Laparoscopic Approach Compared With Conventional Open Approach for Bezoar-Induced Small-Bowel Obstruction
BACKGROUND Bezoar-induced small-bowel obstruction (SBO) is an uncommon surgical emergency. Accurate preoperative diagnosis is notoriously difficult, and conventional management often necessitates laparotomy. Recent articles demonstrate the feasibility of laparoscopy in the management of SBO. This st...
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| Veröffentlicht in: | Archives of surgery (Chicago. 1960) 2005-10, Vol.140 (10), p.972-975 |
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| container_title | Archives of surgery (Chicago. 1960) |
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| creator | Yau, Kwok Kay Siu, Wing Tai Law, Bonita Ka Bo Cheung, Hester Yui Shan Ha, Joe Ping Yiu Li, Michael Ka Wah |
| description | BACKGROUND Bezoar-induced small-bowel obstruction (SBO) is an uncommon surgical emergency. Accurate preoperative diagnosis is notoriously difficult, and conventional management often necessitates laparotomy. Recent articles demonstrate the feasibility of laparoscopy in the management of SBO. This study compares the outcomes of a series of cases managed laparoscopically with the outcomes of matched open cases. HYPOTHESIS Laparoscopic management of bezoar-induced SBO is safe and effective when compared with traditional laparotomy treatment. PATIENTS AND METHODS A retrospective study was conducted from November 1, 1998, to November 30, 2003, to compare laparoscopic vs open treatment for bezoar-induced SBO. Patients’ demographics, operative details, and surgical outcomes were evaluated. RESULTS During the study period, 24 patients (16 men and 8 women) with a mean age of 68.2 years underwent operative treatments for bezoar-induced SBO. Ten patients received laparoscopic treatments and the other 14 received laparotomy treatments. The patients were comparable in age, sex, and physiological status. There were 3 conversions in the laparoscopy group owing to technical difficulties. The laparoscopic approach was associated with statistically significant shorter operative time (P = .048), fewer postoperative complications (P = .04), and reduced hospital stay (P = .009). CONCLUSIONS When expertise is available, laparoscopy is safe and effective in the management of bezoar-induced SBO and is associated with superior postoperative outcomes when compared with the conventional open approach.Arch Surg. 2005;140:972-975--> |
| doi_str_mv | 10.1001/archsurg.140.10.972 |
| format | Article |
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Accurate preoperative diagnosis is notoriously difficult, and conventional management often necessitates laparotomy. Recent articles demonstrate the feasibility of laparoscopy in the management of SBO. This study compares the outcomes of a series of cases managed laparoscopically with the outcomes of matched open cases. HYPOTHESIS Laparoscopic management of bezoar-induced SBO is safe and effective when compared with traditional laparotomy treatment. PATIENTS AND METHODS A retrospective study was conducted from November 1, 1998, to November 30, 2003, to compare laparoscopic vs open treatment for bezoar-induced SBO. Patients’ demographics, operative details, and surgical outcomes were evaluated. RESULTS During the study period, 24 patients (16 men and 8 women) with a mean age of 68.2 years underwent operative treatments for bezoar-induced SBO. Ten patients received laparoscopic treatments and the other 14 received laparotomy treatments. The patients were comparable in age, sex, and physiological status. There were 3 conversions in the laparoscopy group owing to technical difficulties. The laparoscopic approach was associated with statistically significant shorter operative time (P = .048), fewer postoperative complications (P = .04), and reduced