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Related Experiment Videos

Small bowel obstruction in the elderly.

J S Bender1, M J Busuito, C Graham

  • 1Department of Surgery, Wayne State University, Detroit, Michigan.

The American Surgeon
|June 1, 1989
PubMed
Summary
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For elderly patients with small bowel obstruction, early surgery is recommended. Delaying surgery increases complications and hospital stays, even though mortality and bowel infarction rates remain similar.

Area of Science:

  • Gastroenterology
  • Geriatric Surgery
  • Surgical Outcomes

Background:

  • Mechanical small bowel obstruction is a common surgical emergency.
  • Optimal timing for surgical intervention in elderly patients remains a critical consideration.

Purpose of the Study:

  • To evaluate the impact of early versus delayed surgical intervention on outcomes in elderly patients (≥70 years) with mechanical small bowel obstruction.

Main Methods:

  • Retrospective review of 56 consecutive patients aged 70 years or older undergoing surgery for small bowel obstruction.
  • Comparison of outcomes between early operation (≤48 hours admission) and delayed operation (>48 hours admission) groups, excluding hernia cases.

Main Results:

  • No significant differences in mortality or small bowel infarction rates between early and delayed operation groups.

Related Experiment Videos

  • Delayed operation was associated with a significantly higher complication rate (60% vs 24%) and longer mean hospital stay (29.6 vs 20.0 days).
  • Increased length of stay in the delayed group was attributed to a higher incidence of complications.

    • Conclusions:

    • Advanced age should not deter timely surgical intervention for complete small bowel obstruction.
    • Delaying surgery in elderly patients with small bowel obstruction leads to a significant increase in complications and hospitalization duration.