Article ID | Journal | Published Year | Pages | File Type |
---|---|---|---|---|
9256506 | Seminars in Colon and Rectal Surgery | 2005 | 7 Pages |
Abstract
Early postoperative small bowel obstruction (EPSBO) is a distinct clinical entity that is often difficult to differentiate from postoperative ileus. When bowel function does not return within 5 days after surgery, causes of persistent ileus should be excluded and treated. Most instances of mechanical EPSBO can be treated expectantly for at least 10-14 days with almost no risk of bowel strangulation. Some causes of obstruction (for example herniation at a laparoscopic trocar site) require early reintervention, whereas in other cases (such as radiation enteritis, carcinomatosis) reintervention may be deferred indefinitely. Many episodes of EPSBO resolve without the cause being elucidated.
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Authors
Moshe Schein, Sai B.S. Sajja,