The Volume of Intestinal Decompression can Predict the Necessity of Surgical Intervention for Adhesive Small Bowel Obstruction

There is no standard timing for switching to surgical management for children with adhesive small bowel obstruction (ASBO) who initially receive conservative treatment. We hypothesized that an increased gastrointestinal drainage volume may indicate the need for surgical intervention. The study popul...

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Bibliographic Details
Published in:Journal of pediatric surgery 2023-07, Vol.58 (7), p.1252-1257
Main Authors: Kono, Jun, Yoshimaru, Koichiro, Kondo, Takuya, Takahashi, Yoshiaki, Toriigahara, Yukihiro, Fukuta, Atsuhisa, Obata, Satoshi, Kawakubo, Naonori, Nagata, Kouji, Matsuura, Toshiharu, Tajiri, Tatsuro
Format: Article
Language:English
Subjects:
Adhesive small bowel obstruction
Gastrointestinal drainage
Nonoperative management
Pediatric
Postoperative complications
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Summary:There is no standard timing for switching to surgical management for children with adhesive small bowel obstruction (ASBO) who initially receive conservative treatment. We hypothesized that an increased gastrointestinal drainage volume may indicate the need for surgical intervention. The study population included 150 episodes in the patients less than 20 years of age who received treatment for ASBO in our department from January 2008 to August 2019. Patients were divided into two groups: the successful conservative treatment group (CT) and the eventual surgical treatment group (ST). Following the analysis of all episodes (Study 1), we limited our analysis to only first ASBO episodes (Study 2). We retrospectively reviewed their medical records. There were statistically significant differences in the volume on the 2nd day in both Study 1 (9.1 ml/kg vs. 18.7 ml/kg; p 
ISSN:0022-3468
1531-5037
DOI:10.1016/j.jpedsurg.2023.01.052