Management of small bowel obstruction and systematic review of treatment without nasogastric tube decompression.

ABSTRACT:

Background

Small bowel obstruction (SBO) is common and its management has evolved in recent years.

Study design

The literature describing adhesive small bowel obstruction (aSBO) treatment was reviewed, and a formal systematic review was performed to identify publications reporting results of aSBO treatment without NGTs.

Results

The annual rate of hospital admission for SBO in the US has increased, with 340,100 admissions in 2019 alone. SBO is usually treated with bowel rest, intravenous hydration and NGT placement. In recent years, water soluble contrast (WSC) has been used as a cathartic to simulate bowel function and may reduce hospital length of stay (HLOS) by 1.95 days (95%CI 0.56-3.3). There were 3 articles of the initial 1650 screened that reported outcomes of S

SUBMITTER: Klingbeil KD 

PROVIDER: S-EPMC10040372 | biostudies-literature | 2023 Mar

REPOSITORIES: biostudies-literature