Abstract
The hospital records of 41 patients with a diagnosis of early postoperative small bowel obstruction were reviewed in an attempt to identify criteria which could be used to separate those patients who would require an operation to resolve their obstruction, from those who would resolve with nonoperative therapy. The usual symptoms, signs and roentgenologic changes seen with mechanical bowel obstruction were not useful discriminants in making such a determination. All patients were initially treated nonoperatively with intestinal intubation, antibiotics and parenteral fluids. Thirty patients resolved without an operation and 11 required an operation. There was one death in the latter group, an overall mortality of 2.4%. Initial nonoperative therapy is warranted in such patients.
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Selected References
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- BECKER W. F. Acute adhesive ileus; a study of 412 cases with particular reference to the abuse of tube decompression in treatment. Surg Gynecol Obstet. 1952 Oct;95(4):472–476. [PubMed] [Google Scholar]
- COLETTI L., BOSSART P. A. INTESTINAL OBSTRUCTION DURING THE EARLY POSTOPERATIVE PERIOD. Arch Surg. 1964 May;88:774–778. doi: 10.1001/archsurg.1964.01310230050011. [DOI] [PubMed] [Google Scholar]
- MCCUNE W. S., KESHISHIAN J. M. Postoperative intestinal obstruction. Surg Gynecol Obstet. 1953 May;96(5):567–572. [PubMed] [Google Scholar]
- MILLER E. M., WINFIELD J. M. Acute intestinal obstruction secondary to postoperative adhesions. AMA Arch Surg. 1959 Jun;78(6):952–957. doi: 10.1001/archsurg.1959.04320060140021. [DOI] [PubMed] [Google Scholar]
- Sykes P. A., Schofield P. F. Early postoperative small bowel obstruction. Br J Surg. 1974 Aug;61(8):594–600. doi: 10.1002/bjs.1800610803. [DOI] [PubMed] [Google Scholar]