Early postoperative small bowel obstruction: open vs laparoscopic

Goussous, Naeem; Kemp, Kevin M.; Bannon, Michael P.; Kendrick, Michael L.; Srvantstyan, Boris; Khasawneh, Mohammad A.; Zielinski, Martin D.

doi:10.1016/j.amjsurg.2014.07.012

Cited by 33 publications

(19 citation statements)

References 21 publications

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“…We recorded a frequency of 1.6% comparable statistically to that of Moroccan series [8]. [12] (P = 0.05). This difference could be explained by the younger population in Africa compared to a more aging Western population.…”

Section: Discussionsupporting

confidence: 73%

Postoperative Occlusion of the Small Bowel with Flanges and/or Adhesions in General Surgery of Kati BSS CHU

Diarra¹,

Keita²,

Traoré³

et al. 2018

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Objectives were to determine the frequency, describe the epidemiological and clinical aspects, therapeutic and analyze the postoperative course. Methodology: This was a retrospective study that covered 08 years (January 2009-December 2017). Inclusion criteria: all patients operated for obstruction of the small bowel by hail and/or flanging. Exclusion criteria: other types of occlusion and non-operated patients. Result: We recorded a total of 162 cases of hail obstruction by adhesions and/or flanges at 2.87%. The average age was 32.04, the sex ratio was 1.2. The average consultation time was 4 days. Abdominal pain associated with stopping of material and gas was present in all our patients. X-ray of the abdomen without preparation carried out in all the patients made it possible to objectify in 150 patients (92.6%) of the hydro-hail levels. Inoperative occlusion of hail on flange was present in 80 patients (49.4%). Occlusion of the small bowel on flange and adhesion was present in 69 patients. Adhesion obstruction of hail accounted for 6.8% (11 cases). The most commonly used surgical technique was flange resection in 91 patients (56.2%). The follow-up was simple in 151 patients (93.2%). Mortality was 1.2% of cases, i.e. 2 deaths. The average duration of hospitalization was 6 days. Conclusion: Occlusion of the small bowel by flanging and/or adherence is a surgical emergency whose prognosis depends on early management.

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Section: Discussionsupporting

confidence: 73%

Postoperative Occlusion of the Small Bowel with Flanges and/or Adhesions in General Surgery of Kati BSS CHU

Diarra¹,

Keita²,

Traoré³

et al. 2018

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“…Reoperation in the immediate postoperative period has been conventionally avoided, since dense and inflammatory adhesions are maximum in this period [15]. To evaluate the surgical feasibility related to postoperative adhesion, we evaluated the operation time.…”

Section: Discussionmentioning

confidence: 99%

Prospective study on the safety and feasibility of early ileostomy closure 2 weeks after lower anterior resection for rectal cancer

Lee

Kim

2019

Ann Surg Treat Res

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PurposeTransient loop ileostomies in rectal cancer surgery are generally closed after 2 or more months to allow adequate time for anastomotic healing. Maintaining the ileostomy may cause medical, surgical, or psychological complications; it also reduces the quality of life, and increase treatment costs. We performed this study to evaluate the safety and feasibility of early ileostomy closure 2 weeks postoperatively.MethodsIf a patient who underwent total mesorectal excision had 2 or more risk factors for anastomotic leakage, a loop ileostomy was created. After confirmation of intact anastomosis via sigmoidoscopy and proctography 1 week postoperatively, the patient was enrolled and ileostomy was closed 2 weeks postoperatively. The primary endpoint was the frequency of complication after ileostomy repair.ResultsThirty patients were enrolled in the study and 6 were excluded due to anastomotic leakage. Except for 1 case of wound infection (4.2%), no patient experienced any complication including newly developed leakage after the ileostomy closure. The mean duration to repair was 13.1 days (range, 8–16 days) and mean duration to the start of adjuvant treatment after radical surgery was 5.37 weeks (range, 3.0–8.1 weeks).ConclusionTransient loop ileostomy, which is confirmed to be intact endoscopically and radiologically, can be safely closed 2 weeks postoperatively without requiring a significant delay in adjuvant chemotherapy.

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“…The occurrence of ileus was also noted; it was defined as abnormal postoperative bowel function recovery or the use of a nasogastric tube because of vomiting without evidence of mechanical bowel obstruction [ 18 ]. Postoperative small-bowel obstruction (SBO) was considered to be the existence of mechanical intestinal obstruction symptoms associated with supporting findings on imaging studies [ 19 , 20 ]. In addition, other parameters including dehydration, acute renal failure (ARF), and reoperation were noted.…”

Section: Methodsmentioning

confidence: 99%

Previous Intestinal Resection Is Associated with Postoperative Complications in Crohn’s Disease: A Cohort Study

Duan

Liu

2020

Gastroenterology Research and Practice

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Background. To assess the influence of a previous intestinal resection on postoperative complications for Crohn’s disease (CD). Methods. Data on patients with CD undergoing surgery in our department from January 2016 through December 2019 were retrospectively reviewed. Information collected included demographic details, surgical data, and postoperative outcome. A cross-sectional study design was employed. Associations between postoperative complications and preoperative clinical indicators were further analyzed. Results. Of the 129 patients with CD studied, 62 patients (48.06%) underwent previous resection. These patients were more likely to be older (P=0.031), have longer disease duration (P=0.025), use less 5-aminosalicylic acid/sulfasalazine preoperatively (P=0.013), have lower body mass index (P=0.003), and have a higher American Society of Anesthesiologists (ASA) Physical Status Classification System score (P=0.043). Patients who had previous surgery had a longer duration of operation (P=0.003), greater estimated blood loss (P=0.001), and longer hospital stay (P<0.001) and were more inclined to develop postoperative complications (P=0.047), particularly anastomotic leak (P=0.021) and severe (Clavien–Dindo grade III/IV) complications (P=0.038). After multivariate analysis, previous intestinal resection (P=0.019), preoperative use of steroids (P=0.026), and ASA score of more than II (P<0.001) were determined to be the independent prognostic risk factors for postoperative complications. During the 30-day follow-up period, there was no postoperative mortality or readmission. Conclusions. Previous intestinal resection in patients with CD is an independent predictor of overall postoperative complications.

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Early postoperative small bowel obstruction: open vs laparoscopic

Cited by 33 publications

References 21 publications

Postoperative Occlusion of the Small Bowel with Flanges and/or Adhesions in General Surgery of Kati BSS CHU

Postoperative Occlusion of the Small Bowel with Flanges and/or Adhesions in General Surgery of Kati BSS CHU

Prospective study on the safety and feasibility of early ileostomy closure 2 weeks after lower anterior resection for rectal cancer

Previous Intestinal Resection Is Associated with Postoperative Complications in Crohn’s Disease: A Cohort Study

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