Decision Making in Bowel Obstruction: A Review

Overview

Journal J Clin Diagn Res

Specialty General Medicine

Date 2017 Jan 5

PMID 28050445

Citations 15

Authors

Aswini Kumar Pujahari

Affiliations

Soon will be listed here.

Abstract

Over the last century there have not been significant changes in the anatomical location of obstruction. The age of presentation has increased along with age related co-morbidity. Management has consequently been challenging as risks keep on increasing with advanced age. Hence, clear decision making has become essential in its management. A selective review of the literature pertaining to common age related aetiologies, diagnosis methods leading to standard decision making and treatment of acute intestinal obstruction was done. The same is obtained from randomized controlled studies, meta-analysis and other related evidence based publications. Predicting the conservative or operative management of Bowel Obstruction (BO) is difficult. BO in young age, in unscarred abdomen and Large Bowel Obstruction (LBO) needs early surgery. Decision on surgery should be taken in paediatric patient by second day and preferably between 3-5 days of admission in adults. Higher American Society of Anaesthesiologists (ASA) grade correlates well with the mortalities. In this article, the timing of surgery, methods to avoid bowel resection and type of surgery in various causes are stressfully analysed and discussed.

Citing Articles

The utility of a CT grading scale in deciding on surgical intervention for patients with suspected small bowel obstruction.

Becnel M, Danner I, Santos M, Escobedo L, Mohrbacher M, Young J Surg Open Sci. 2024; 20:70-76.

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Laparoscopic management of intestinal obstruction in a young adult with a virgin abdomen: Unusual presentation of combined vitellointestinal duct remnants: A clinical case report.

Al-Tarakji M, Almogtaba M, Al-Hashimy Y, Moustafa O, Shehata M, Al-Zoubi R Clin Case Rep. 2024; 12(1):e8395.

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Predictive factors for operative intervention and ideal length of non-operative trial in adhesive small bowel obstruction.

van Veen T, Ramanathan P, Ramsey L, Dort J, Tabello D Surg Endosc. 2023; 37(11):8628-8635.

PMID: 37495847 DOI: 10.1007/s00464-023-10282-9.

Small bowel obstruction: a prognostic score index for surgery - a review.

Coco D, Leanza S, Fiume I Prz Gastroenterol. 2022; 17(3):177-182.

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Diagnostic Accuracy of Ultrasonography by Emergency Medicine Resident in Detecting Intestinal Obstruction; a Pilot Study.

Sabzghabaei A, Shojaei M, Chavoshzadeh M Arch Acad Emerg Med. 2022; 10(1):e50.

PMID: 36033995 PMC: 9397595. DOI: 10.22037/aaem.v10i1.1628.

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