Observational studyInternational journal of colorectal disease2023
Management of adhesive small bowel obstruction: the results of a large retrospective study.
Observational study in International journal of colorectal disease, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers.
What it found
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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.
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Who cites it
15 citing papers in PubMed, 16 citations in OpenAlex.
- A Prospective Randomised Pilot Study on the Timing of Contrast Media Administration in Adhesive and Virgin Abdomen Small Bowel Obstruction.Medicina (Kaunas, Lithuania) · 2026Trial
- Gastrointestinal bypass surgery for non-strangulated adhesive small bowel obstruction.Surgery today · 2026Article
- Risk Factors Associated with Intestinal Strangulation in Patients with Adhesive Small Bowel Obstruction: A Retrospective Analysis of 951 Cases.Langenbeck's archives of 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
- Review
- Prediction and Risk Evaluation for Surgical Intervention in Small Bowel ObstructionJournal of clinical medicine · 2025Article
- Challenges and Outcomes of Three Years of the Adhesive Intestinal Obstruction Management Protocol.Cureus · 2025Article
- Feasibility and safety of an algorithm for the management of adhesive small bowel obstruction.Langenbeck's archives of surgery · 2025Article
- Chronic Comorbidities and Failure of Non-Operative Management in Adhesive Small Bowel Obstruction: Results of Analysis of National Inpatient Data from the United States.Journal of clinical medicine · 2025Article
- External validation of a CT score for predicting ischaemia in adhesive small-bowel obstruction.European radiology · 2025Article
- Are the systemic immune-inflammation index and panimmune-inflammation value predictive indicators for the decision of operative treatment in adhesive small bowel obstruction?Ulusal travma ve acil cerrahi dergisi = Turkish journal of trauma & emergency surgery : TJTES · 2025Article
- Prognostic value of CT findings for conservative treatment failure in adhesive small bowel obstruction.Emergency radiology · 2025Article
- Clinical outcome of conservative versus surgical management in acute intestinal obstruction.Bioinformation · 2025Article
- Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
5 authors at 2 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundPostoperative adhesive small bowel obstruction (SBO) is a frequent cause of hospital admission in a surgical department. Emergency surgery is needed in a majority of patients with bowel ischemia or peritonitis; most adhesive SBO can be managed nonoperatively. Many studies have investigated benefits of using oral water-soluble contrast to manage adhesive SBO. Treatment recommendations are still controversial.
methodsWe conducted an observational retrospective monocentric study to test our protocol of management of SBO using Gastrografin
resultsSeventy-eight percent of patients with SBO were managed nonoperatively, including 183 (36.0%) who finally required surgery. Delayed surgery showed a complete small bowel obstruction in all patients who failed the conservative treatment, and a small bowel resection was necessary in 19 patients (10.0%): among them, only 5 had intestinal ischemia.
conclusionsOur protocol is safe, and it is a valuable strategy in order to accelerate the decision-making process for management of adhesive SBO, with a percentage of risk of late small bowel resection for ischemia esteemed at 0.9%.
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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.