Evidence map›Paper›PMID 42853310›Full record

ArticlePediatric surgery international2026

Incidence and clinical outcomes of postoperative small bowel obstruction after neonatal abdominal surgery: a single-center retrospective study.

Masahiro Fukuhara, Hiroaki Matsumoto, Yasuyuki Uchida

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Article in Pediatric surgery international, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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5 · Who and what money

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3 authors.

Masahiro FukuharaDepartment of Pediatric Surgery, Oita Prefectural Hospital, 2-8-1 Bunyo, Oita City, Oita, 870-8511, Japan. fukuhara_masao@yahoo.co.jp.ORCID https://orcid.org/0000-0002-4162-9361
Hiroaki MatsumotoDepartment of Pediatric Surgery, Oita Prefectural Hospital, 2-8-1 Bunyo, Oita City, Oita, 870-8511, Japan.
Yasuyuki UchidaDepartment of Pediatric Surgery, Oita Prefectural Hospital, 2-8-1 Bunyo, Oita City, Oita, 870-8511, Japan.

Funding

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6 · The paper itself

Abstract

purposeThe long-term incidence and clinical course of neonatal abdominal surgery remain unclear. We evaluated the incidence, management, and outcomes of postoperative SBO following neonatal abdominal surgery.

methodsWe retrospectively reviewed the records of neonates who underwent abdominal surgery within 30 days of birth in 2000-2025. Patients with postoperative SBO were identified, and their clinical characteristics, treatment, and outcomes were analyzed. The cumulative incidence was estimated using a competing risk analysis, with death before SBO treated as a competing event.

resultsAmong 312 neonates, 19 (6.1%) developed postoperative SBO, with 29 SBO events. The median interval from the initial surgery to the first SBO was 10.9 months, and 11 patients (57.9%) developed SBO within 1 year. During the first SBO episode, surgical intervention was required in 10 patients (52.6%). Bowel resection was required in 4 (21.1%). Seven patients developed recurrence (36.8%). No deaths occurred during SBO treatment. The cumulative incidence at 1, 5, 10, and 20 years was 4.6%, 7.3%, 8.1%, and 13.2%, respectively.

conclusionSBO after neonatal abdominal surgery frequently occurs within 1 year, but the risk persists for a long time. The high surgical intervention and recurrence rates support its importance as a long-term complication of after neonatal abdominal surgery.

Indexed as

AbdomenDigestive System Surgical ProceduresIntestinal ObstructionIntestine, SmallPostoperative ComplicationsFemaleHumansIncidenceInfant, NewbornMaleRetrospective StudiesTreatment OutcomeCumulative incidenceLong-term outcomesNeonatal abdominal surgeryPostoperative complicationsSmall bowel obstruction

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