Jove
Visualize
Contact Us
JoVE
x logofacebook logolinkedin logoyoutube logo
ABOUT JoVE
OverviewLeadershipBlogJoVE Help Center
AUTHORS
Publishing ProcessEditorial BoardScope & PoliciesPeer ReviewFAQSubmit
LIBRARIANS
TestimonialsSubscriptionsAccessResourcesLibrary Advisory BoardFAQ
RESEARCH
JoVE JournalMethods CollectionsJoVE Encyclopedia of ExperimentsArchive
EDUCATION
JoVE CoreJoVE BusinessJoVE Science EducationJoVE Lab ManualFaculty Resource CenterFaculty Site
Terms & Conditions of Use
Privacy Policy
Policies

Related Experiment Videos

Small bowel obstruction: conservative vs. surgical management.

Stephen B Williams1, Jose Greenspon, Heather A Young

  • 1Division of Colon and Rectal Surgery, The George Washington University, Washington, DC 20037, USA.

Diseases of the Colon and Rectum
|May 21, 2005
PubMed
Summary

Surgical management of small bowel obstruction leads to lower recurrence rates and longer time to recurrence compared to conservative treatment. However, surgical patients experienced longer hospital stays, with no significant difference in early or late recurrence predictors.

Related Concept Videos

You might also read

Related Articles

Articles linked to this work by shared authors, journal, and citation graph.

Sort by
Same author

From Bedside to the C-Suite: A National Survey on the Evolving Role of Physician Leaders in U.S. Hospitals.

NEJM catalyst innovations in care delivery·2026
Same author

In utero and childhood exposure to organochlorines and perfluorinated chemicals in relation to sperm aneuploidy in adulthood.

Environmental health : a global access science source·2026
Same author

'BJUI Clinical Dilemma': Recurrent high-grade non-muscle-invasive bladder cancer in 2026.

BJU international·2026
Same author

Costs of care and oncologic outcomes associated with blue light cystoscopy in an equal access setting: Results from the BRAVO study.

Urologic oncology·2026
Same author

Population-based outcomes of chemoradiation therapy for muscle-invasive bladder cancer in older adults.

Journal of geriatric oncology·2026
Same author

Impact of Computational Histology AI Biomarkers on Clinical Management Decisions in Non-Muscle Invasive Bladder Cancer: A Multi-Center Real-World Study.

Cancers·2026

Area of Science:

  • Gastroenterology
  • Surgical Gastroenterology
  • Abdominal Surgery

Background:

  • Small bowel obstruction (SBO) is a common surgical emergency.
  • Management strategies range from conservative therapy to surgical intervention.
  • Understanding recurrence patterns and risk factors is crucial for optimizing patient outcomes.

Purpose of the Study:

  • To evaluate the incidence, risk factors, and recurrence rates associated with conservative and surgical management of small bowel obstruction.
  • To compare outcomes between nonoperative and operative treatment approaches for SBO.

Main Methods:

  • Retrospective chart review of 329 patients with 487 admissions for small bowel obstruction.
  • Classification of early and late recurrent SBO based on readmission timelines and prior treatment.

Related Experiment Videos

  • Analysis of patient demographics, surgical history, and treatment outcomes.

    • Main Results:

    • 57% of index SBO admissions required surgery; 43% were managed conservatively.
    • Nonoperative management had a higher recurrence rate (40.5%) versus operative management (26.8%).
    • Operatively treated patients had a longer time to recurrence (411 days vs. 153 days) but shorter index hospital stays (4.9 vs. 12.0 days).

    Conclusions:

    • Surgical management of small bowel obstruction is associated with reduced recurrence rates and a longer interval to recurrence.
    • Conservative management resulted in shorter initial hospitalizations but higher recurrence frequencies.
    • No significant predictors for the success of either conservative or surgical management were identified in this study.