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dc.contributor.authorBeardsley, Christian
dc.contributor.authorFurtado, Ruelan
dc.contributor.authorMosse, Charles
dc.contributor.authorGananadha, Sivakumar
dc.contributor.authorFergusson, James
dc.contributor.authorJeans, Phil
dc.contributor.authorBeenen, Edwin
dc.date.accessioned2017-05-03T14:17:57Z
dc.date.available2017-05-03T14:17:57Z
dc.date.issued2014
dc.identifier.issn00029610
dc.identifier.doi10.1016/j.amjsurg.2013.09.034
dc.identifier.urihttp://hdl.handle.net/10072/67165
dc.description.abstractBackground A laparotomy is still considered mandatory for patients without previous abdominal surgery presenting with a small bowel obstruction (SBO) because of a perceived high incidence of underlying lesions. However, there is no evidence in literature to support this assumption. We analyzed the etiology of SBO in this subgroup of patients to establish the need for a mandatory laparotomy. Methods A retrospective analysis was conducted over a 5-year period. Basic demographics, radiology results, operative findings, and outpatient investigations were analyzed. Results Of 689 patients presenting with an SBO, a total of 62 patients, 9.0%, had a virgin abdomen. A known underlying disease (inflammatory bowel disease, malignancy) was the cause in 13 patients. The remaining 49 patients had adhesions in 75.5% and a newly diagnosed malignancy in 10.2% as a cause. Conclusions Adhesions are by far the most likely cause of SBO in patients without previous abdominal surgery followed by a small number of newly diagnosed malignancies. Both prevalences are in equal proportion to patients with previous abdominal surgery. A trial of nonoperative management may therefore be justified.
dc.description.peerreviewedYes
dc.description.publicationstatusYes
dc.languageEnglish
dc.language.isoeng
dc.publisherElsevier
dc.publisher.placeUnited States
dc.relation.ispartofstudentpublicationN
dc.relation.ispartofpagefrom243
dc.relation.ispartofpageto248
dc.relation.ispartofissue2
dc.relation.ispartofjournalThe American Journal of Surgery
dc.relation.ispartofvolume208
dc.rights.retentionY
dc.subject.fieldofresearchMedical and Health Sciences not elsewhere classified
dc.subject.fieldofresearchClinical Sciences
dc.subject.fieldofresearchcode119999
dc.subject.fieldofresearchcode1103
dc.titleSmall bowel obstruction in the virgin abdomen: the need for a mandatory laparotomy explored
dc.typeJournal article
dc.type.descriptionC1 - Articles
dc.type.codeC - Journal Articles
gro.hasfulltextNo Full Text
gro.griffith.authorBeardsley, Christian J.


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