The burden of adhesive bowel obstruction requiring surgery in children: a single-center retrospective review

Purpose Investigate causes, predictors, and complications of adhesive bowel obstruction (ABO) necessitating surgery in children. Methods Single-center retrospective review of operative cases classified as ‚adhesive bowel obstruction ‘ between May 2014 and December 2023. Parameters assessed included...

Full description

Saved in:
Bibliographic Details
Published in:Pediatric surgery international 2024-11, Vol.41 (1), p.9
Main Authors: Hencke, Jonathan, Nonnenmacher, Gabriel, Loff, Steffan
Format: Article
Language:English
Subjects:
Adhesives
Adolescent
Appendicitis
Child
Child, Preschool
Female
Humans
Infant
Infant, Newborn
Intestinal obstruction
Intestinal Obstruction - epidemiology
Intestinal Obstruction - etiology
Intestinal Obstruction - surgery
Length of Stay - statistics & numerical data
Male
Medicine
Medicine & Public Health
Operative Time
Original Article
Pediatric Surgery
Pediatrics
Postoperative Complications - epidemiology
Recurrence
Retrospective Studies
Surgery
Tissue Adhesions - epidemiology
Citations: Items that this one cites
Online Access:Get full text
Tags: Add Tag
No Tags, Be the first to tag this record!
Description
Summary:Purpose Investigate causes, predictors, and complications of adhesive bowel obstruction (ABO) necessitating surgery in children. Methods Single-center retrospective review of operative cases classified as ‚adhesive bowel obstruction ‘ between May 2014 and December 2023. Parameters assessed included previous surgeries, operative time (indicative of adhesion extent), length of stay and postoperative complications. Results were statistically analyzed afterward. Results We identified 71 patients with ABO; seven had recurrences. Age (11 d—18 y, median 5.9 y) and time after surgery (four days—16 years, median 6.4 months) varied considerably. Preceding appendicitis (16 cases), NEC (seven cases) and gastroschisis (five cases) were most prevalent. Operative time ranged from 43 min to 8.4 h, was longer after previous surgery during infancy (median 177 vs. 124 min), recurrent ABO (median 213 vs. 150 min) and significantly shorter after appendicitis (82 vs. 175 min). ICU stay (median 2 days) and hospital stay (median 11 days) reduced with age. 32 patients (41%) suffered complications, doubling mean lengths of stay. Bowel resection and longer surgery were associated with complications, while age and enterostomy creation were not. Conclusion ABO is an impactful complication with limited predictors. The high incidence of complications adds to the burden for patients, parents, and health systems.
ISSN:0179-0358
1437-9813
1437-9813
DOI:10.1007/s00383-024-05914-7