Laparoscopic Adhesiolysis for Recurrent Small Bowel Obstruction: Long-term Follow-up

Overview

Journal Gastrointest Endosc

Specialties Gastroenterology
Pharmacology
Radiology

Date 2001 Sep 29

PMID 11577310

Citations 26

Authors

Y Sato

K Ido

M Kumagai

N Isoda

M Hozumi

N Nagamine

K Ono

H Shibusawa

K Togashi

K Sugano

Affiliations

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Abstract

Background: Recurrent small bowel obstruction caused by postoperative adhesions has traditionally been treated by conventional laparotomy, but laparoscopic management of acute small bowel obstruction has been reported. The aim of this study was to assess the long-term efficacy and clinical outcome of laparoscopic adhesiolysis for recurrent small bowel obstruction.

Methods: After conservative treatment, elective laparoscopic treatment was attempted in 17 patients hospitalized for recurrent small bowel obstruction after abdominal or pelvic surgery.

Results: Postoperative adhesions were identified laparoscopically in all patients. Laparoscopic treatment was possible in 14 patients (82.4%). Conversion to laparotomy was required for 3 patients (17.6%) because of intestinal perforation (n = 1) or a convoluted mass of adherent bowel (n = 2). Long-term follow-up was possible in 16 patients. Two recurrences of small bowel obstructions were noted over a mean follow-up period of 61.7 months.

Conclusions: Laparoscopic adhesiolysis is a safe and effective treatment for recurrent small bowel obstruction. Conversion to laparotomy should be considered in patients with dense adhesions.

Citing Articles

Keys to successful laparoscopic adhesiolysis for adhesive small bowel obstruction: A scoping review.

Huang Y, Fu R, Liu D, Wen K Heliyon. 2024; 10(14):e34359.

PMID: 39149046 PMC: 11324824. DOI: 10.1016/j.heliyon.2024.e34359.

Elective adhesiolysis for chronic abdominal pain reduces long-term risk of adhesive small bowel obstruction.

van den Beukel B, Toneman M, van Veelen F, van Oud-Alblas M, van Dongen K, Stommel M World J Emerg Surg. 2023; 18(1):8.

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Olivas-Alanis L, Calzada-Briseno R, Segura-Ibarra V, Vazquez E, Diaz-Elizondo J, Flores-Villalba E Sensors (Basel). 2020; 20(23).

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An in vivo analysis of safe laparoscopic grasping thresholds for colorectal surgery.

Barrie J, Russell L, Hood A, Jayne D, Neville A, Culmer P Surg Endosc. 2018; 32(10):4244-4250.

PMID: 29602989 PMC: 6132882. DOI: 10.1007/s00464-018-6172-6.

Does laparoscopic adhesiolysis decrease the risk of recurrent symptoms in small bowel obstruction? A propensity score-matched analysis.

Yao S, Tanaka E, Matsui Y, Ikeda A, Murakami T, Okumoto T Surg Endosc. 2017; 31(12):5348-5355.

PMID: 28593412 DOI: 10.1007/s00464-017-5615-9.