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Early postoperative small bowel obstruction: A review
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Early postoperative small bowel obstruction: A review
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Journal Article
Early postoperative small bowel obstruction: A review
2020
Overview
Early postoperative small bowel obstruction (ESBO) is a challenging problem. Although it is usually amenable to non-operative management, a significant proportion of patients will require re-operation. Certain causes of ESBO and types of index procedures should prompt consideration for early re-operation. A laparoscopic approach during the index operation, certain barrier agents and closure of mesenteric defects in bariatric surgery may reduce the risk of ESBO. There is no consensus regarding an acceptable length of time for initial non-operative management of ESBO but re-operation beyond two weeks may be associated with increased complications.
•Early small bowel obstruction occurs in 1–12% of abdominal operations.•There is no consensus on an acceptable time to wait before re-operation.•Early reoperation should be considered after certain laparoscopic procedures.•Bowel obstruction after Roux-en-Y gastric bypass will usually require reoperation.
Publisher
Elsevier Inc,Elsevier Limited
