0
ARTICLE |

Long-term Outcome After Hospitalization for Small-Bowel Obstruction

Jeffrey Landercasper, MD; Thomas H. Cogbill, MD; William H. Merry, MD; Randel T. Stolee, MD; Pamela J. Strutt, RN
Arch Surg. 1993;128(7):765-771. doi:10.1001/archsurg.1993.01420190059008.
Text Size: A A A
Published online

Objective:  To determine the recurrence rate of smallbowel obstruction and differences in recurrence rates stratified by cause of obstruction and method of treatment.

Design:  Retrospective chart review with average follow-up of 53 months (range, 0 to 129 months).

Setting:  Combined community hospital/clinic tertiary referral center.

Patients:  309 consecutive patients with documented mechanical small-bowel obstruction hospitalized from 1981 to 1986.

Main Outcome Measures:  Recurrence rates by the actuarial life-table method and comparisons made by the Wilcoxon and log-rank tests.

Results:  Recurrent obstruction developed in 34% of all patients by 4 years and in 42% by 10 years. Recurrence rates were 29% and 53% in the patients who did and did not undergo surgery (P=.002). The recurrence rate in patients with surgery was 56% for malignant neoplasms, 28% for adhesions, and 0% for hernia. Recurrence rates were 50% and 40% for patients with and without prior multiple obstructions (P=.7).

Conclusions:  The long-term risk of recurrent smallbowel obstruction is high. The risk is lessened by operation but not eliminated. The risk of recurrence increases with longer duration of follow-up, but most recurrences occur within 4 years. Multiple prior obstructions did not increase the risk of future obstruction.(Arch Surg. 1993;128:765-771)

Topics

Sign In to Access Full Content

Don't have Access?

Register and get free email Table of Contents alerts, saved searches, PowerPoint downloads, CME quizzes, and more

Subscribe for full-text access to content from 1998 forward and a host of useful features

Activate your current subscription (AMA members and current subscribers)

Purchase Online Access to this article for 24 hours

Figures

Tables

References

Correspondence

CME
Meets CME requirements for:
Browse CME for all U.S. States
Accreditation Information
The American Medical Association is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians. The AMA designates this journal-based CME activity for a maximum of 1 AMA PRA Category 1 CreditTM per course. Physicians should claim only the credit commensurate with the extent of their participation in the activity. Physicians who complete the CME course and score at least 80% correct on the quiz are eligible for AMA PRA Category 1 CreditTM.
Note: You must get at least of the answers correct to pass this quiz.
You have not filled in all the answers to complete this quiz
The following questions were not answered:
Sorry, you have unsuccessfully completed this CME quiz with a score of
The following questions were not answered correctly:
Commitment to Change (optional):
Indicate what change(s) you will implement in your practice, if any, based on this CME course.
Your quiz results:
The filled radio buttons indicate your responses. The preferred responses are highlighted
For CME Course: A Proposed Model for Initial Assessment and Management of Acute Heart Failure Syndromes
Indicate what changes(s) you will implement in your practice, if any, based on this CME course.
NOTE:
Citing articles are presented as examples only. In non-demo SCM6 implementation, integration with CrossRef’s "Cited By" API will populate this tab (http://www.crossref.org/citedby.html).
Submit a Comment

Multimedia

Some tools below are only available to our subscribers or users with an online account.

Sign In to Access Full Content

Related Content

Customize your page view by dragging & repositioning the boxes below.

Jobs
brightcove.createExperiences();