Document Detail

Partial small bowel obstruction: clinical issues and recent technical advances.
MedLine Citation:
PMID:  18597140     Owner:  NLM     Status:  MEDLINE    
Mechanical small bowel obstruction (SBO) remains a common clinical problem despite ever-increasing medical and surgical advances. The predominant etiology continues to be postoperative adhesions, accounting for approximately two-thirds of all obstructive events. As opposed to high-grade or complete small bowel obstruction where the clinical and radiographic findings are typically more diagnostic and the treatment plan more defined, partial SBO represents a subgroup, where the evaluation is more arduous, the diagnosis more elusive, and the management less defined. Operative and nonoperative approaches to treatment are successful and are based on the etiology and clinical status of the patient. A paradox remains, however, treating a predominantly surgically induced condition with repeated operations. Several advances in the treatment and prevention of SBO have become practice in past decade. This article reviews the clinical issues and technical advances of this challenging condition.
Michael L Kendrick
Publication Detail:
Type:  Journal Article; Review    
Journal Detail:
Title:  Abdominal imaging     Volume:  34     ISSN:  1432-0509     ISO Abbreviation:  Abdom Imaging     Publication Date:    2009 May-Jun
Date Detail:
Created Date:  2009-06-11     Completed Date:  2009-09-17     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  9303672     Medline TA:  Abdom Imaging     Country:  United States    
Other Details:
Languages:  eng     Pagination:  329-34     Citation Subset:  IM    
Division of Gastroenterologic and General Surgery, Department of Surgery, Mayo Clinic College of Medicine, Rochester, MN 55905, USA.
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MeSH Terms
Intestinal Obstruction / diagnosis,  prevention & control,  therapy*
Intestine, Small / radiography*,  surgery
Postoperative Complications / diagnosis,  prevention & control,  therapy*
Surgical Procedures, Minimally Invasive / methods*
Tomography, X-Ray Computed / methods

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