ReviewAcute medicine & surgery
Adhesive small bowel obstruction - an update.
Review in Acute medicine & surgery. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 56 papers, 2 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
56 citing papers in PubMed, 2 syntheses or guidelines pooled it, 100 citations in OpenAlex.
- Minimally invasive versus open surgery for adhesive small bowel obstruction: a systematic review and meta-analysis.Surgical endoscopy · 2026Pooled it
- Sphincter repair procedures may be favored in the treatment of obstetrical recto-vaginal fistula: a systematic review of the literature and meta-analysis.Techniques in coloproctology · 2025Pooled it
- Gastrointestinal bypass surgery for non-strangulated adhesive small bowel obstruction.Surgery today · 2026Article
- Early ileal perforation with fecal peritonitis secondary to adhesive small bowel obstruction after repeat cesarean section: a case report.Journal of surgical case reports · 2026Article
- Robotic surgery for small bowel obstruction: a propensity score-matched analysis of the ACS-NSQIP database.Surgical endoscopy · 2026Article
- Article
- Clinical performance of the Antoine Béclère score in predicting operative requirement in adhesive small bowel obstruction.Ulusal travma ve acil cerrahi dergisi = Turkish journal of trauma & emergency surgery : TJTES · 2026Article
- Deep learning-based artificial intelligence can improve the diagnosis of small bowel obstruction: stratified comparison study and hierarchical Bayesian model.Scientific reports · 2026Article
- Predicting strangulated small bowel obstruction: how the combination of CT findings with clinical and laboratory parameters improves diagnostic accuracy.Emergency radiology · 2026Article
- Effectiveness and Cost-Utility of Anti-Adhesion Agents in Intra-Abdominal Surgery Patients.Journal of Korean medical science · 2026Observational
- Predictors of medical treatment failure in patients with adhesive small bowel obstruction.Updates in surgery · 2026Article
- Etiology, clinical profile, management, and outcomes of intestinal obstruction in a resource-limited setting: a prospective study.Scientific reports · 2026Article
- Postoperative morbidity following surgery for mechanical adhesive small bowel obstruction: prevalence, risk factors and clinical outcomes.BMC surgery · 2026Article
- Postoperative Intestinal Obstruction Relieved by Stoma Endoscopic Guided Intestinal Drainage Tube Placement Following Sigmoid Colon Cancer Surgery with Intestinal Stoma.Digestive diseases and sciences · 2026Article
- Outcomes of small bowel obstruction management in previously unoperated patients with a mid-term follow-up: a retrospective cohort study.BMC surgery · 2026Article
- Clinical features of failure of conservative management in adult patients with adhesive small bowel obstruction: a retrospective cohort study.Frontiers in medicine · 2026Article
- Article
- A decade-long nationwide analysis of surgical management of adhesive small bowel obstruction: Open vs. laparoscopic approach.Surgical endoscopy · 2026Article
- Single-port flexible endoscopic enterolysis under the guidance of electromagnetic navigation in a hypochlorite-induced abdominal adhesions pig model.Frontiers in surgery · 2026Article
- Diarrhea management: from pathophysiology to microbiota modulation.Therapeutic advances in gastroenterology · 2026Review
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
3 authors at 2 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Small bowel obstruction (SBO) accounts for 12-16% of emergency surgical admissions and 20% of emergency surgical procedures. Even with the advent of laparoscopic surgery, intra-abdominal adhesions remain a significant cause of SBO, accounting for 65% of cases. History and physical examination are essential to identify signs of bowel ischemia as this indicates a need for urgent surgical exploration. Another critical aspect of evaluation includes establishing the underlying cause for obstruction and distinguishing between adhesive and non-adhesive etiologies as adhesive SBO (ASBO) can be managed non-operatively in 70-90% of patients. A patient with a history of abdominopelvic surgery along with one or more cardinal features of obstruction should be suspected to have ASBO until proven otherwise. Triad of severe pain, pain out of proportion to the clinical findings, and presence of an abdominal scar suggest possible closed-loop obstruction. Computed tomography has higher sensitivity and specificity compared to plain films and is recommended by the Bologna guidelines. Correcting fluid and electrolyte imbalance is an initial crucial step to mitigate severe hypovolemia. Patients should proceed with surgery if symptoms of bowel compromise are present, or if symptoms do not resolve or have worsened. Surgery is indicated in patients with ischemia, strangulation, perforation, peritonitis, or failure of non-operative treatment. With advances in minimal access technology and increasing experience, laparoscopic adhesiolysis is recommended. Mechanical adhesion barriers are an effective measure to prevent adhesion formation.
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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.