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Related Experiment Videos

Small bowel obstruction after abdominal aortic surgery

K Siporin1, J R Hiatt, R L Treiman

  • 1Department of Surgery, Cedars-Sinai Research Institute, Cedars-Sinai Medical Center, Los Angeles, California.

The American Surgeon
|December 1, 1993
PubMed
Summary
This summary is machine-generated.

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Early postoperative small bowel obstruction (SBO) is an uncommon complication after abdominal aortic surgery. Nearly half of patients with SBO require reoperation, especially if symptoms persist beyond two weeks.

Area of Science:

  • Vascular Surgery
  • Gastrointestinal Surgery
  • Surgical Complications

Background:

  • Early postoperative small bowel obstruction (SBO) is a recognized complication following intestinal surgery.
  • Data on the frequency, causes, and outcomes of SBO after abdominal aortic procedures are limited.

Purpose of the Study:

  • To determine the incidence, etiology, and morbidity of early postoperative small bowel obstruction (SBO) after abdominal aortic surgery.
  • To evaluate the management and outcomes of SBO in this patient population.

Main Methods:

  • Retrospective review of 1475 patients undergoing abdominal aortic operations (aneurysmal or occlusive disease) between 1963 and 1990.
  • Analysis of patient records to identify cases of early postoperative SBO, treatment strategies, and outcomes.

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Main Results:

  • Forty-four patients (2.9%) developed early postoperative SBO, typically within 6 days of surgery.
  • 18 of 44 patients (41%) required reoperation, most commonly for lysis of adhesions.
  • Overall mortality was 5%, and morbidity was 16%, with no reported cases of bowel infarction or late graft infection.

Conclusions:

  • Early postoperative small bowel obstruction is an infrequent but significant complication of aortic surgery.
  • Management follows standard principles for SBO, with nearly half of patients needing reoperation if conservative treatment fails within two weeks.
  • SBO is more common than other gastrointestinal complications like pancreatitis or colonic ischemia in this cohort.