hospital stay (P = .009). CONCLUSIONS When expertise is available, laparoscopy is safe and effective in the management of bezoar-induced SBO and is associated with superior postoperative outcomes when compared with the conventional open approach.Arch Surg. 2005;140:972-975--></description><identifier>ISSN: 0004-0010</identifier><identifier>ISSN: 2168-6254</identifier><identifier>EISSN: 1538-3644</identifier><identifier>EISSN: 2168-6262</identifier><identifier>DOI: 10.1001/archsurg.140.10.972</identifier><identifier>PMID: 16230547</identifier><identifier>CODEN: ARSUAX</identifier><language>eng</language><publisher>Chicago, IL: American Medical Association</publisher><subject>Aged ; Aged, 80 and over ; Bezoars - complications ; Biological and medical sciences ; Bowel disease ; Clinical outcomes ; Cohort Studies ; Comparative analysis ; Digestive system. Abdomen ; Endoscopy ; Female ; General aspects ; Humans ; Intestinal Obstruction - etiology ; Intestinal Obstruction - surgery ; Intestine, Small ; Investigative techniques, diagnostic techniques (general aspects) ; Laparoscopy ; Male ; Medical diagnosis ; Medical sciences ; Medical treatment ; Middle Aged ; Retrospective Studies ; Surgery ; Surgical Procedures, Operative - methods ; Treatment Outcome</subject><ispartof>Archives of surgery (Chicago. 1960), 2005-10, Vol.140 (10), p.972-975</ispartof><rights>2005 INIST-CNRS</rights><rights>Copyright American Medical Association Oct 2005</rights><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-a378t-3d81a819f362b7fc705e83c312fe85668b9779431e72f9266f517d0e47a7d6013</citedby></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://jamanetwork.com/journals/jamasurgery/articlepdf/10.1001/archsurg.140.10.972$$EPDF$$P50$$Gama$$H</linktopdf><linktohtml>$$Uhttps://jamanetwork.com/journals/jamasurgery/fullarticle/10.1001/archsurg.140.10.972$$EHTML$$P50$$Gama$$H</linktohtml><link.rule.ids>64,314,776,780,3327,27901,27902,76231,76234</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=17210228$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/16230547$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Yau, Kwok Kay</creatorcontrib><creatorcontrib>Siu, Wing Tai</creatorcontrib><creatorcontrib>Law, Bonita Ka Bo</creatorcontrib><creatorcontrib>Cheung, Hester Yui Shan</creatorcontrib><creatorcontrib>Ha, Joe Ping Yiu</creatorcontrib><creatorcontrib>Li, Michael Ka Wah</creatorcontrib><title>Laparoscopic Approach Compared With Conventional Open Approach for Bezoar-Induced Small-Bowel Obstruction</title><title>Archives of surgery (Chicago. 1960)</title><addtitle>Arch Surg</addtitle><description>BACKGROUND Bezoar-induced small-bowel obstruction (SBO) is an uncommon surgical emergency. Accurate preoperative diagnosis is notoriously difficult, and conventional management often necessitates laparotomy. Recent articles demonstrate the feasibility of laparoscopy in the management of SBO. This study compares the outcomes of a series of cases managed laparoscopically with the outcomes of matched open cases. HYPOTHESIS Laparoscopic management of bezoar-induced SBO is safe and effective when compared with traditional laparotomy treatment. PATIENTS AND METHODS A retrospective study was conducted from November 1, 1998, to November 30, 2003, to compare laparoscopic vs open treatment for bezoar-induced SBO. Patients’ demographics, operative details, and surgical outcomes were evaluated. RESULTS During the study period, 24 patients (16 men and 8 women) with a mean age of 68.2 years underwent operative treatments for bezoar-induced SBO. Ten patients received laparoscopic treatments and the other 14 received laparotomy treatments. The patients were comparable in age, sex, and physiological status. There were 3 conversions in the laparoscopy group owing to technical difficulties. The laparoscopic approach was associated with statistically