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Comparative Study
. 2016 Jul-Sep;20(3):e2016.00048.
doi: 10.4293/JSLS.2016.00048.

Laparoscopy for Small Bowel Obstruction Caused by Single Adhesive Band

Suk Won Suh  1 , Yoo Shin Choi  1
Affiliations
Comparative Study

Laparoscopy for Small Bowel Obstruction Caused by Single Adhesive Band

Suk Won Suh et al. JSLS. 2016 Jul-Sep.

Abstract

Background and objectives: There are still concerns about the comparative outcomes of operative treatment (OT) and conservative (nonsurgical) treatment (CT) for small bowel obstruction (SBO), especially that caused by single adhesive bands. We performed a retrospective study to compare surgical with nonsurgical outcomes.

Methods: A total of 62 patients were enrolled. The OT group underwent laparoscopy (n = 16), and the CT group (n = 46) did not. We compared early and late outcomes between the 2 groups.

Results: Times to first flatus, oral intake, and defecation after treatment were shorter in the OT group (P = .030, .033, and .024), and the recurrence rate was lower in the OT group than in the CT group (6.2% vs 32.6%; P = .038). Time from discharge to first recurrence was longer in the OT group than in the CT group (172 vs 104.6 ± 26.5 days, P = .027).

Conclusions: SBO related to a single adhesive band is not effectively treated by CT. However, laparoscopic OT provides notable success if the surgery is performed early. Therefore, it should be the preferred treatment.

Keywords: Conservative treatment; Laparoscopy; Operative treatment; Single adhesive band; Small bowel obstruction.

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References

    1. Duron JJ, Silva NJ, du Montcel ST, et al. Adhesive postoperative small bowel obstruction: incidence and risk factors of recurrence after surgical treatment: a multicenter prospective study. Ann Surg. 2006;244:750–757. - PMC - PubMed
    1. Khaikin M, Schneidereit N, Cera S, et al. Laparoscopic vs open surgery for acute adhesive small-bowel obstruction: patients' outcome and cost-effectiveness. Surg Endosc. 2007;21:742–746. - PubMed
    1. Donckier V, Closset J, Van Gansbeke D, et al. Contribution of computed tomography to decision making in the management of adhesive small bowel obstruction. Br J Surg. 1998;85:1071–1074. - PubMed
    1. Komatsu I, Tokuda Y, Shimada G, Jacobs JL, Onodera H. Development of a simple model for predicting need for surgery in patients who initially undergo conservative management for adhesive small bowel obstruction. Am J Surg. 2010;200:215–223. - PubMed
    1. Lee IK, Kim do H, Gorden DL, et al. Selective laparoscopic management of adhesive small bowel obstruction using CT guidance. Am Surg. 2009;75:227–231. - PubMed

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