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Related Experiment Videos

Small bowel obstruction: is routine colonoscopy necessary after resolution?

Simon Sun Beng Chew1, Tru Ngo, Philip John Crowe

  • 1Department of Surgery, University of New South Wales, Prince of Wales Hospital, Sydney, Australia.

ANZ Journal of Surgery
|September 25, 2002
PubMed
Summary

Colon cancer significantly causes small bowel obstruction (SBO). However, routine colonoscopy is not recommended for patients with SBO that resolves spontaneously, as colon cancer is rarely the cause in these cases.

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Area of Science:

  • Gastroenterology
  • Surgical Oncology
  • Colorectal Surgery

Background:

  • Small bowel obstruction (SBO) is a frequent clinical presentation, predominantly caused by adhesions.
  • Determining the role of colon cancer in SBO and the necessity of colonoscopy after spontaneous resolution is crucial.

Purpose of the Study:

  • To evaluate the incidence of colon cancer presenting as SBO.
  • To assess the need for routine colonoscopy in patients with SBO that resolves spontaneously.

Main Methods:

  • Retrospective review of 251 patients with SBO from 1995-2000.
  • Analysis of clinical outcomes, including conservative and operative management.
  • Identification of colon cancer through laparotomy and follow-up colonoscopy.

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Main Results:

  • Colon cancer was identified in 13% of patients undergoing laparotomy for SBO.
  • The overall incidence of SBO secondary to colon cancer was 6.4%.
  • Only 0.7% of patients with spontaneously resolved SBO were found to have colon cancer.

Conclusions:

  • Colon cancer presents a significant cause of SBO.
  • Routine colonoscopy is not indicated for patients with SBO that resolves spontaneously due to the low incidence of underlying colon cancer.