ReviewSurgical endoscopy2012
The role of laparoscopy in the management of acute small-bowel obstruction: a review of over 2,000 cases.
Review in Surgical endoscopy, 2012. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 78 papers, 4 of them syntheses that pooled it.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
78 citing papers in PubMed, 4 syntheses or guidelines pooled it, 191 citations in OpenAlex.
- Facing the unexpected: unusual causes of mechanical small bowel obstruction in adults.Clinical journal of gastroenterology · 2021Pooled it
- Diagnostic significance of multidetector computed tomography (MDCT) in patients with small bowel obstruction: a meta-analysis.Japanese journal of radiology · 2020Pooled it
- Internal hernia after laparoscopic colorectal surgery: an under-reported potentially severe complication. A systematic review and meta-analysis.Surgical endoscopy · 2019Pooled it
- Laparoscopy or laparotomy for adhesive bowel obstruction in children: a systematic review and meta-analysis.Pediatric surgery international · 2018Pooled it
- Trial
- Laparoscopic versus open adhesiolysis for small bowel obstruction - a multicenter, prospective, randomized, controlled trial.BMC surgery · 2014Trial
- Role of indocyanine green fluorescence angiography in intestinal obstruction with uncertain ischemia: a case report.International journal of surgery case reports · 2026Article
- Small bowel obstruction induced by migrated sacropexy mesh: a case report.Journal of medical case reports · 2026Article
- Preoperative factors influence technique selection in surgical management of small bowel obstruction: findings from the SnapSBO multinational prospective observational study.Surgical endoscopy · 2025Observational
- Article
- Animal study of adhesiolysis via transumbilical endoscopic surgery with gastric endoscopy: an exploration.BMC gastroenterology · 2025Article
- Idiopathic cocoon syndrome presenting as small bowel obstruction with asymptomatic postoperative intra-abdominal collection: a case report.Journal of surgical case reports · 2025Article
- External validation of a CT score for predicting ischaemia in adhesive small-bowel obstruction.European radiology · 2025Article
- Acute intestinal obstruction in children: a comparison of laparoscopic treatment and open surgery.Frontiers in pediatrics · 2025Article
- Acute intestinal obstruction caused by gastrointestinal foreign bodies in children: a comparison of laparoscopically assisted approach and open surgery.BMC surgery · 2024Article
- Keys to successful laparoscopic adhesiolysis for adhesive small bowel obstruction: A scoping review.Heliyon · 2024Article
- Article
- Short and long-term readmission after major emergency abdominal surgery: a prospective Danish study.European journal of trauma and emergency surgery : official publication of the European Trauma Society · 2024Article
- A prediction model to differentiate transient ischemia from irreversible transmural necrosis in closed-loop small bowel obstruction.Frontiers in medicine · 2024Article
- A multi-analysis of nomogram model for the identification of banded adhesions and matted adhesions in adhesive small bowel obstruction.European journal of trauma and emergency surgery : official publication of the European Trauma Society · 2023Article
18 more citing papers are in PubMed but not listed here.
Corrections and comments
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Authors and funding
2 authors at 2 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundAdhesive small-bowel obstruction (SBO) contributes significantly to emergency surgical workload. Laparotomy remains the standard approach. Despite published reports with high success rates and low morbidity, acute SBO is still considered by many a relative contraindication to laparoscopy. Our aim was to review the available literature and define important outcomes such as feasibility, safety, iatrogenic bowel injury, and benefits to patients with acute SBO who are approached laparoscopically.
methodsA systematic literature search was carried out using the Medline database and the search terms "laparoscopy" or "laparoscopic approach" and "bowel obstruction." Only adult studies published in English between 1990 and 2010 were included. Studies were excluded if data specific to outcomes for laparoscopic management of acute SBO could not be extracted.
resultsTwenty-nine studies were identified. A laparoscopic approach was attempted in 2,005 patients with acute SBO. Adhesions were the most common etiology (84.9%). Laparoscopy was completed in 1,284 cases (64%), 6.7% were lap-assisted, and 0.3% were converted to hernia repair. The overall conversion rate to midline laparotomy was 29% (580/2,005). Dense adhesions, bowel resection, unidentified pathology, and iatrogenic injury accounted for the majority of conversions. When the etiology of SBO was a single-band adhesion, the success rate was 73.4%. Morbidity was 14.8% (283/1,906) and mortality was 1.5% (29/1,951). The enterotomy rate was 6.6% (110/1,673). The majority were recognized and converted to laparotomy. Laparoscopy was associated with reduced morbidity and length of stay.
conclusionLaparoscopy is a feasible and effective treatment for acute SBO with acceptable morbidity. Further studies are required to determine its impact on recurrent SBO.
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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.