Document Detail


Secular trends in small-bowel obstruction and adhesiolysis in the United States: 1988-2007.
MedLine Citation:
PMID:  22575399     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
BACKGROUND: Postoperative adhesions are common after surgery and can cause small-bowel obstruction (SBO) and require adhesiolysis. The impact that laparoscopy and other surgical advances have had on rates of SBO and adhesiolysis remains controversial. This study examines trends in discharges from US hospitals for SBO and adhesiolysis from 1988 to 2007.
METHODS: We performed an analysis of secular trends for SBO and adhesiolysis, using the National Hospital Discharge Survey. Spearman correlation coefficients were calculated to assess trends over time.
RESULTS: Rates of SBO were stable over time (ρ = .140; P = .28). Adhesiolysis rates were stable over time (ρ = -.18; P = .17), although there were significant downward trends in patients older than age 65 (ρ = -.55; P = .01) and age 15 to 44 (ρ = -.84; P < .01).
CONCLUSIONS: There has been no significant change in overall rates of SBO or adhesiolysis from 1988 to 2007. For adhesiolysis, there were decreasing trends when stratified by age. Further research is required to understand the factors associated with adhesion-related complications.
Authors:
Frank I Scott; Mark T Osterman; Najjia N Mahmoud; James D Lewis
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Publication Detail:
Type:  Journal Article; Research Support, N.I.H., Extramural     Date:  2012-05-09
Journal Detail:
Title:  American journal of surgery     Volume:  204     ISSN:  1879-1883     ISO Abbreviation:  Am. J. Surg.     Publication Date:  2012 Sep 
Date Detail:
Created Date:  2012-08-27     Completed Date:  2012-10-29     Revised Date:  2014-09-24    
Medline Journal Info:
Nlm Unique ID:  0370473     Medline TA:  Am J Surg     Country:  United States    
Other Details:
Languages:  eng     Pagination:  315-20     Citation Subset:  AIM; IM    
Copyright Information:
Copyright © 2012 Elsevier Inc. All rights reserved.
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MeSH Terms
Descriptor/Qualifier:
Adult
Age Distribution
Aged
Female
Humans
Intestinal Obstruction / epidemiology*,  etiology,  surgery*
Intestine, Small / pathology*,  surgery*
Laparoscopy / adverse effects,  statistics & numerical data
Male
Middle Aged
Patient Discharge / statistics & numerical data,  trends*
Tissue Adhesions / complications,  epidemiology,  surgery
Treatment Outcome
United States / epidemiology
Grant Support
ID/Acronym/Agency:
K24 DK078228/DK/NIDDK NIH HHS; K24-DK078228/DK/NIDDK NIH HHS; T32 DK007066/DK/NIDDK NIH HHS; T32 DK007066-36/DK/NIDDK NIH HHS; T32 DK007740/DK/NIDDK NIH HHS; T32-DK007066-36/DK/NIDDK NIH HHS
Comments/Corrections

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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