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Adhesive small bowel obstruction--acute management and treatment in children

Timothy B Lautz1, Katherine A Barsness1

  • 1Ann and Robert H. Lurie Children's Hospital of Chicago, Northwestern University Feinberg School of Medicine, 225 East Chicago Ave, Box 63, Chicago, Illinois 60611.

Seminars in Pediatric Surgery
|December 3, 2014
PubMed

Insights

Adhesive small bowel obstruction is a serious concern in children. This review synthesizes pediatric data and compares it to adult studies, offering management guidelines for infant and pediatric adhesive obstructions.

Area of Science:

  • Pediatric Surgery
  • Gastrointestinal Surgery
  • Surgical Complications

Background:

  • Adhesive small bowel obstruction presents significant short- and long-term morbidity in pediatric patients.
  • Existing scientific literature predominantly focuses on adult cases, leaving a gap in pediatric-specific research.
  • Understanding the nuances of adhesive obstructions in infants and children is crucial for effective management.

Purpose of the Study:

  • To review the current literature on adhesive small bowel obstruction specifically in infants and children.
  • To compare pediatric findings with existing data from adult studies.
  • To establish evidence-based management guidelines for pediatric adhesive small bowel obstruction.

Main Methods:

  • Comprehensive literature search of pediatric and adult studies on adhesive small bowel obstruction.
  • Systematic review and synthesis of existing research findings.
  • Comparative analysis of pediatric versus adult data.

Main Results:

  • Limited but growing body of literature exists for pediatric adhesive small bowel obstruction.
  • Key differences in presentation and management may exist between pediatric and adult populations.
  • Evidence suggests specific considerations are needed for infant and pediatric cases.

Conclusions:

  • Further research is warranted to expand the pediatric evidence base for adhesive small bowel obstruction.
  • Management guidelines should be tailored to the unique characteristics of infant and pediatric patients.
  • This review provides a foundation for evidence-based clinical practice in pediatric adhesive small bowel obstruction.

Keywords:
AdhesionsChildrenLaparoscopy

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