Paediatric adhesive bowel obstruction: a systematic review
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Read the article on pubmed.ncbi.nlm.nih.gov ↗Article · May 2021 · 1 min read
In brief
In brief
Systematic review examining adhesive small bowel obstruction (ASBO) in children, occurring in 1-12.6% of patients after abdominal surgery. Reviews current evidence on incidence, pathophysiology, clinical management, and prevention strategies including Seprafilm use in index surgeries to reduce adhesion formation.
Written by the GCMD Library team from the article.
Adhesions following abdominal surgery remain a common cause of bowel obstruction. The incidence is between 1 and 12.6% in children who have had previous abdominal surgery. While conservative management is usually trialled in all patients (including children) suspected of having ASBO, the majority will require surgical intervention. New materials such as Seprafilm® have been studied in the paediatric population, with promising results of its use in index abdominal surgeries to prevent the formation of adhesions. In this article, we conducted a systematic review to present an overview of the current knowledge on the incidence, aetiology, pathophysiology, clinical presentation, and management of ASBO.
DOI: 10.1007/s00383-021-04867-5