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

Laparoscopy for Small Bowel Obstruction Caused by Single Adhesive Band.

Author information

1
Department of Surgery, College of Medicine, Chung-Ang University, Seoul, Korea.

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

PMID:
27647979
PMCID:
PMC5026458
DOI:
10.4293/JSLS.2016.00048
[Indexed for MEDLINE]
Free PMC Article

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