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Journal of Gastrointestinal Surgery
Published in: Journal of Gastrointestinal Surgery 2/2023

15-08-2022 | Acute Abdomen | Research Communication

Small Bowel Obstruction in the Virgin Abdomen

Authors: Meghan Lewis, Panagiotis K. Liasidis, Valerie P. Huang, Elizabeth R. Benjamin, Cameron Ghafil, Dominik A. Jakob, Demetrios Demetriades

Published in: Journal of Gastrointestinal Surgery | Issue 2/2023

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Excerpt

Surgical dogma has historically mandated operative management of small bowel obstruction (SBO) in patients with no previous history of abdominal operations, due to potential malignancy as the underlying etiology [1]. However, recent data suggest that adhesive disease is the leading cause of SBO in these patients, similar to those with a surgical history [2, 3]. The rates of newly diagnosed malignancy in SBO in the virgin abdomen also appear to be low, ranging from 3 to 13% [2‐6]; hence, the management is evolving. …
Literature
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Zielinski MD, Bannon MP. Current Management of Small Bowel Obstruction. Adv Surg. 2011 Sep;45(1):1-29.CrossRefPubMed
2.
Beardsley C, Furtado R, Mosse C Gananadha S, Fergusson J, Jeans P, et al. Small bowel obstruction in the virgin abdomen: the need for a mandatory laparotomy explored. Am J Surg. 2014 Aug;208(2):243–8.CrossRefPubMed
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Ng YY-R, Ngu JC-Y, Wong AS-Y. Small bowel obstruction in the virgin abdomen: time to challenge surgical dogma with evidence. ANZ J Surg. 2018 Jan;88(1–2):91–4.CrossRefPubMed
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Collom ML, Duane TM, Campbell-Furtick M, Moore BJ, Haddad NN, Zielinski MD, et al. Deconstructing dogma: Nonoperative management of small bowel obstruction in the virgin abdomen. J Trauma Acute Care Surg. 2018 Jul;85(1):33–6.CrossRefPubMed
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Strajina V, Kim BD, Zielinski MD. Small bowel obstruction in a virgin abdomen. Am J Surg. 2019 Sep;218(3):521–6.CrossRefPubMed
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Tavangari FR, Batech M, Collins JC, Tejirian T. Small Bowel Obstructions in a Virgin Abdomen: Is an Operation Mandatory? Am Surg. 2016 Oct;82(10):1038–42.CrossRefPubMed
Metadata
Title
Small Bowel Obstruction in the Virgin Abdomen
Authors
Meghan Lewis
Panagiotis K. Liasidis
Valerie P. Huang
Elizabeth R. Benjamin
Cameron Ghafil
Dominik A. Jakob
Demetrios Demetriades
Publication date
15-08-2022
Publisher
Springer US
Published in
Journal of Gastrointestinal Surgery / Issue 2/2023
Print ISSN: 1091-255X
Electronic ISSN: 1873-4626
DOI
https://doi.org/10.1007/s11605-022-05294-0

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