significant shorter operative time (P = .048), fewer postoperative complications (P = .04), and reduced hospital stay (P = .009). CONCLUSIONS When expertise is available, laparoscopy is safe and effective in the management of bezoar-induced SBO and is associated with superior postoperative outcomes when compared with the conventional open approach.Arch Surg. 2005;140:972-975--></description><subject>Aged</subject><subject>Aged, 80 and over</subject><subject>Bezoars - complications</subject><subject>Biological and medical sciences</subject><subject>Bowel disease</subject><subject>Clinical outcomes</subject><subject>Cohort Studies</subject><subject>Comparative analysis</subject><subject>Digestive system. Abdomen</subject><subject>Endoscopy</subject><subject>Female</subject><subject>General aspects</subject><subject>Humans</subject><subject>Intestinal Obstruction - etiology</subject><subject>Intestinal Obstruction - surgery</subject><subject>Intestine, Small</subject><subject>Investigative techniques, diagnostic techniques (general aspects)</subject><subject>Laparoscopy</subject><subject>Male</subject><subject>Medical diagnosis</subject><subject>Medical sciences</subject><subject>Medical treatment</subject><subject>Middle Aged</subject><subject>Retrospective Studies</subject><subject>Surgery</subject><subject>Surgical Procedures, Operative - methods</subject><subject>Treatment Outcome</subject><issn>0004-0010</issn><issn>2168-6254</issn><issn>1538-3644</issn><issn>2168-6262</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2005</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNpdkc1O3DAUha0KBAPlAapKVYREd5le_8R2ljAqFGkkFoBYRnccuwQlcbATqvbpcTTTjtSV7ePvHNn3EPKZwpIC0G8YzHOcws8lFbOyLBX7QBa04DrnUogDsgAAkScUjslJjC9px3TJjsgxlYxDIdSCNGscMPho_NCY7HIYgkfznK18l2RbZ0_NOJ_6N9uPje-xze4G2-9B50N2Zf94DPltX08mWe47bNv8yv-yCd7EMUxmtn4khw7baM926yl5vP7-sPqRr-9ubleX6xy50mPOa01R09JxyTbKGQWF1dxwypzVhZR6UypVCk6tYq5kUrqCqhqsUKhqCZSfkq_b3PTC18nGseqaaGzbYm_9FCupFQgNLIHn_4Evfgrpi7FinBWF1mJO41vIpCHFYF01hKbD8LuiUM01VH9rqFINs5hqSK4vu-hp09l679nNPQEXOwCjwdYF7E0T95xiFBjTifu05bDDf7cFlMBK_g6APZnr</recordid><startdate>20051001</startdate><enddate>20051001</enddate><creator>Yau, Kwok Kay</creator><creator>Siu, Wing Tai</creator><creator>Law, Bonita Ka Bo</creator><creator>Cheung, Hester Yui Shan</creator><creator>Ha, Joe Ping Yiu</creator><creator>Li, Michael Ka Wah</creator><general>American Medical Association</general><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>K9.</scope><scope>NAPCQ</scope><scope>7X8</scope></search><sort><creationdate>20051001</creationdate><title>Laparoscopic Approach Compared With Conventional Open Approach for Bezoar-Induced Small-Bowel Obstruction</title><author>Yau, Kwok Kay ; Siu, Wing Tai ; Law, Bonita Ka Bo ; Cheung, Hester Yui Shan ; Ha, Joe Ping Yiu ; Li, Michael Ka Wah</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-a378t-3d81a819f362b7fc705e83c312fe85668b9779431e72f9266f517d0e47a7d6013</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2005</creationdate><topic>Aged</topic><topic>Aged, 80 and over</topic><topic>Bezoars - complications</topic><topic>Biological and medical sciences</topic><topic>Bowel disease</topic><topic>Clinical outcomes</topic><topic>Cohort Studies</topic><topic>Comparative analysis</topic><topic>Digestive system. Abdomen</topic><topic>Endoscopy</topic><topic>Female</topic><topic>General aspects</topic><topic>Humans</topic><topic>Intestinal Obstruction - etiology</topic><topic>Intestinal Obstruction - surgery</topic><topic>Intestine, Small</topic><topic>Investigative techniques, diagnostic techniques (general aspects)</topic><topic>Laparoscopy</topic><topic>Male</topic><topic>Medical diagnosis</topic><topic>Medical sciences</topic><topic>Medical treatment</topic><topic>Middle Aged</topic><topic>Retrospective Studies</topic><topic>Surgery</topic><topic>Surgical