materials and Methods: A review of the literature published over the last 20 years was performed to assess Who, hoW, Why, When, What, and Where diagnose and operate on patients with adhesive small bowel obstruction. Results: Adequate patient selection through physical examination and computed tomography is the key factor of the entire management strategy, as failure to detect patients with strangulated adhesive small bowel obstruction and bowel ischemia is associated with significant morbidity and mortality. The indication for surgical exploration is usually defined as a failure to pass contrast into the ascending colon within 8–24 h. However, operative management with early adhesiolysis, defined as operative intervention on either the calendar day of admission or the calendar day after admission, has recently shown to be associated with an overall long-term survival benefit compared to conservative management. Regarding the surgical technique, laparoscopy should be used only in selected patients with an anticipated single obstructing band, and there should be a low threshold for conversion to an open procedure in cases of high risk of bowel injuries. Conclusion: Although most adhesive small bowel obstruction patients without suspicion of bowel strangulation or gangrene are currently managed nonoperatively, the long-term outcomes following this approach need to be analyzed in a more exhaustive way, as surgery performed early during the first episode of adhesive small bowel obstruction has shown to be highly effective, with a lower rate of recurrence.

Effective insertion method of transnasal ileus tube for adhesive small bowel obstruction

2017 ◽  
Vol 30 (1) ◽  
pp. 120-121
Author(s):  
Daisuke Yamaguchi ◽  
Tomohito Morisaki ◽  
Seiji Tsunada
Keyword(s):  
Small Bowel ◽  
Small Bowel Obstruction ◽  
Bowel Obstruction ◽  
Adhesive Small Bowel Obstruction ◽  
Insertion Method
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