Small-bowel obstruction impairs epithelial barrier function and is associated with persistent NOS2 suppression and

Katarzyna K Wrobel1, Jörn K Teichmann2, Sonja Sitali2

  • 1Department of Surgery, Vivantes Hospital Neukoelln, Berlin, Germany; Department of General and Visceral Surgery, Campus Benjamin Franklin, Charité-Universitätsmedizin, Berlin, Germany.

Surgery
|June 1, 2026
PubMed
Summary

Small-bowel obstruction damages the gut barrier and brain signaling. While barrier function recovers after obstruction release, gut-brain axis activation and reduced nitric oxide synthase persist, indicating distinct recovery paths.

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