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Published in:

01-11-2012 | Original Article

Clinical features of strangulated small bowel obstruction

Authors: Daisuke Hashimoto, Masahiko Hirota, Tetsuya Matsukawa, Yasushi Yagi, Hideo Baba

Published in: Surgery Today | Issue 11/2012

Abstract

Purpose

The causes of strangulated small bowel obstruction (SSBO) include a fibrous cord, torsion, and internal hernia. We conducted this study to define the clinical features of SSBO.

Methods

We reviewed the clinical course and preoperative data of 74 patients treated for SSBO in Kumamoto Regional Medical Center between January 2004 and September 2010.

Results

Twenty-one patients had no history of laparotomy. Computed tomography (CT) showed high positivity (86.3 %) of closed loops in the involved intestine. Postoperative complications developed in 23 patients, representing a morbidity rate of 31.1 %. Forty-four patients underwent resection of non-viable small intestine (non-viable group), and 30 did not require resection of the intestine (viable group). There were four hospital deaths in the non-viable group. The overall mortality rate and the mortality rate in the non-viable group were 5.4 and 9.1 %, respectively.

Conclusion

These findings indicate that SSBO can occur without a history of laparotomy, CT is useful in its diagnosis, and its associated morbidity and mortality are high.

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Title: Clinical features of strangulated small bowel obstruction
Authors: Daisuke Hashimoto
Masahiko Hirota
Tetsuya Matsukawa
Yasushi Yagi
Hideo Baba
Publication date: 01-11-2012
Publisher: Springer Japan
Published in: Surgery Today / Issue 11/2012
Print ISSN: 0941-1291
Electronic ISSN: 1436-2813
DOI: https://doi.org/10.1007/s00595-012-0207-8

At a glance: The STEP trials

Springer Medicine

Clinical features of strangulated small bowel obstruction

Abstract

Purpose

Methods

Results

Conclusion

At a glance: The STEP trials

Springer Medicine

Abstract

Purpose

Methods

Results

Conclusion

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