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Related Experiment Videos

How conservatively can postoperative small bowel obstruction be treated?

D Seror1, E Feigin, A Szold

  • 1Department of Surgery, Hadassah University Hospital Mount Scopus, Jerusalem, Israel.

American Journal of Surgery
|January 1, 1993
PubMed
Summary

Conservative management for postoperative intestinal obstruction is effective. Nonoperative therapy up to 5 days safely resolves most cases of adhesion ileus, including complete obstructions, with a 73% success rate.

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Area of Science:

  • Gastroenterology
  • Surgical Outcomes

Background:

  • Postoperative adhesion ileus is a frequent cause of small bowel obstruction.
  • Current management strategies for adhesion ileus lack consensus.

Purpose of the Study:

  • To evaluate the efficacy and safety of a conservative, nonoperative approach for managing postoperative adhesion ileus.

Main Methods:

  • Retrospective analysis of 297 patient admissions over 14 years.
  • Assessment of nonoperative therapy duration and outcomes for small bowel obstruction.

Main Results:

  • Nonoperative therapy up to 5 days was safe for most patients, including those with complete obstruction.
  • Obstruction resolved within a mean of 22 hours (max 5 days) in responsive patients.

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  • Trials exceeding 5 days were ineffective; 73% obstruction resolution achieved without increased mortality or strangulation.

    • Conclusions:

    • A conservative, nonoperative approach is a safe and effective primary management strategy for postoperative adhesion ileus.
    • Nonoperative management for up to 5 days can successfully resolve the majority of small bowel obstructions due to adhesions.