Related Experiment Video

Updated: Jul 25, 2025

Clinical Application of Single-Surgeon, Three-Port, Laparoscopic Resection for Colorectal Cancer with Natural Orifice Specimen Extraction
08:26

Clinical Application of Single-Surgeon, Three-Port, Laparoscopic Resection for Colorectal Cancer with Natural Orifice Specimen Extraction

Published on: March 24, 2023

558

Paediatric Adhesive Small Bowel Obstruction is Associated with a Substantial Economic Burden and High Frequency of

Cecilia Arana Håkanson1, Fanny Fredriksson2, Helene Engstrand Lilja3

  • 1Department of Women's and Children's Health, Karolinska Institutet, Tomtebodavägen 18a, 171 77, Solna, Sweden.

Journal of Pediatric Surgery
|June 24, 2023
PubMed

Insights

Neonatal surgery frequently causes adhesive small bowel obstruction (ASBO) in children, often requiring surgery and leading to complications and high costs. Further research is needed for effective paediatric ASBO management guidelines.

Area of Science:

  • Pediatric Surgery
  • Gastroenterology
  • Surgical Complications

Background:

  • Intra-abdominal adhesions are a common cause of adhesive small bowel obstruction (ASBO), with a higher incidence in pediatric surgery.
  • Despite its prevalence, ASBO in children lacks clear management guidelines, and associated complications and economic burdens are not well-defined.

Purpose of the Study:

  • To investigate the underlying diagnoses, treatments, complications, and healthcare costs associated with pediatric ASBO.
  • To identify the primary drivers of ASBO in the pediatric population.

Main Methods:

  • An observational retrospective study of children aged 0-15 years hospitalized for ASBO between 2000 and 2020.
  • Data extraction from medical records, with complications classified using the Clavien-Dindo Classification.
  • Kaplan-Meier estimates were used for time-to-ASBO analysis.

Main Results:

  • 101 patients with 137 ASBO episodes were analyzed; 58.4% had initial surgery during the neonatal period.
  • Necrotizing enterocolitis, duodenal obstruction, and primary ASBO were the most common index surgery diagnoses.
  • Conservative treatment failed in 86.6% of patients, necessitating laparotomy; 52% experienced postoperative complications, with a median cost of $36,236 per ASBO episode.

Conclusions:

  • Neonatal surgery is a primary cause of pediatric ASBO, frequently requiring surgical intervention.
  • Paediatric ASBO is associated with a high rate of postoperative complications and substantial healthcare expenditures.
  • Development of evidence-based management guidelines for pediatric ASBO is crucial.
Abstract

Keywords:
Clavien dindo classificationComplicationsCostPediatric surgerySmall bowel obstruction

More Related Videos

Colonial Wig Pancreaticojejunostomy07:49

Colonial Wig Pancreaticojejunostomy

Published on: March 12, 2019

12.1K
A Case Series of Successful Abdominal Closure Utilizing a Novel Technique Combining a Mechanical Closure System with a Biologic Xenograft that Accelerates Wound Healing00:20

A Case Series of Successful Abdominal Closure Utilizing a Novel Technique Combining a Mechanical Closure System with a Biologic Xenograft that Accelerates Wound Healing

Published on: July 4, 2019

51.4K

Related Concept Videos

Endoscopic Procedures IV: Sigmoidoscopy and Laproscopy01:26

Endoscopic Procedures IV: Sigmoidoscopy and Laproscopy

Sigmoidoscopy and laparoscopy are distinct medical procedures that enable physicians to internally inspect different parts of the GI tract. Although they serve different purposes, each is essential for diagnosing and, in some cases, treating various medical conditions.
Sigmoidoscopy
Sigmoidoscopy is a diagnostic procedure that uses a flexible sigmoidoscope equipped with a light source and camera to examine the rectum and sigmoid colon. The procedure involves inserting the tube through the anus...
126
Inflammatory Bowel Disease V: Surgical Management01:21

Inflammatory Bowel Disease V: Surgical Management

Surgical interventions for inflammatory bowel disease (IBD), which includes ulcerative colitis and Crohn's disease, are essential in managing symptoms and addressing complications. The selection of surgical procedures is contingent upon the specific conditions and complications that stem from these illnesses.
Here are some common surgical interventions for IBD:
173
Appendicitis-II: Diagnostic Studies and Management01:29

Appendicitis-II: Diagnostic Studies and Management

Diagnosing and managing appendicitis requires a structured and comprehensive approach that spans from initial assessment to postoperative care. Here is an overview of the process:
Diagnosing Appendicitis
It requires a multifaceted approach, starting with a detailed physical examination to pinpoint the location and nature of the pain and identify any associated symptoms. Laboratory tests play a crucial role. A complete Blood Count (CBC) typically reveals leukocytosis (an increased number of...
103
Peripheral Artery Disease V: Postoperative Nursing Management01:23

Peripheral Artery Disease V: Postoperative Nursing Management

During the postoperative period, it is crucial to focus on maintaining circulation, identifying and managing potential complications, and planning for discharge.Nursing AssessmentVital signs monitoring: Regularly monitor vital signs, including blood pressure, heart rate, respiratory rate, and temperature, to detect early signs of complications such as bleeding and infection.Circulation assessment: Monitor pulses, perform Doppler assessments, and check capillary refill, color, temperature, and...
13
Peptic Ulcer Disease V: Surgical Management and Nursing Care01:25

Peptic Ulcer Disease V: Surgical Management and Nursing Care

Surgical management and nursing care are crucial in treating Peptic Ulcer Disease (PUD). Here is an organized and enhanced overview of the surgical interventions and the associated nursing care for PUD:
Surgical Interventions for Peptic Ulcer Disease
349