Small bowel obstruction: a review of 264 cases and suggestions for management
Two hundred and sixty-four cases of acute small bowel obstruction were retrospectively reviewed for the purpose of defining factors which could point to the presence of strangulated bowel. History, physical signs and investigations, including body temperature, X-rays, white blood count, and serum am...
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| Veröffentlicht in: | Postgraduate medical journal 1989-07, Vol.65 (765), p.463-467 |
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| container_title | Postgraduate medical journal |
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| creator | Deutsch, A. A. Eviatar, E. Gutman, H. Reiss, R. |
| description | Two hundred and sixty-four cases of acute small bowel obstruction were retrospectively reviewed for the purpose of defining factors which could point to the presence of strangulated bowel. History, physical signs and investigations, including body temperature, X-rays, white blood count, and serum amylase, were not significantly different in the simple and strangulated groups. Although an elevated urinary white blood count and a palpable mass were more common in the strangulated group, they were not sufficiently reliable for early diagnosis of strangulation. In reviewing the literature, it is clear that all hernias with obstruction must undergo emergency surgery. Cases with intra-abdominal complete intestinal obstruction should also undergo emergency surgery. A more conservative attitude can only be taken when there is incomplete obstruction. |
| doi_str_mv | 10.1136/pgmj.65.765.463 |
| format | Article |
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A more conservative attitude can only be taken when there is incomplete obstruction.</description><identifier>ISSN: 0032-5473</identifier><identifier>EISSN: 1469-0756</identifier><identifier>DOI: 10.1136/pgmj.65.765.463</identifier><identifier>PMID: 2602237</identifier><language>eng</language><publisher>England: The Fellowship of Postgraduate Medicine</publisher><subject>Adolescent ; Adult ; Aged ; Aged, 80 and over ; Child ; Child, Preschool ; Female ; Humans ; Infant ; Infant, Newborn ; Intestinal Obstruction - etiology ; Intestinal Obstruction - surgery ; Intestinal Obstruction - therapy ; Intestine, Small ; Male ; Middle Aged ; Postoperative Complications - epidemiology ; Retrospective Studies</subject><ispartof>Postgraduate medical journal, 1989-07, Vol.65 (765), p.463-467</ispartof><rights>Copyright BMJ Publishing Group LTD Jul 1989</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-b458t-16bc2c84dd87ba2cb3caedb57ea3b0b4180d32c7e14d6c5cc2d3ce8054799e013</citedby><cites>FETCH-LOGICAL-b458t-16bc2c84dd87ba2cb3caedb57ea3b0b4180d32c7e14d6c5cc2d3ce8054799e013</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC2429431/pdf/$$EPDF$$P50$$Gpubmedcentral$$H</linktopdf><linktohtml>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC2429431/$$EHTML$$P50$$Gpubmedcentral$$H</linktohtml><link.rule.ids>230,314,727,780,784,885,27923,27924,53790,53792</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/2602237$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Deutsch, A. 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In reviewing the literature, it is clear that all hernias with obstruction must undergo emergency surgery. Cases with intra-abdominal complete intestinal obstruction should also undergo emergency surgery. 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A. ; Eviatar, E. ; Gutman, H. ; Reiss, R.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-b458t-16bc2c84dd87ba2cb3caedb57ea3b0b4180d32c7e14d6c5cc2d3ce8054799e013</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>1989</creationdate><topic>Adolescent</topic><topic>Adult</topic><topic>Aged</topic><topic>Aged, 80 and over</topic><topic>Child</topic><topic>Child, Preschool</topic><topic>Female</topic><topic>Humans</topic><topic>Infant</topic><topic>Infant, Newborn</topic><topic>Intestinal Obstruction - etiology</topic><topic>Intestinal Obstruction - surgery</topic><topic>Intestinal Obstruction - therapy</topic><topic>Intestine, Small</topic><topic>Male</topic><topic>Middle Aged</topic><topic>Postoperative Complications - epidemiology</topic><topic>Retrospective Studies</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Deutsch, A. 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A.</au><au>Eviatar, E.</au><au>Gutman, H.</au><au>Reiss, R.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Small bowel obstruction: a review of 264 cases and suggestions for management</atitle><jtitle>Postgraduate medical journal</jtitle><addtitle>Postgrad Med J</addtitle><date>1989-07-01</date><risdate>1989</risdate><volume>65</volume><issue>765</issue><spage>463</spage><epage>467</epage><pages>463-467</pages><issn>0032-5473</issn><eissn>1469-0756</eissn><abstract>Two hundred and sixty-four cases of acute small bowel obstruction were retrospectively reviewed for the purpose of defining factors which could point to the presence of strangulated bowel. History, physical signs and investigations, including body temperature, X-rays, white blood count, and serum amylase, were not significantly different in the simple and strangulated groups. Although an elevated urinary white blood count and a palpable mass were more common in the strangulated group, they were not sufficiently reliable for early diagnosis of strangulation. In reviewing the literature, it is clear that all hernias with obstruction must undergo emergency surgery. Cases with intra-abdominal complete intestinal obstruction should also undergo emergency surgery. A more conservative attitude can only be taken when there is incomplete obstruction.</abstract><cop>England</cop><pub>The Fellowship of Postgraduate Medicine</pub><pmid>2602237</pmid><doi>10.1136/pgmj.65.765.463</doi><tpages>5</tpages><oa>free_for_read</oa></addata></record> |
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| subjects | Adolescent Adult Aged Aged, 80 and over Child Child, Preschool Female Humans Infant Infant, Newborn Intestinal Obstruction - etiology Intestinal Obstruction - surgery Intestinal Obstruction - therapy Intestine, Small Male Middle Aged Postoperative Complications - epidemiology Retrospective Studies |
| title | Small bowel obstruction: a review of 264 cases and suggestions for management |
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