Evidence map›Paper›PMID 29946347›Full record

ReviewWorld journal of emergency surgery : WJES2018

Bologna guidelines for diagnosis and management of adhesive small bowel obstruction (ASBO): 2017 update of the evidence-based guidelines from the world society of emergency surgery ASBO working group.

Richard P G Ten Broek, Pepijn Krielen, Salomone Di Saverio, Federico Coccolini, Walter L Biffl, Luca Ansaloni, George C Velmahos, Massimo Sartelli, Gustavo P Fraga, Michael D Kelly and 31 more

2 registry-linked trialsOpen access · goldAbstract readReview
In one paragraph

Review in World journal of emergency surgery : WJES, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 2 registered trials, which are not on this map. Cited by 261 papers, 7 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
261citing papers in PubMed, 7 pooled it
34.6field-weighted citation impact, top 1% of its field
1 · What the graph read from 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.

2 · The registry

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.

NCT05566158 unknown statusnot on this mapstarted 2022, after this paper: background citation

Development and Validation of a CT-based Diagnostic Models Using Artificial Intelligence for Detection of Small Bowel Obstruction

TypeobservationalSponsorFondation Hôpital Saint-JosephRan2022 to 2023Enrolled8,000ConditionsSmall Bowel Obstruction
NCT06262815 active not recruitingnot on this mapstarted 2024, after this paper: background citation

The Utility of Treatment With Nasogastric Tube Placement for Small Bowel Obstruction in Adult Patients in the Emergency Department; an Observational Multicenter Study

TypeobservationalSponsorDaniel WilhelmsRan2024 to 2026Enrolled400ConditionsSmall Bowel Obstruction, Frailty, Nasogastric TubeArmsNasogastric tube placement, Clinical Frailty Scale
3 · Its place in the literature

Who cites it

261 citing papers in PubMed, 7 syntheses or guidelines pooled it, 544 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
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  4. Pooled it
  5. Guideline
  6. Adhesion barriers in gynecologic surgeries and cesarean section: An Asia-Pacific expert panel consensus recommendation.International journal of gynaecology and obstetrics: the official organ of the International Federation of Gynaecology and Obstetrics · 2025
    Pooled it
  7. Pooled it
  8. Trial
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  10. Article
  11. Article
  12. Article
  13. Adhesive small bowel obstruction in the virgin abdomen: comparable phenotype, divergent management.European journal of trauma and emergency surgery : official publication of the European Trauma Society · 2026
    Article
  14. Article
  15. Article
  16. Small bowel obstruction in older adults: similar nonoperative success but worse outcomes across management strategies - insights from the ESTES SnapSBO study.European journal of trauma and emergency surgery : official publication of the European Trauma Society · 2026
    Article
  17. Article
  18. Article
  19. Predictors of surgical intervention and timing of ileus presentation in patients with adhesive small bowel obstruction.Ulusal travma ve acil cerrahi dergisi = Turkish journal of trauma & emergency surgery : TJTES · 2026
    Article
  20. Article

201 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

41 authors at 20 institutions in 15 countries.

