Epidemiology of adhesions in infants and children following open surgery

Lakshminarayanan, Bhanumathi; Hughes-Thomas, Amy; Grant, Hugh W.

doi:10.1053/j.sempedsurg.2014.06.005

Cited by 41 publications

(38 citation statements)

References 44 publications

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“…In this particular case, the patient had a number of risk factors for developing SBO. Neonatal patients requiring a laparotomy have a significant risk for developing SBO in future 11. Gastroschisis is a condition where infants are born with segments of bowel outside the external wall and is associated with malrotation 12.…”

Section: Discussionmentioning

confidence: 99%

Small bowel obstruction caused by vas deferens: a first documented report

Davies¹,

Parmar

Finlay

et al. 2018

BMJ Case Reports

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Small bowel obstruction (SBO) is one of the most common causes for an acute surgical admission. Most of the time SBO is a result of common causes such as postoperative adhesions. However, rare and unusual causes of SBO do exist which can be challenging for surgeons. We report a first documented case of SBO caused by a remnant of the vas deferens in a 24-year-old patient with a history of gastroschisis and left orchidectomy. Clinical presentation, investigations, imaging and management of this case are described. To summarise, clinicians should keep an open mind in dealing with patients with intestinal obstruction due to the rare and atypical causes.

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Section: Discussionmentioning

confidence: 99%

Small bowel obstruction caused by vas deferens: a first documented report

Davies¹,

Parmar

Finlay

et al. 2018

BMJ Case Reports

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“…Our series had proportionately fewer patients with REYA gastric bypass which may, in part, have increased our success rate relative to other Western series. 20 For the same reason, patients with multiple previous surgeries were also less likely to have a successful DBE-ERCP. A recent systematic review of 679 patients undergoing balloon-assisted ERCP (both single balloon enteroscopy and DBE) indicated that successful biliary cannulation was highest in patients with Billroth II anatomy (90%), followed by those with pancreaticoduodenectomy or Roux-en-Y hepaticojejunostomy (76%) and lowest in patients with Roux-en-Y gastric bypass (70%).…”

Section: Discussionmentioning

confidence: 99%

Predictors of success for double balloon‐assisted endoscopic retrograde cholangiopancreatography in patients with Roux‐en‐Y anastomosis

Liu

Joshi

Saxena

et al. 2016

Digestive Endoscopy

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Indication for REYA impacts on successful biliary cannulation in patients undergoing DBE-ERCP. The procedure is most successful in non-liver transplant adult surgery and post-transplant patients without a second operation. It is least successful in patients with surgically corrected biliary atresia and post-transplant patients with second operation. Alternative methods of biliary access should be considered in these patients.

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“…This may have resulted from the relatively high proportion of neonates and infants in the pediatric group, because SBOs in these age groups are associated with a high failure rate for conservative management and typically proceed to surgical management [22–24]. Furthermore, previous studies have reported that the surgical management, which includes a bowel resection, is higher for those with a younger age and a longer time interval to the operation more than 2 days [25]. However, the present study revealed no significant correlation between the time interval to the operation and the necessity of bowel resection.…”

Section: Discussionmentioning

confidence: 99%

Congenital adhesion band causing small bowel obstruction: What’s the difference in various age groups, pediatric and adult patients?

Yang

Lee

et al. 2016

BMC Surg

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BackgroundA congenital adhesion band is a rare condition, but may induce a small bowel obstruction (SBO) at any age. However, only a few sporadic case reports exit. We aimed to identify the clinical characteristics of congenital adhesion band manifesting a SBO stratified by age group between pediatric and adult patients.MethodsThe medical records of all patients with a SBO between Jan 1, 2009 and Dec 31, 2015 were retrospectively reviewed. Cases associated with previous surgical procedure and cases of secondary obstruction due to inflammatory processes or tumor and other systemic diseases were excluded. The patients were divided into two groups according to age below or above 18 years: pediatric and adult. The basic clinical characteristics were analyzed and compared between groups.ResultsOf 251 patients with a SBO, 15 (5.9%) met the inclusion criteria; 10 cases in pediatric group (mean age 17.9 ± 38.7 months) and 5 cases in adult group (mean age 60.0 ± 19.7 years). The pediatric group (66.6%) included 3 neonates, 5 infants, and 2 school children. They usually presented with bilious vomiting (50.0%) and abdominal distention (60.0%), and demonstrated a high rate of early operation (80.0%) and bowel resection (70.0%). In contrast, the adult group (33.3%) presented with abdominal pain (100%) in all cases and underwent a relatively simple procedure of band release using a laparoscopic approach (60%). However, group differences did not reach statistical significance. In addition, two groups did not differ in the time interval to the operation or in the range of the operation (p = 0.089 vs. p = 0.329). No significant correlation was found between the time interval to the operation and the necessity of bowel resection (p = 0.136). There was no mortality in either group.ConclusionsCongenital adhesion band is a very rare condition with diverse clinical presentations across ages. Unlike adult patients, pediatric patients showed a high proportion of early operation and bowel resection. A good result can be expected with an early diagnosis and prompt management regardless of age.

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Epidemiology of adhesions in infants and children following open surgery

Cited by 41 publications

References 44 publications

Small bowel obstruction caused by vas deferens: a first documented report

Small bowel obstruction caused by vas deferens: a first documented report

Predictors of success for double balloon‐assisted endoscopic retrograde cholangiopancreatography in patients with Roux‐en‐Y anastomosis

Congenital adhesion band causing small bowel obstruction: What’s the difference in various age groups, pediatric and adult patients?

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