Procedures, Operative - methods</topic><topic>Treatment Outcome</topic><toplevel>online_resources</toplevel><creatorcontrib>Yau, Kwok Kay</creatorcontrib><creatorcontrib>Siu, Wing Tai</creatorcontrib><creatorcontrib>Law, Bonita Ka Bo</creatorcontrib><creatorcontrib>Cheung, Hester Yui Shan</creatorcontrib><creatorcontrib>Ha, Joe Ping Yiu</creatorcontrib><creatorcontrib>Li, Michael Ka Wah</creatorcontrib><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Nursing & Allied Health Premium</collection><collection>MEDLINE - Academic</collection><jtitle>Archives of surgery (Chicago. 1960)</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Yau, Kwok Kay</au><au>Siu, Wing Tai</au><au>Law, Bonita Ka Bo</au><au>Cheung, Hester Yui Shan</au><au>Ha, Joe Ping Yiu</au><au>Li, Michael Ka Wah</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Laparoscopic Approach Compared With Conventional Open Approach for Bezoar-Induced Small-Bowel Obstruction</atitle><jtitle>Archives of surgery (Chicago. 1960)</jtitle><addtitle>Arch Surg</addtitle><date>2005-10-01</date><risdate>2005</risdate><volume>140</volume><issue>10</issue><spage>972</spage><epage>975</epage><pages>972-975</pages><issn>0004-0010</issn><issn>2168-6254</issn><eissn>1538-3644</eissn><eissn>2168-6262</eissn><coden>ARSUAX</coden><abstract>BACKGROUND Bezoar-induced small-bowel obstruction (SBO) is an uncommon surgical emergency. Accurate preoperative diagnosis is notoriously difficult, and conventional management often necessitates laparotomy. Recent articles demonstrate the feasibility of laparoscopy in the management of SBO. This study compares the outcomes of a series of cases managed laparoscopically with the outcomes of matched open cases. HYPOTHESIS Laparoscopic management of bezoar-induced SBO is safe and effective when compared with traditional laparotomy treatment. PATIENTS AND METHODS A retrospective study was conducted from November 1, 1998, to November 30, 2003, to compare laparoscopic vs open treatment for bezoar-induced SBO. Patients’ demographics, operative details, and surgical outcomes were evaluated. RESULTS During the study period, 24 patients (16 men and 8 women) with a mean age of 68.2 years underwent operative treatments for bezoar-induced SBO. Ten patients received laparoscopic treatments and the other 14 received laparotomy treatments. The patients were comparable in age, sex, and physiological status. There were 3 conversions in the laparoscopy group owing to technical difficulties. The laparoscopic approach was associated with statistically significant shorter operative time (P = .048), fewer postoperative complications (P = .04), and reduced hospital stay (P = .009). CONCLUSIONS When expertise is available, laparoscopy is safe and effective in the management of bezoar-induced SBO and is associated with superior postoperative outcomes when compared with the conventional open approach.Arch Surg. 2005;140:972-975--></abstract><cop>Chicago, IL</cop><pub>American Medical Association</pub><pmid>16230547</pmid><doi>10.1001/archsurg.140.10.972</doi><tpages>4</tpages></addata></record> |
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| subjects | Aged Aged, 80 and over Bezoars - complications Biological and medical sciences Bowel disease Clinical outcomes Cohort Studies Comparative analysis Digestive system. Abdomen Endoscopy Female General aspects Humans Intestinal Obstruction - etiology Intestinal Obstruction - surgery Intestine, Small Investigative techniques, diagnostic techniques (general aspects) Laparoscopy Male Medical diagnosis Medical sciences Medical treatment Middle Aged Retrospective Studies Surgery Surgical Procedures, Operative - methods Treatment Outcome |
| title | Laparoscopic Approach Compared With Conventional Open Approach for Bezoar-Induced Small-Bowel Obstruction |
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