Richard P G Ten Broek *1Department of Surgery, Radboud University Medical Center, Nijmegen, The Netherlands.
Pepijn Krielen *1Department of Surgery, Radboud University Medical Center, Nijmegen, The Netherlands.
Salomone Di Saverio2Addenbrooke's Hospital, Cambridge, UK.
Federico Coccolini3General Emergency and Trauma Surgery, Bufalini hospital, Cesena, Italy.
Walter L Biffl4Acute Care Surgery, The Queen's Medical Center, Honolulu, Hawaii USA.
Luca Ansaloni3General Emergency and Trauma Surgery, Bufalini hospital, Cesena, Italy.
George C Velmahos5Department of Trauma, Emergency Surgery and Surgical Critical Care, Massachusetts General Hospital, Boston, MA USA.
Massimo SartelliDepartment of Surgery, Macerata Hospital, Macerata, Italy.
Gustavo P FragaFaculdade de Ciências Médicas (FCM), Unicamp Campinas, São Paulo, Brazil.
Michael D KellyAlbury Hospital, Albury, NSW Australia.
Frederick A Moore9University of Florida, Gainesville, USA.
Andrew B Peitzman10Department of Surgery, Trauma and Surgical Services, University of Pittsburgh School of Medicine, Pittsburgh, USA.
Ari LeppaniemiSecond Department of Surgery, Meilahti Hospital, Helsinki, Finland.
Ernest E Moore12Trauma Surgery, Denver Health, Denver, CO USA.
Johannes Jeekel13Erasmus MC, Rotterdam, The Netherlands.
Yoram KlugerDivision of General Surgery Rambam Health Care Campus Haifa, Haifa, Israel.
Michael SugrueGeneral Surgery Department, Letterkenny Hospital, Letterkenny, Ireland.
Zsolt J Balogh16Department of Traumatology, John Hunter Hospital and University of Newcastle, Newcastle, NSW Australia.
Cino BendinelliJohn Hunter Hospital, New Lambton Heights, New Zealand.
Ian Civil18Department of Vascular and Trauma Surgery, Auckland City Hospital, Auckland, New Zealand.
Raul Coimbra19Department of Surgery, UC San Diego Health System, San Diego, USA.
Mark De MoyaTrauma, Acute Care Surgery Medical College of Wisconsin/Froedtert Trauma Center Milwaukee, Milwaukee, Wisconsin USA.
Paula Ferrada21Virginia Commonwealth University, Richmond, VA USA.
Kenji Inaba22Division of Trauma & Critical Care, LAC+USC Medical Center, University of Southern California, Los Angeles, CA USA.
Rao Ivatury21Virginia Commonwealth University, Richmond, VA USA.
Rifat Latifi23Department of General Surgery, Westchester Medical Center, Westchester, NY USA.
Jeffry L Kashuk24Department of General Surgery, Assuta Medical Centers, Tel Aviv, Israel.
Andrew W Kirkpatrick25Department of Surgery, Foothills Medical Centre, Calgary, Canada.
Ron MaierDepartment of Surgery, Harborview Medical Centre, Seattle, USA.
Sandro Rizoli27Trauma & Acute Care Service, St Michael's Hospital, Toronto, ON Canada.
Boris Sakakushev28Department of General Surgery, University of Medicine Plovdiv, Plovdiv, Bulgaria.
Thomas Scalea29R Adams Crowley Shock Trauma Center, University of Maryland, Baltimore, USA.
Kjetil Søreide30Department of Gastrointestinal Surgery, Stavanger University Hospital, Stavanger, Norway.
Dieter Weber32Department of General Surgery, Royal Perth Hospital, The University of Western Australia and The University of Newcastle, Perth, Australia.
Imtiaz Wani33Department of Surgery, Sheri-Kashmir Institute of Medical Sciences, Srinagar, India.
Fikri M Abu-Zidan34Department of Surgery, College of Medicine and Health Sciences, UAE University, Al-Ain, United Arab Emirates.
Nicola De'Angelis35Unit of Digestive Surgery, HPB Surgery and Liver Transplant, Henri Mondor Hospital, Créteil, France.
Frank Piscioneri36Canberra Hospital, Canberra, Australia.
Joseph M Galante37Trauma and Acute Care Surgery and Surgical Critical Care Trauma, Department of Surgery, University of California, Davis, USA.
Fausto CatenaEmergency and Trauma Surgery, Parma Maggiore hospital, Parma, Italy.
Harry van Goor1Department of Surgery, Radboud University Medical Center, Nijmegen, The Netherlands.
Radboud University Nijmegen · NLOspedale “M. Bufalini” di Cesena · ITVirginia Commonwealth University · USAddenbrooke's Hospital · GBAlbury Wodonga Health · AUAssuta Medical Center · ILAuckland City Hospital · NZCanberra Hospital · AUDenver Health Medical Center · USErasmus MC · NLFoothills Medical Centre · CAFroedtert Hospital · USHarborview Medical Center · USHerttoniemi Hospital · FIHôpitaux Universitaires Henri-Mondor · FRJohn Hunter Hospital · AULetterkenny University Hospital · IEMassachusetts General Hospital · USMedical University Plovdiv · BGOspedale di Macerata

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Adhesive small bowel obstruction (ASBO) is a common surgical emergency, causing high morbidity and even some mortality. The adhesions causing such bowel obstructions are typically the footprints of previous abdominal surgical procedures. The present paper presents a revised version of the Bologna guidelines to evidence-based diagnosis and treatment of ASBO. The working group has added paragraphs on prevention of ASBO and special patient groups. Methods: The guideline was written under the auspices of the World Society of Emergency Surgery by the ASBO working group. A systematic literature search was performed prior to the update of the guidelines to identify relevant new papers on epidemiology, diagnosis, and treatment of ASBO. Literature was critically appraised according to an evidence-based guideline development method. Final recommendations were approved by the workgroup, taking into account the level of evidence of the conclusion. Recommendations: Adhesion formation might be reduced by minimally invasive surgical techniques and the use of adhesion barriers. Non-operative treatment is effective in most patients with ASBO. Contraindications for non-operative treatment include peritonitis, strangulation, and ischemia. When the adhesive etiology of obstruction is unsure, or when contraindications for non-operative management might be present, CT is the diagnostic technique of choice. The principles of non-operative treatment are Discussion: This guideline presents recommendations that can be used by surgeons who treat patients with ASBO. Scientific evidence for some aspects of ASBO management is scarce, in particular aspects relating to special patient groups. Results of a randomized trial of laparoscopic versus open surgery for ASBO are awaited.

Indexed as

Disease ManagementGeneral SurgeryGuidelines as TopicHumansIntestinal ObstructionTissue AdhesionsTreatment OutcomeAdhesionsLaparoscopyLaparotomySmall bowel obstructionSurgery

Identifiers

PMID29946347
PMCPMC6006983
OpenAlexW2849537270

What OpenQuestion holds

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LicenceCC BY
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Registered trials

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.