Non-Emergent Early Surgical Management for Adhesive Small Bowel Obstruction

Background: Adhesive small bowel obstruction (ASBO) is one of the leading reasons for emergency surgical admissions. Current guidelines recommend the conservative approach, unless operative intervention is indicated. Case: Here, we present a case of a young male who underwent early laparoscopic adhe...

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Bibliographic Details
Main Authors: Sawsan J. Horani, Labib S. Al-Ozaibi, Hadiel A. Kaiyasah
Format: Article
Language:English
Published: Karger Publishers 2021-07-01
Series:Dubai Medical Journal
Subjects:
Online Access:https://www.karger.com/Article/FullText/517098
Description
Summary:Background: Adhesive small bowel obstruction (ASBO) is one of the leading reasons for emergency surgical admissions. Current guidelines recommend the conservative approach, unless operative intervention is indicated. Case: Here, we present a case of a young male who underwent early laparoscopic adhesiolysis for ASBO. Discussion: Nonoperative management resolves majority of ASBO cases but has high recurrence. Early surgical management (ESM) has been shown to reduce recurrence rate and long-term health consequences. Conclusion: ESM can be considered for recurrent ASBO in younger patients with fewer comorbidities.
ISSN:2571-726X