This Article  • References  • Full text PDF  • Send to a friend  • Save in My Folder  • Save to citation manager  • Permissions  Citing Articles  • Citation map  • Citing articles on HighWire  • Citing articles on Web of Science (53)  • Contact me when this article is cited  Related Content  • Similar articles in this journal  Social Bookmarking   What's this?

Dwaine J. Peetz, Jr, MD; Richard L. Gamelli, MD; David B. Pilcher, MD

Arch Surg. 1982;117(3):334-336.

Abstract
• A review of 100 consecutive patients admitted with simple, mechanical small-bowel obstruction secondary to adhesions and treated for at least 24 hours with nonoperative intestinal intubation showed that of 76 patients admitted with partial small-bowel obstruction, 49 (65%) were successfully treated without operation. Of those with complete small-bowel obstruction (CSBO), 18 of 24 (75%) subsequently required surgical intervention; however, six of 24 (25%) were safely treated by nonoperative intubation. The 24-hour delay in surgery for CSBO did not increase morbidity or mortality in the 18 requiring operations. Major indications for surgical intervention were suspected strangulated obstruction or persistent obstruction, which frequently was associated with unsuccessful tube passage. Administration of antibiotics preoperatively was associated with a significant reduction in wound infections in patients requiring resection or enterotomy.

(Arch Surg 1982;117:334-336)

Author Affiliations
From the Department of Surgery, University of Vermont College of Medicine, Burlington.

Footnotes
Accepted for publication July 23, 1981.

Reprint requests to Department of Surgery, Given Building, D-312, University of Vermont, Burlington, VT 05405 (Dr Gamelli).

CiteULike    Connotea    Del.icio.us    Digg    Reddit    Technorati    Twitter     What's this?

THIS ARTICLE HAS BEEN CITED BY OTHER ARTICLES

Small Bowel Obstruction: What to Look For1
Silva et al.
RadioGraphics 2009;29:423-439.
ABSTRACT | FULL TEXT