INTRODUCTION Risk factors for recurrence postoperative small bowel obstruction in patients who have postoperative abdominal surgery remain unclear. MATERIALS AND METHODS The study group comprised 123 patients who underwent surgery for ileus that developed after abdominal surgery from 1999 through 2013. There were 58 men (47%) and 65 women (53%), with a mean age of 63 years (range, 17 to 92 y)...

BACKGROUND Adherential pathology is the most common cause of small bowel obstruction. Laparoscopy in small bowel obstruction does not have a clear role yet; surely it doesn't always represent only a therapeutic act, but it is always a diagnostic act, which doesn't interfere with abdominal wall integrity. METHODS We performed a review without any language restrictions considering international...

BACKGROUND Distal stent migration is a well-known complication following insertion of biliary stents. Most such cases can be managed expectantly, because the stents pass through the gastrointestinal tract. However, small bowel obstruction as a result of the stent mandates surgical intervention. METHODS We report the case of a patient who had distal stent migration causing a small bowel obstru...

BACKGROUND In the developed world, small bowel obstruction accounts for 20% of all acute surgical admissions. The aetiology for majority of these cases includes postoperative adhesions and herniae. However, a relatively uncommon cause is a Meckel's diverticulum. Although this diagnosis is primarily reported in the adolescent population, it should also be considered in adults. CASE PRESENTATIO...

Before the publications of Owen Wangensteen and his colleagues in the early 1930s, bowel obstruction was almost always fatal, and its treatment was ineffectual.Patients rarely survived surgical attempts to relieve the obstruction.Although other investigators were active in the field, the understanding of the pathophysiology of obstruction belongs almost entirely to Wangensteen. In this commenta...

The etiology of acute intestinal obstruction varies between countries. The objective was to study the causes of intestinal obstruction and the management outcomes in local set up in a secondary care hospital in Eastern Saudi Arabia. This is a descriptive retrospective study containing analysis data in a 20-year period between years 1990 and 2010 of patients admitted in general surgery ward, wit...

We report the case of a patient with partial small bowel obstruction who underwent laparotomy for possible bowel ischaemia, after imaging studies suggested pneumatosis intestinalis. At surgery, the patient was shown to have small bowel obstruction due to inspissated feeds. This paper outlines the diagnostic difficulties in this case and illustrates differentiating features of pneumatosis intest...

Benign ileocecal valve hypertrophy is a rare cause for intestinal obstruction. We describe a 51-year-old female with clinical and imaging presentation of chronic small-bowel obstruction. The patient was operated on, and a limited thickening of the ileocecal bowel wall causing intestinal obstruction was found. A right hemicolectomy was performed. On microscopic examination, severe fibrosis with ...

Background: The aim of this study was to analyze the etiology, symptom frequency, management, and surgical outcome of gastrointestinal obstruction in the first month of life.Methods: A total of 72 neonates with gastrointestinal obstruction were reviewed over a period of 16 months.Results: The male to female ratio was 2.4:1. In this study, 75% of the neonates were presented in the fi...

BACKGROUND The incarceration of a segment of bowel within a groin hernia can result in intestinal strangulation if hernia treatment is delayed. Once intestinal strangulation occurs, a bowel resection may be required, and there is an overall increased risk for postoperative complications. The aim of this study was to identify biomarkers to predict the severity of an incarcerated groin hernia. MA...