Publication: Adhesive Small Bowel Obstruction: A Review
Date
2023
Authors
Journal Title
Journal ISSN
Volume Title
Publisher
Nepal Medical Association
Abstract
Abstract
Adhesion is a leading cause of small bowel obstruction. Adhesive small bowel obstruction has significant challenges in diagnosis, treatment and prevention with considerable impact on morbidity and socioeconomic burden. Small bowel obstruction caused by adhesion or any other aetiology is clinically indistinguishable due to similar clinical presentation. Computed Tomography scans and water-soluble contrast studies are more specific in diagnosis and possess value in predicting the need for surgery. Surgical management is indicated only in complicated cases or failed conservative treatments with the majority resolving with non-operative management. However, there is no clear-cut consensus about the timing of operative intervention. Meticulous surgical practice is the keystone in preventing adhesion formation despite the availability of numerous pharmacological and surgical strategies. This review aims to update the current knowledge of the pathophysiology of adhesion formation, treatment options and various prevention modalities of adhesive small bowel obstruction.
Description
Authors
Pradeep Ghimire
Department of Surgery, Manipal College of Medical Sciences, Fulbari, Pokhara, Nepal.
Shailesh Maharjan
Department of Surgery, Manipal College of Medical Sciences, Fulbari, Pokhara, Nepal
Keywords
Diagnosis, Laparotomy, Prevention, Surgery