GuidelineWorld journal of emergency surgery : WJES2021
Diagnosis and management of small bowel obstruction in virgin abdomen: a WSES position paper.
Guideline in World journal of emergency surgery : WJES, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 37 papers.
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Who cites it
37 citing papers in PubMed.
- A Prospective Randomised Pilot Study on the Timing of Contrast Media Administration in Adhesive and Virgin Abdomen Small Bowel Obstruction.Medicina (Kaunas, Lithuania) · 2026Trial
- 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 · 2026Article
- Small Bowel Obstruction Caused by Entrapment of a Meckel Diverticulum Within an Ileo-Mesenteric Fibrous Band: A Case Report.Reports (MDPI) · 2026Article
- Strangulated transomental hernia causing small bowel obstruction in a virgin abdomen.Journal of surgical case reports · 2026Article
- Bad Blood: An Unusual Case of Small Bowel Obstruction From Hematoma-Induced Intussusception.Cureus · 2026Article
- Aetiologies and prognosis of small bowel obstruction in virgin abdomen: a retrospective cohort study.World journal of emergency surgery : WJES · 2026Article
- Outcomes of small bowel obstruction management in previously unoperated patients with a mid-term follow-up: a retrospective cohort study.BMC surgery · 2026Article
- Cross-national pharmacovigilance of drug-induced intestinal obstruction: disproportionality signals in FAERS and external validation in JADER.Frontiers in pharmacology · 2026Article
- Determinants of surgical management outcomes among adult patients with intestinal obstruction at Mzuzu central hospital, Malawi.BMC surgery · 2025Article
- Evidence-based, cost-effective management of small bowel obstruction: An algorithm of the Journal of Trauma and Acute Care Surgery emergency general surgery algorithms work group.The journal of trauma and acute care surgery · 2025Article
- Success rate and associated factors of conservative management of adhesive small bowel obstruction at Dessie comprehensive specialized hospital, Northeast Ethiopia.Scientific reports · 2025Article
- Bedside Small-Bowel Challenge vs. Fluoroscopic Series for SBO: A Cost Effectiveness Analysis.Tomography (Ann Arbor, Mich.) · 2025Article
- Multimodal predictive model for strangulation risk in adhesive small bowel obstruction using deep learning and electronic health record data.The Journal of international medical research · 2025Observational
- Article
- SBO ACTION: conservative Small Bowel Obstruction management in the Absence of standard ConTrast agents ON outcomes.The British journal of surgery · 2025Article
- Band Adhesion Causing Intestinal Obstruction Without Previous Surgery in Pregnancy: A Rare Case.Cureus · 2025Article
- Association between prognostic nutritional index and all-cause mortality among intestinal obstruction patients in the intensive care unit: a retrospective study.Frontiers in nutrition · 2025Article
- A Twisted Tale: A Case of Intestinal Volvulus in an 85-Year-Old Female.Case reports in pathology · 2025Article
- Observational
- The Impact of Point-of-Care Ultrasound on the Diagnosis and Management of Small Bowel Obstruction in the Emergency Department: A Retrospective Observational Single-Center Study.Medicina (Kaunas, Lithuania) · 2024Observational
Corrections and comments
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Authors and funding
17 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundSmall bowel obstruction (SBO) is a common surgical emergency, causing high morbidity and healthcare costs. The majority of SBOs are caused by adhesions that result from previous surgeries. Bowel obstruction, however, also occurs in patients without previous operation or known pathology, a so called virgin abdomen. It is unknown if small bowel obstruction in the virgin abdomen (SBO-VA) can be managed according to the same principles as other cases of small bowel obstruction. The aim of this position paper is to evaluate the available evidence on etiology and management of small bowel obstruction in the virgin abdomen.
methodsThis is a narrative review with scoping aspects. Clinical topics covered in this review include epidemiology and etiology of SBO-VA, diagnosis and imaging, initial assessment, the role of surgical management in SBO-VA, and the role of non-operative management in SBO-VA.
resultsOur scoping search revealed seven original studies reporting original patient data related to SBO-VA. All the included studies are retrospective cohorts, with populations ranging between 44 and 103 patients with SBO-VA. Adhesions were found to be the cause of the obstruction in approximately half of the reported cases of SBO-VA. A relatively high number of cases of SBO-VA were managed surgically with studies reporting 39-83%. However, in cases where a trial of non-operative management was started, this was generally successful.
conclusionThe data available suggest that etiology and treatment results for patients with SBO-VA are largely comparable to the results in patients with SBO after previous abdominal surgery. We therefore propose that patients with a virgin abdomen could be treated according to existing guidelines for SBO and adhesive small bowel obstruction.
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