Small Bowel Obstruction in Patients without a Previous History of Abdominal Operation
Journal of the Korean Society of Coloproctology
;
: 16-21, 2007.
Article
in Korean
| WPRIM
| ID: wpr-35209
ABSTRACT
PURPOSE:
Intra-abdominal adhesion related to prior abdominal surgery is the most common cause of small bowel obstruction (SBO). However, there are subsets of patients with SBO without a history of previous operation. We studied the characteristics of these patients.METHODS:
The medical records of 311 patients underwent operations at Seoul National University Hospital between Jan. 1994 and Oct. 2005 were reviewed. A retrospective analysis of the incidence, etiology, diagnostic method, preoperative hospital stay, operative findings and methods, complication rates, postoperative hospital stay, re-admission rate, and reoperation rate of SBO was performed, and the results were compared with those of patients with a history of previous operation.RESULTS:
Among the 311 patients (54.4 +/- 14.7 yr, MF=1.51), 48 patients (15.3%) had no history of operation. The etiologies of SBO without a history of operation were malignancy (23.0%), bezoar (14.5%), adhesion (10.4%), Crohn's disease (10.4%), tuberculosis (8.3%), and appendicitis (8.3%). SBO without prior abdominal surgery showed a longer preoperative hospital stay, which was not statistically significant. The accuracies of CT and small bowel series among patients without a history of operation were 68.4% and 54.5%, respectively. SBO without prior abdominal surgery showed a lower complication rate (8.3% vs. 26.6%, P=0.006) and shorter postoperative hospital stays (12.7 +/- 6.9 days vs. 16.1 +/- 10.4 days, P=0.032).CONCLUSIONS:
Among the patients who underwent an operation for SBO, 15.3% had no history of previous operation. The most common cause of SBO without a history of operation was malignancy. SBO without a history of operation showed a lower complication rate and a shorter postoperative hospital stay compared with SBO with a history of operation.
Full text:
Available
Index:
WPRIM (Western Pacific)
Main subject:
Appendicitis
/
Reoperation
/
Tuberculosis
/
Bezoars
/
Crohn Disease
/
Medical Records
/
Incidence
/
Retrospective Studies
/
Seoul
/
Length of Stay
Type of study:
Incidence study
/
Observational study
/
Prognostic study
Limits:
Humans
Country/Region as subject:
Asia
Language:
Korean
Journal:
Journal of the Korean Society of Coloproctology
Year:
2007
Type:
Article
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