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. 2021 Jun;37(6):755-763.
doi: 10.1007/s00383-021-04867-5. Epub 2021 Apr 19.

Paediatric adhesive bowel obstruction: a systematic review

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Paediatric adhesive bowel obstruction: a systematic review

Alexander T M Nguyen et al. Pediatr Surg Int. 2021 Jun.

Abstract

Adhesions following abdominal surgery remain a common cause of bowel obstruction. The incidence is between 1 and 12.6% in children who have had previous abdominal surgery. While conservative management is usually trialled in all patients (including children) suspected of having ASBO, the majority will require surgical intervention. New materials such as Seprafilm® have been studied in the paediatric population, with promising results of its use in index abdominal surgeries to prevent the formation of adhesions. In this article, we conducted a systematic review to present an overview of the current knowledge on the incidence, aetiology, pathophysiology, clinical presentation, and management of ASBO.

Keywords: Adhesive small bowel obstruction; Bowel obstruction; Paediatric surgery; Paediatrics.

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