Small bowel obstruction
Autor: | Kevin Y. Pei, Yoon K Lee, David J Detz, Jerica L. Podrat, Shawn M. Purnell, Jose Muniz Castro, Feibi Zheng |
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Rok vydání: | 2021 |
Předmět: |
medicine.medical_specialty
business.industry General surgery General Medicine 030230 surgery medicine.disease digestive system diseases Volvulus Bowel obstruction 03 medical and health sciences 0302 clinical medicine 030220 oncology & carcinogenesis Intussusception (medical disorder) Intestine Small Gallstone ileus medicine Etiology Humans Bezoar Surgery Nonoperative management business Intestinal Obstruction Repeat emergency |
Zdroj: | Current Problems in Surgery. 58:100893 |
ISSN: | 0011-3840 |
DOI: | 10.1016/j.cpsurg.2020.100893 |
Popis: | Despite advancement in medical and surgical techniques, small bowel obstruction (SBO) continues to be a challenge for general surgeons. Although hernias were the most common etiology of SBO a century ago, postoperative adhesions now account for at least 75 % of small bowel obstructions. Additional etiologies of obstruction include tumors and less commonly, Crohn’s disease, volvulus, intussusception, gallstone ileus, and bezoar. Operative versus nonoperative management strategies have been compared with respect to recurrence of SBO; one in three surgically treated patients recur compared to one in two medically managed patients. Despite this, many patients are successfully managed nonoperatively, albeit with repeat emergency department visits. |
Databáze: | OpenAIRE |
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