The incidence and risk of early postoperative small bowel obstruction. A cohort study

Ronald M. Stewart, Carey P. Page, Jean Brender, Wayne Schwesinger, Debra Eisenhut

Research output: Contribution to journalArticle

101 Scopus citations

Abstract

Early postoperative small bowel obstruction is a rare (0.69 percent incidence) but serious postoperative complication with a relatively high mortality rate (17.8 percent). Operations performed below the transverse mesocolon impose an increased risk, whereas those limited to the upper abdomen are virtually free of risk. The clinical picture of a patient who initially manifests a return of gut function and advances to a diet, but then has loss of bowel function with distention and pain is most characteristic of early postoperative small bowel obstruction. Any patient in the high-risk group demonstrating this clinical picture should be presumed to have a mechanical small bowel obstruction, and early operation should be considered.

Original languageEnglish (US)
Pages (from-to)643-647
Number of pages5
JournalThe American Journal of Surgery
Volume154
Issue number6
DOIs
StatePublished - Dec 1987

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ASJC Scopus subject areas

  • Surgery

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