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Intestinal obstruction following operation for inflammatory disease of the bowel

E S Hughes, F T McDermott, J P Masterton

    Diseases of the Colon and Rectum
    |October 1, 1979
    PubMed

    Insights

    Acute small-intestinal obstruction is a common complication after bowel surgery for inflammatory bowel disease. Adhesions are the primary cause, leading to a high risk of further surgery and mortality.

    Area of Science:

    • Gastroenterology
    • Surgical Complications

    Background:

    • Inflammatory bowel disease (IBD) often requires surgical intervention.
    • Excisional surgery for IBD can lead to serious postoperative complications.

    Purpose of the Study:

    • To investigate the incidence and causes of acute small-intestinal obstruction following excisional surgery for IBD.
    • To assess the short-term and long-term outcomes of this complication.

    Main Methods:

    • Retrospective analysis of patient data from the Monash series.
    • Identification of causes of obstruction and patient outcomes.

    Main Results:

    • Adhesion formation was the most frequent cause of acute small-intestinal obstruction.
    • A significant mortality rate was associated with obstructive complications.
    • One in five patients required reoperation for recurrence over the long term.

    Conclusions:

    • Acute small-intestinal obstruction is a significant risk after excisional surgery for IBD.
    • Adhesions are the predominant etiology, necessitating vigilant postoperative monitoring and management.
    • Long-term follow-up is crucial due to the high rate of recurrence requiring further surgical intervention.

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