Bowel obstruction primary prevention: Difference between revisions
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==Overview== | ==Overview== | ||
There are no established measures for the [[primary prevention]] of bowel obstruction. However, minimizing the formation of an obstruction is possible. [[Steroid]] therapy may be used to minimize the formation of [[Adhesion (medicine)|adhesions]] after bowel surgery, but is controversial. The correction of [[Intestinal malrotation|malrotation]] early in life, the treatment of [[Crohn's disease]], and the repair of [[hernia]] all contribute to minimizing the risk of bowel obstruction development. Recently, [[laparoscopic surgery]] has been preferred over open abdominal surgery because [[Laparoscopic surgery|laparoscopy]] reduced the risk for obstruction post-operatively. | There are no established measures for the [[primary prevention]] of bowel obstruction. However, minimizing the formation of an [[obstruction]] is possible. [[Steroid]] therapy may be used to minimize the formation of [[Adhesion (medicine)|adhesions]] after [[bowel]] [[surgery]], but is controversial. The correction of [[Intestinal malrotation|malrotation]] early in life, the treatment of [[Crohn's disease]], and the repair of [[hernia]] all contribute to minimizing the risk of bowel obstruction development. Recently, [[laparoscopic surgery]] has been preferred over open [[abdominal surgery]] because [[Laparoscopic surgery|laparoscopy]] reduced the risk for [[obstruction]] post-operatively. | ||
==Primary Prevention== | ==Primary Prevention== | ||
*There are no established measures for the primary prevention of bowel obstruction.<ref name="pmid21116396">{{cite journal |vauthors=Brüggmann D, Tchartchian G, Wallwiener M, Münstedt K, Tinneberg HR, Hackethal A |title=Intra-abdominal adhesions: definition, origin, significance in surgical practice, and treatment options |journal=Dtsch Arztebl Int |volume=107 |issue=44 |pages=769–75 |year=2010 |pmid=21116396 |pmc=2992017 |doi=10.3238/arztebl.2010.0769 |url=}}</ref><ref name="pmid19160246">{{cite journal |vauthors=Kumar S, Wong PF, Leaper DJ |title=Intra-peritoneal prophylactic agents for preventing adhesions and adhesive intestinal obstruction after non-gynaecological abdominal surgery |journal=Cochrane Database Syst Rev |volume= |issue=1 |pages=CD005080 |year=2009 |pmid=19160246 |doi=10.1002/14651858.CD005080.pub2 |url=}}</ref><ref name="pmid26898718">{{cite journal |vauthors=Yamada T, Okabayashi K, Hasegawa H, Tsuruta M, Yoo JH, Seishima R, Kitagawa Y |title=Meta-analysis of the risk of small bowel obstruction following open or laparoscopic colorectal surgery |journal=Br J Surg |volume=103 |issue=5 |pages=493–503 |year=2016 |pmid=26898718 |doi=10.1002/bjs.10105 |url=}}</ref> | *There are no established measures for the primary prevention of bowel obstruction.<ref name="pmid21116396">{{cite journal |vauthors=Brüggmann D, Tchartchian G, Wallwiener M, Münstedt K, Tinneberg HR, Hackethal A |title=Intra-abdominal adhesions: definition, origin, significance in surgical practice, and treatment options |journal=Dtsch Arztebl Int |volume=107 |issue=44 |pages=769–75 |year=2010 |pmid=21116396 |pmc=2992017 |doi=10.3238/arztebl.2010.0769 |url=}}</ref><ref name="pmid19160246">{{cite journal |vauthors=Kumar S, Wong PF, Leaper DJ |title=Intra-peritoneal prophylactic agents for preventing adhesions and adhesive intestinal obstruction after non-gynaecological abdominal surgery |journal=Cochrane Database Syst Rev |volume= |issue=1 |pages=CD005080 |year=2009 |pmid=19160246 |doi=10.1002/14651858.CD005080.pub2 |url=}}</ref><ref name="pmid26898718">{{cite journal |vauthors=Yamada T, Okabayashi K, Hasegawa H, Tsuruta M, Yoo JH, Seishima R, Kitagawa Y |title=Meta-analysis of the risk of small bowel obstruction following open or laparoscopic colorectal surgery |journal=Br J Surg |volume=103 |issue=5 |pages=493–503 |year=2016 |pmid=26898718 |doi=10.1002/bjs.10105 |url=}}</ref> | ||
*However, minimizing the formation of an obstruction is possible via: | *However, minimizing the formation of an [[obstruction]] is possible via: | ||
**Steroid therapy to minimize the formation of adhesions after bowel surgery, but is controversial | **[[Steroid therapy]] to minimize the formation of [[adhesions]] after [[bowel]] [[surgery]], but is controversial | ||
**Correction of malrotation early in life | **Correction of [[Malrotation of gut|malrotation]] early in life | ||
**Treatment of Crohn's disease | **Treatment of [[Crohn's disease]] | ||
**Repair of hernia | **Repair of [[hernia]] | ||
**Laparoscopic surgery over open abdominal surgery | **[[Laparoscopic surgery]] over open [[abdominal surgery]] | ||
==References== | ==References== | ||
{{Reflist|2}} | {{Reflist|2}} | ||
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[[Category:Surgery]] | [[Category:Surgery]] | ||
[[Category:Gastroenterology]] | [[Category:Gastroenterology]] | ||
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[[Category:Emergency medicine]] | [[Category:Emergency medicine]] | ||
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Latest revision as of 16:17, 27 February 2018
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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1];Associate Editor(s)-in-Chief: Hadeel Maksoud M.D.[2]
Overview
There are no established measures for the primary prevention of bowel obstruction. However, minimizing the formation of an obstruction is possible. Steroid therapy may be used to minimize the formation of adhesions after bowel surgery, but is controversial. The correction of malrotation early in life, the treatment of Crohn's disease, and the repair of hernia all contribute to minimizing the risk of bowel obstruction development. Recently, laparoscopic surgery has been preferred over open abdominal surgery because laparoscopy reduced the risk for obstruction post-operatively.
Primary Prevention
- There are no established measures for the primary prevention of bowel obstruction.[1][2][3]
- However, minimizing the formation of an obstruction is possible via:
- Steroid therapy to minimize the formation of adhesions after bowel surgery, but is controversial
- Correction of malrotation early in life
- Treatment of Crohn's disease
- Repair of hernia
- Laparoscopic surgery over open abdominal surgery
References
- ↑ Brüggmann D, Tchartchian G, Wallwiener M, Münstedt K, Tinneberg HR, Hackethal A (2010). "Intra-abdominal adhesions: definition, origin, significance in surgical practice, and treatment options". Dtsch Arztebl Int. 107 (44): 769–75. doi:10.3238/arztebl.2010.0769. PMC 2992017. PMID 21116396.
- ↑ Kumar S, Wong PF, Leaper DJ (2009). "Intra-peritoneal prophylactic agents for preventing adhesions and adhesive intestinal obstruction after non-gynaecological abdominal surgery". Cochrane Database Syst Rev (1): CD005080. doi:10.1002/14651858.CD005080.pub2. PMID 19160246.
- ↑ Yamada T, Okabayashi K, Hasegawa H, Tsuruta M, Yoo JH, Seishima R, Kitagawa Y (2016). "Meta-analysis of the risk of small bowel obstruction following open or laparoscopic colorectal surgery". Br J Surg. 103 (5): 493–503. doi:10.1002/bjs.10105. PMID 26898718.