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

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

Research output: Contribution to journalArticle

99 Citations (Scopus)

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 - 1987
Externally publishedYes

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Cohort Studies
Incidence
Mesocolon
Abdomen
Diet
Pain
Mortality

ASJC Scopus subject areas

  • Surgery

Cite this

The incidence and risk of early postoperative small bowel obstruction. A cohort study. / Stewart, Ronald M; Page, Carey P.; Brender, Jean; Schwesinger, Wayne H; Eisenhut, Debra.

In: The American Journal of Surgery, Vol. 154, No. 6, 1987, p. 643-647.

Research output: Contribution to journalArticle

Stewart, Ronald M ; Page, Carey P. ; Brender, Jean ; Schwesinger, Wayne H ; Eisenhut, Debra. / The incidence and risk of early postoperative small bowel obstruction. A cohort study. In: The American Journal of Surgery. 1987 ; Vol. 154, No. 6. pp. 643-647.
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