Adhesions small bowel obstructions (aSBO) are among the leading causes of emergency operative intervention. About the 80% of aSBO cases resolve without a surgical treatment. It's important to identify which patients could undergo a conservative treatment to prevent an useless surgery The aim of this study is to determine findings that can indicate whether patients with aSBO should undergo a conservative or a surgical treatment. 313 patients with diagnosis of submission of aSBO were restudied. Patients were divided into two groups based on the different type of treatment received, 225 patients who underwent surgical treatment within 24 hours after admission, 88 patients which underwent conservative treatment successfully. For each patient, clinical, hematochemical and radiological findings have been analysed. The treatment of aSBO should be, at the beginning, conservative except that cases that presents clinical and/or CT-scan findings predictive for a surgical treatment (free peritoneal fluid, mesenterial edema, transitional point) or a peritonitis (pneumatosis intestinalis, pneumoperitoneum).

Adhesions small bowel obstruction in emergency setting: conservative or operative treatment? / Assenza, Marco; DE GRUTTOLA, Ivan; Rossi, David; Castaldi, S; Falaschi, Federica; Giuliano, Giancarlo. - In: IL GIORNALE DI CHIRURGIA. - ISSN 0391-9005. - 37:4(2016), p. 145-149.

Adhesions small bowel obstruction in emergency setting: conservative or operative treatment?

ASSENZA, Marco;DE GRUTTOLA, IVAN;ROSSI, David;FALASCHI, FEDERICA;GIULIANO, Giancarlo
2016

Abstract

Adhesions small bowel obstructions (aSBO) are among the leading causes of emergency operative intervention. About the 80% of aSBO cases resolve without a surgical treatment. It's important to identify which patients could undergo a conservative treatment to prevent an useless surgery The aim of this study is to determine findings that can indicate whether patients with aSBO should undergo a conservative or a surgical treatment. 313 patients with diagnosis of submission of aSBO were restudied. Patients were divided into two groups based on the different type of treatment received, 225 patients who underwent surgical treatment within 24 hours after admission, 88 patients which underwent conservative treatment successfully. For each patient, clinical, hematochemical and radiological findings have been analysed. The treatment of aSBO should be, at the beginning, conservative except that cases that presents clinical and/or CT-scan findings predictive for a surgical treatment (free peritoneal fluid, mesenterial edema, transitional point) or a peritonitis (pneumatosis intestinalis, pneumoperitoneum).
01 Pubblicazione su rivista::01a Articolo in rivista
Adhesions small bowel obstruction in emergency setting: conservative or operative treatment? / Assenza, Marco; DE GRUTTOLA, Ivan; Rossi, David; Castaldi, S; Falaschi, Federica; Giuliano, Giancarlo. - In: IL GIORNALE DI CHIRURGIA. - ISSN 0391-9005. - 37:4(2016), p. 145-149.
File allegati a questo prodotto
Non ci sono file associati a questo prodotto.

I documenti in IRIS sono protetti da copyright e tutti i diritti sono riservati, salvo diversa indicazione.

Utilizza questo identificativo per citare o creare un link a questo documento: https://hdl.handle.net/11573/979937
 Attenzione

Attenzione! I dati visualizzati non sono stati sottoposti a validazione da parte dell'ateneo

Citazioni
  • ???jsp.display-item.citation.pmc??? 3
  • Scopus 6
  • ???jsp.display-item.citation.isi??? 4
social impact