Uncomplicated Adhesive Small Bowel Obstruction

  • José E. Torres
  • Vafa Shayani
  • Sharfi Sarker
  • Brian T. Valerian
  • Steven C. Stain

The experience of performing an exploratory laparotomy for acute small bowel obstruction, and finding and snipping a single adhesive band, has caused some surgeons to wonder if laparoscopy would be a better way to explore and treat these patients. This chapter explores laparoscopy versus laparotomy for acute, uncomplicated, small bowel obstruction that is assumed to be due to adhesions.


Small Bowel Small Bowel Obstruction Laparoscopic Management Extensive Adhesion Laparoscopic Adhesiolysis 
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  1. Bailey IS, Rhodes M, O’Rourke N, Nathanson L, Fielding G. Laparoscopic management of acute small bowel obstruction. Br J Surg 1998;85:84-87.CrossRefPubMedGoogle Scholar
  2. Chosidow D, Johanet H, Montariol T, et al. Laparoscopy for acute small-bowel obstruction secondary to adhesions. J Lap Adv Surg Tech 2000;10(3):155-158.CrossRefGoogle Scholar
  3. Suter M, Zermatten P, Halkic N, Martinet O, Bettschart V. Laparoscopic management of mechanical small bowel obstruction. Are there predictors of success or failure? Surg Endosc 2000;14:478-483.CrossRefPubMedGoogle Scholar
  4. Wullstein C, Gross E. Laparoscopic compared with conventional treatment of acute adhe-sive small bowel obstruction. Br J Surg 2003;90:1147-1151.CrossRefPubMedGoogle Scholar

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  1. Borzellino G, Tasselli S, Zerman G, Pedrazzani C, Manzoni G. Laparoscopic approach to post-operative adhesive obstruction. Surg Endosc 2004;18:686-690.CrossRefPubMedGoogle Scholar
  2. Daneshmand S, Hedley C, Stain S. The utility and reliability of computed tomography scan in the diagnosis of small bowel obstruction. Am Surg 1999;65(10):922-926.PubMedGoogle Scholar
  3. Kirshtein B, Roy-Shapira A, Lantsberg L, Avinoach E, Mizrahi S. Laparoscopic manage-ment of acute small bowel obstruction. Surg Endosc 2005;19:464-467.CrossRefPubMedGoogle Scholar
  4. Levard H, Boudet M, Msika S, et al. Laparoscopic treatment of acute small bowel obstruc-tion: a multicenter retrospective study. Aust NZ J Surg 2001;71:641-646.CrossRefGoogle Scholar
  5. Liauw JJY, Cheah WK. Laparoscopic management of acute small bowel obstruction. Asian J Surg 2005;28:185-188.PubMedCrossRefGoogle Scholar
  6. Miller G, Boamn J, Shrier I, Gordon PH. Etiology of small bowel obstruction. Am J Surg 2000;180:33-36.CrossRefPubMedGoogle Scholar
  7. Nagle A, Ujiki M, Denham W, Murayama K. Laparoscopic adhesiolysis for small bowel obstruction. Am J Surg 2004;187:464-470.CrossRefPubMedGoogle Scholar
  8. Navez B, Arimont J-M, Guiot P. Laparoscopic approach in acute small bowel obstruction. A review of 68 patients. Hepatogastroenterology 1998;45:2146-2150.PubMedGoogle Scholar
  9. Shayani V, Siegert C, Favia P. The role of laparoscopic adhesiolysis in the treatment of patients with chronic abdominal pain or recurrent bowel obstruction. J Soc Laparoen-dosc Surg 2002;6(2):111-114.Google Scholar
  10. Strickland P, Lourie DJ, Suddleson A, Blitz JB, Stain SC. Is laparoscopy safe and effective for treatment of acute small-bowel obstruction? Surg Endosc 1999;13:695-698.CrossRefPubMedGoogle Scholar
  11. Yau KK, Siu WT, Law BKB, et al. Laparoscopic approach compared with conventional open approach for bezoar-induced small bowel obstruction. Arch Surg 2005;140:972-975.CrossRefPubMedGoogle Scholar

Copyright information

© Springer Science+Business Media, LLC 2008

Authors and Affiliations

  • José E. Torres
    • 1
  • Vafa Shayani
    • 2
  • Sharfi Sarker
    • 3
  • Brian T. Valerian
    • 4
  • Steven C. Stain
    • 4
  1. 1.Department of SurgeryUniversity of Iowa Hospitals and ClinicsIowa CityUSA
  2. 2.Department of SurgeryLoyola University Medical CenterMaywoodUSA
  3. 3.Loyola University Health SystemMaywoodUSA
  4. 4.Department of SurgeryAlbany Medical CollegeAlbanyUSA

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