Only Surgical Treatment to Be Considered for Adhesive Small Bowel Obstruction: A New Paradigm
Joint Authors
Giger, Urs
Salamé, E.
Tabchouri, Nicolas
Dussart, David
Michot, Nicolas
Marques, Frederic
Khalfallah, Meriem
Bucur, Petru
Barbier, Louise
Kraemer-Bucur, Aurore
Nayeri, Mihane
Thiery, Julien
Bourlier, Pascal
Ouaïssi, Mehdi
Bourbao-Tournois, Céline
Source
Gastroenterology Research and Practice
Issue
Vol. 2018, Issue 2018 (31 Dec. 2018), pp.1-6, 6 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2018-10-23
Country of Publication
Egypt
No. of Pages
6
Main Subjects
Abstract EN
Background.
Adhesive small bowel obstruction (SBO) represents a heavy burden in healthcare systems worldwide and is associated with significant morbidity and mortality.
Although conservative treatment alone can lead to SBO resolution in most cases, its optimal duration is still a matter of debate.
The aim of this study was to analyze different SBO evolution patterns in order to further determine when to switch to surgical treatment.
Study Design.
All patients who were admitted for adhesive SBO between 2011 and 2016 were reviewed.
Patients who had immediate surgery (IS), a successful medical treatment (SMT), and a failed medical treatment (FMT) were compared in terms of overall morbidity, mortality, and SBO recurrence.
Results.
Overall 154 patients were identified, including 23 (14.9%) in IS, 27 (17.5%) in FMT, and 104 (67.6%) in SMT groups.
In terms of comorbidities, patients were similar in all groups.
Overall morbidity rates were highest in IS and FMT groups (30% and 33%, respectively, vs.
4% in the SMT group, p<0.001) whereas mortality rate was highest in the FMT group (22% vs.
0% and 0% in IS and SMT groups, respectively, p<0.001).
SBO recurrence rate was highest in the SMT group (22% vs.
4% and 7% in IS and FMT groups, respectively, p=0.042).
Conclusion.
FMT seems to be associated with similar overall morbidity compared with IS but with increased postoperative mortality.
Patient frailty seems to be worsened by prolonged inefficient medical treatment.
American Psychological Association (APA)
Tabchouri, Nicolas& Dussart, David& Giger, Urs& Michot, Nicolas& Marques, Frederic& Khalfallah, Meriem…[et al.]. 2018. Only Surgical Treatment to Be Considered for Adhesive Small Bowel Obstruction: A New Paradigm. Gastroenterology Research and Practice،Vol. 2018, no. 2018, pp.1-6.
https://search.emarefa.net/detail/BIM-1165978
Modern Language Association (MLA)
Tabchouri, Nicolas…[et al.]. Only Surgical Treatment to Be Considered for Adhesive Small Bowel Obstruction: A New Paradigm. Gastroenterology Research and Practice No. 2018 (2018), pp.1-6.
https://search.emarefa.net/detail/BIM-1165978
American Medical Association (AMA)
Tabchouri, Nicolas& Dussart, David& Giger, Urs& Michot, Nicolas& Marques, Frederic& Khalfallah, Meriem…[et al.]. Only Surgical Treatment to Be Considered for Adhesive Small Bowel Obstruction: A New Paradigm. Gastroenterology Research and Practice. 2018. Vol. 2018, no. 2018, pp.1-6.
https://search.emarefa.net/detail/BIM-1165978
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-1165978