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The burden of adhesive bowel obstruction requiring surgery in children: a single-center retrospective review

Jonathan Hencke1, Gabriel Nonnenmacher2, Steffan Loff2

  • 1Department of Pediatric Surgery, Olgahospital, Klinikum Stuttgart, Kriegsbergstraße 62, 70174, Stuttgart, Germany. j.hencke@klinikum-stuttgart.de.

Pediatric Surgery International
|November 28, 2024
PubMed

Insights

Adhesive bowel obstruction (ABO) in children often follows surgery, with complications impacting recovery. Predictors are limited, highlighting the need for better management strategies for this pediatric surgical issue.

Area of Science:

  • Pediatric Surgery
  • Gastrointestinal Surgery
  • Surgical Complications

Background:

  • Adhesive bowel obstruction (ABO) is a significant complication following abdominal surgery in children.
  • Understanding the factors contributing to ABO is crucial for improving patient outcomes.

Purpose of the Study:

  • To investigate the causes, predictors, and complications of pediatric adhesive bowel obstruction requiring surgical intervention.
  • To identify risk factors associated with ABO and its recurrence.

Main Methods:

  • Retrospective review of 71 pediatric operative cases of adhesive bowel obstruction (May 2014 - December 2023).
  • Assessment of patient demographics, prior surgical history, operative details, and postoperative outcomes.
  • Statistical analysis to determine associations between variables and complications.

Main Results:

  • Appendicitis, necrotizing enterocolitis (NEC), and gastroschisis were common preceding conditions.
  • Complications occurred in 41% of patients, significantly increasing hospital stay.
  • Longer operative times were associated with previous surgeries in infancy and recurrent ABO, but shorter after appendicitis.

Conclusions:

  • Adhesive bowel obstruction presents a substantial challenge in pediatric surgery with few identifiable predictors.
  • The high rate of complications associated with ABO places a significant burden on patients, families, and healthcare systems.
Abstract

Keywords:
AdhesiolysisAdhesionsAdhesive bowel obstructionPediatric surgical complication

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