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Determining the etiology of small bowel obstruction in patients without intraabdominal operative history: a retrospective study

PURPOSE: Most of the causes of small bowel obstruction (SBO) in patients without a history of abdominal surgery are unclear at initial assessment. This study was conducted to identify the etiology and clinical characteristics of SBO in virgin abdomens and discuss the proper management. METHODS: A re...

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Autores principales: Jang, Youngjin, Jung, Sung Min, Heo, Tae Gil, Choi, Pyong Wha, Kim, Jae Il, Jung, Sung-Won, Jun, Heungman, Shin, Yong Chan, Um, Eunhae
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Korean Society of Coloproctology 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9816557/
https://www.ncbi.nlm.nih.gov/pubmed/34875819
http://dx.doi.org/10.3393/ac.2021.00710.0101
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author Jang, Youngjin
Jung, Sung Min
Heo, Tae Gil
Choi, Pyong Wha
Kim, Jae Il
Jung, Sung-Won
Jun, Heungman
Shin, Yong Chan
Um, Eunhae
author_facet Jang, Youngjin
Jung, Sung Min
Heo, Tae Gil
Choi, Pyong Wha
Kim, Jae Il
Jung, Sung-Won
Jun, Heungman
Shin, Yong Chan
Um, Eunhae
author_sort Jang, Youngjin
collection PubMed
description PURPOSE: Most of the causes of small bowel obstruction (SBO) in patients without a history of abdominal surgery are unclear at initial assessment. This study was conducted to identify the etiology and clinical characteristics of SBO in virgin abdomens and discuss the proper management. METHODS: A retrospective review involving operative cases of SBO from a single institute, which had no history of abdominal surgery, was conducted between January 2010 and December 2020. Clinical information, including radiological, operative, and pathologic findings, was investigated to determine the etiology of SBO. RESULTS: A total of 55 patients were included in this study, with a median age of 57 years and male sex (63.6%) constituting the majority. The most frequently reported symptoms were abdominal pain and nausea or vomiting. Neoplasm as an underlying cause accounted for 34.5% of the cases, of which 25.5% were malignant cases. In patients aged ≥60 years (n=23), small bowel neoplasms were the underlying cause in 12 (52.2%), of whom 9 (39.1%) were malignant cases. Adhesions and Crohn disease were more frequent in patients aged <60 years. Coherence between preoperative computed tomography scans and intraoperative findings was found in 63.6% of the cases. CONCLUSION: There were various causes of surgical cases of SBO in virgin abdomens. In older patients, hidden malignancy should be considered as a possible cause of SBO in a virgin abdomen. Patients with symptoms of recurrent bowel obstruction who have no history of prior abdominal surgery require thorough medical history and close follow-up.
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spelling pubmed-98165572023-01-11 Determining the etiology of small bowel obstruction in patients without intraabdominal operative history: a retrospective study Jang, Youngjin Jung, Sung Min Heo, Tae Gil Choi, Pyong Wha Kim, Jae Il Jung, Sung-Won Jun, Heungman Shin, Yong Chan Um, Eunhae Ann Coloproctol Original Article PURPOSE: Most of the causes of small bowel obstruction (SBO) in patients without a history of abdominal surgery are unclear at initial assessment. This study was conducted to identify the etiology and clinical characteristics of SBO in virgin abdomens and discuss the proper management. METHODS: A retrospective review involving operative cases of SBO from a single institute, which had no history of abdominal surgery, was conducted between January 2010 and December 2020. Clinical information, including radiological, operative, and pathologic findings, was investigated to determine the etiology of SBO. RESULTS: A total of 55 patients were included in this study, with a median age of 57 years and male sex (63.6%) constituting the majority. The most frequently reported symptoms were abdominal pain and nausea or vomiting. Neoplasm as an underlying cause accounted for 34.5% of the cases, of which 25.5% were malignant cases. In patients aged ≥60 years (n=23), small bowel neoplasms were the underlying cause in 12 (52.2%), of whom 9 (39.1%) were malignant cases. Adhesions and Crohn disease were more frequent in patients aged <60 years. Coherence between preoperative computed tomography scans and intraoperative findings was found in 63.6% of the cases. CONCLUSION: There were various causes of surgical cases of SBO in virgin abdomens. In older patients, hidden malignancy should be considered as a possible cause of SBO in a virgin abdomen. Patients with symptoms of recurrent bowel obstruction who have no history of prior abdominal surgery require thorough medical history and close follow-up. Korean Society of Coloproctology 2022-12 2021-12-08 /pmc/articles/PMC9816557/ /pubmed/34875819 http://dx.doi.org/10.3393/ac.2021.00710.0101 Text en Copyright © 2021 The Korean Society of Coloproctology https://creativecommons.org/licenses/by-nc/4.0/This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/4.0/ (https://creativecommons.org/licenses/by-nc/4.0/) ) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Original Article
Jang, Youngjin
Jung, Sung Min
Heo, Tae Gil
Choi, Pyong Wha
Kim, Jae Il
Jung, Sung-Won
Jun, Heungman
Shin, Yong Chan
Um, Eunhae
Determining the etiology of small bowel obstruction in patients without intraabdominal operative history: a retrospective study
title Determining the etiology of small bowel obstruction in patients without intraabdominal operative history: a retrospective study
title_full Determining the etiology of small bowel obstruction in patients without intraabdominal operative history: a retrospective study
title_fullStr Determining the etiology of small bowel obstruction in patients without intraabdominal operative history: a retrospective study
title_full_unstemmed Determining the etiology of small bowel obstruction in patients without intraabdominal operative history: a retrospective study
title_short Determining the etiology of small bowel obstruction in patients without intraabdominal operative history: a retrospective study
title_sort determining the etiology of small bowel obstruction in patients without intraabdominal operative history: a retrospective study
topic Original Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9816557/
https://www.ncbi.nlm.nih.gov/pubmed/34875819
http://dx.doi.org/10.3393/ac.2021.00710.0101
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