Clinical Features of Strangulated Small Bowel Obstruction

Overview

Journal Surg Today

Specialty General Surgery

Date 2012 Jun 5

PMID 22661266

Citations 8

Authors

Daisuke Hashimoto

Masahiko Hirota

Tetsuya Matsukawa

Yasushi Yagi

Hideo Baba

Affiliations

Soon will be listed here.

Abstract

Purpose: The causes of strangulated small bowel obstruction (SSBO) include a fibrous cord, torsion, and internal hernia. We conducted this study to define the clinical features of SSBO.

Methods: We reviewed the clinical course and preoperative data of 74 patients treated for SSBO in Kumamoto Regional Medical Center between January 2004 and September 2010.

Results: Twenty-one patients had no history of laparotomy. Computed tomography (CT) showed high positivity (86.3 %) of closed loops in the involved intestine. Postoperative complications developed in 23 patients, representing a morbidity rate of 31.1 %. Forty-four patients underwent resection of non-viable small intestine (non-viable group), and 30 did not require resection of the intestine (viable group). There were four hospital deaths in the non-viable group. The overall mortality rate and the mortality rate in the non-viable group were 5.4 and 9.1 %, respectively.

Conclusion: These findings indicate that SSBO can occur without a history of laparotomy, CT is useful in its diagnosis, and its associated morbidity and mortality are high.

Citing Articles

A prediction model to differentiate transient ischemia from irreversible transmural necrosis in closed-loop small bowel obstruction.

Pan S, Yang J, Liu Z, Nai R, Chen Z Front Med (Lausanne). 2024; 11:1466754.

PMID: 39323473 PMC: 11422149. DOI: 10.3389/fmed.2024.1466754.

Intestinal fatty acid-binding protein (I-FABP) as biomarker of ischemic damage in experimentally induced 12-h small bowel obstruction.

Tyagunov A, Anurov M, Titkova S, Kurashinova L, Loban K, Tyagunov A Updates Surg. 2024; 76(7):2693-2700.

PMID: 39277557 DOI: 10.1007/s13304-024-01979-0.

Prediction model for irreversible intestinal ischemia in strangulated bowel obstruction.

Kobayashi T, Chiba N, Koganezawa I, Nakagawa M, Yokozuka K, Ochiai S BMC Surg. 2022; 22(1):321.

PMID: 35996141 PMC: 9396879. DOI: 10.1186/s12893-022-01769-8.

Predicting the outcome of closed-loop small bowel obstruction by preoperative characteristics.

Toneman M, de Kok B, Zijta F, Oei S, van Acker G, Westerterp M World J Gastrointest Surg. 2022; 14(6):556-566.

PMID: 35979424 PMC: 9258239. DOI: 10.4240/wjgs.v14.i6.556.

Bowel obstruction as a serious complication of patients with femoral hernia.

Gonzalez-Urquijo M, Tellez-Giron V, Martinez-Ledesma E, Rodarte-Shade M, Estrada-Cortinas O, Gil-Galindo G Surg Today. 2020; 51(5):738-744.

PMID: 33030651 DOI: 10.1007/s00595-020-02158-5.

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