Dataset Information

Conservative treatment of adhesive small bowel obstruction in children: a systematic review.

ABSTRACT:

Objective

To assess the effectiveness of conservative treatment for adhesive small bowel obstruction (ASBO) in children.

Design

Systematic review of studies involved children with ASBO who received initial conservative/non-operative treatment.

Setting

The search was performed in April 2013 using PubMed (see online supplementary file 1), current contents, and the Cochrane database.

Participants

Children with ASBO.

Interventions

Conservative treatment included nasogastric decompression, parenteral fluids and correction of electrolyte and fluid imbalance.

Primary outcome

Treatment success.

Secondary outcomes

Length of hospital stay and the time to first feeding after hospital admission.

Results

7 studies (six retrospective, one prospective), involving 8-109 patients (age: 1 month to 16 years) treated conservatively, were included in the review. The nature of conservative treatment was generally consistent between studies (nasogastric decompression, parenteral fluids and correction of electrolyte and fluid imbalance), although patients in one study also received Gastrografin. The rate of conservative treatment success ranged from 16% to 75% among the five studies, but one trial showed 0% successful rate. The hospital length of stay ranged from 3 to 6.5 days for conservative treatment (vs 10.2-13 days for operative treatment). The time to first feeding ranged from 31 to 84 h for conservative treatment.

Conclusions

In conclusion, in the majority of cases, conservative treatment is an effective means of managing ASBO in children.

SUBMITTER: Lin LH

PROVIDER: S-EPMC4166136 | biostudies-literature | 2014 Sep

REPOSITORIES: biostudies-literature

ACCESS DATA

Publications

Conservative treatment of adhesive small bowel obstruction in children: a systematic review.

Lin Lung-Huang LH Lee Chee-Yew CY Hung Min-Hsuan MH Chen Der-Fang DF

BMJ open 20140915 9

<h4>Objective</h4>To assess the effectiveness of conservative treatment for adhesive small bowel obstruction (ASBO) in children.<h4>Design</h4>Systematic review of studies involved children with ASBO who received initial conservative/non-operative treatment.<h4>Setting</h4>The search was performed in April 2013 using PubMed (see online supplementary file 1), current contents, and the Cochrane database.<h4>Participants</h4>Children with ASBO.<h4>Interventions</h4>Conservative treatment included n ...[more]

PMID: 25223569

Similar Datasets

Project description:BackgroundAdhesive small bowel obstruction (ASBO) is one of the most common causes of postoperative morbidity. According to Boyle's law, decreased barometric pressure expands the volume of intestinal gas. We aimed to elucidate the relationship between barometric pressure and ASBO.MethodsWe divided 215 admissions of 120 patients with ASBO into three groups: the fasting group, which responded to fasting (n = 51); the decompression group, which was successfully treated with gastrointestinal decompression (n = 104); and the surgery group which required emergency or elective surgery to treat ASBO (n = 60). We compared and examined clinical backgrounds, findings on admission, and barometric pressure during the peri-onset period (29 days: from 14 days before to 14 days after the onset of ASBO).ResultsThere were significant differences among the three groups regarding gender, history of ASBO, hospital length of stay, and barometric pressure on the onset day of ASBO. Barometric pressure on the onset day was significantly higher in the fasting group than in the decompression group (p = 0.005). During pre-onset day 5 to post-onset day 2, fluctuations in the barometric pressure in the fasting and decompression groups showed reciprocal changes with a symmetrical axis overlapping the median barometric pressure in Matsumoto City; the fluctuations tapered over time after onset. In the fasting group, the barometric pressure on the onset day was significantly higher than that on pre-onset days 14, 11, 7, 4, 3, and 2; post-onset days 3 and 10; and the median pressure in Matsumoto City. Conversely, in the decompression group, the barometric pressure on the onset day was lower than that on pre-onset days 14, 5-2; post-onset days 1, 2, 7, 8, 11, 13, and 14; and the median pressure in Matsumoto City. In the surgery group, the barometric pressure on the onset day was equivalent to those on the other days.ConclusionsASBO with response to conservative treatment is vulnerable to barometric pressure. Additionally, ASBO that is successfully treated with fasting and decompression is associated with a different barometric pressure on the onset day and reciprocal fluctuations in the barometric pressure during the peri-onset period.

Dataset Information

Conservative treatment of adhesive small bowel obstruction in children: a systematic review.

Objective

Design

Setting

Participants

Interventions

Primary outcome

Secondary outcomes

Results

Conclusions

Publications

Conservative treatment of adhesive small bowel obstruction in children: a systematic review.

Similar Datasets

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