Laparoscopic Diagnosis and Treatment of Intestinal Obstruction

Overview

Journal Surg Endosc

Publisher Springer

Specialties Gastroenterology
General Surgery
Radiology

Date 2003 Nov 20

PMID 14625729

Citations 21

Authors

M E Franklin Jr

J J Gonzalez Jr

D B Miter

J L Glass

D Paulson

Affiliations

Soon will be listed here.

Abstract

Background: Intestinal obstruction is a common reason for general surgical referral. The traditional approach has been conservative management, followed by laparotomy if conservative measures are unsuccessful. However, with the advent of minimally invasive surgery, the need for laparotomy for this common problem is being challenged.

Methods: From May 1991 to April 2001, 167 patients underwent laparoscopy for diagnosis and/or treatment of intestinal obstruction. Average patient age was 62 years (range, 21-98). The site of obstruction was the stomach in seven patients, small bowel in 116 patients, and colon in 44 patients.

Results: Laparoscopy successfully diagnosed the site of obstruction in all patients. In addition, 154 patients (92.2%) were successfully treated laparoscopically without conversion to laparotomy. Both intraoperative and postoperative complication rates were low (3.5 and 18.6%, respectively) and compared favorably with those of published reports.

Conclusions: Intestinal obstruction can be approached safely and effectively by laparoscopy with the intent not only to correctly diagnose the patient but also to render treatment.

Citing Articles

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Wang Z, Liu Z, Ma W, Wu Y, Duan X BMC Surg. 2024; 24(1):63.

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Nationwide analysis of inpatient laparoscopic ventral hernia repair in Italy from 2015 to 2020.

Botteri E, Ortenzi M, Williams S, Balla A, Podda M, Guerrieri M Updates Surg. 2023; 75(6):1661-1670.

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Short-term outcomes of deeper intubation technique of ileus tube for different types of acute intestinal obstruction patients: A retrospective multicenter study.

Tan Y, Yin F, Lu Z, Huang P, Zhang C, Sun J Front Oncol. 2023; 12:1065692.

PMID: 36620562 PMC: 9813778. DOI: 10.3389/fonc.2022.1065692.

Nasointestinal tubes versus nasogastric tubes in the management of small-bowel obstruction: A meta-analysis.

Dong X, Huang S, Jiang Z, Song Y, Zhang X Medicine (Baltimore). 2018; 97(36):e12175.

PMID: 30200119 PMC: 6133588. DOI: 10.1097/MD.0000000000012175.

Laparoscopic treatment of intestinal obstruction due to a vitelline vascular remnant and simultaneous appendicitis: a case report.

Date K, Yokota T, Maehara N Surg Case Rep. 2018; 4(1):105.

PMID: 30167990 PMC: 6117226. DOI: 10.1186/s40792-018-0515-3.

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