Small bowel obstruction

David D. Shersher

doi:10.1007/978-1-4939-1565-1_37

Small bowel obstruction

David D. Shersher

Research output: Chapter in Book/Report/Conference proceeding › Chapter

Abstract

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.

Original language	English (US)
Title of host publication	Common Surgical Diseases
Subtitle of host publication	An Algorithmic Approach to Problem Solving, Third Edition
Publisher	Springer New York
Pages	151-152
Number of pages	2
ISBN (Electronic)	9781493915651
ISBN (Print)	9781493915644
DOIs	https://doi.org/10.1007/978-1-4939-1565-1_37
State	Published - Jan 1 2015
Externally published	Yes

All Science Journal Classification (ASJC) codes

General Medicine

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10.1007/978-1-4939-1565-1_37

Cite this

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abstract = "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{\textquoteright}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.",

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Small bowel obstruction

Abstract

All Science Journal Classification (ASJC) codes

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