Paediatric Adhesive Small Bowel Obstruction is Associated with a Substantial Economic Burden and High Frequency of Postoperative Complications
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- Pediatric adhesive small bowel obstruction (ASBO) carries high complication rates: 52% of episodes had complications in this Swedish cohort.
- Most pediatric ASBO cases (86.6%) required surgical intervention with laparotomy, indicating conservative management often fails.
- Median cost per ASBO episode exceeded $36,000, representing substantial healthcare resource utilization.
- Common underlying diagnoses included necrotizing enterocolitis, duodenal obstruction, and primary ASBO.
- Long-term follow-up (median 11.3 years) shows ASBO is a recurring problem with multiple episodes per patient (137 episodes in 101 patients).
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Do you know the burden associated with adhesive small bowel obstruction or ASP in kids? I'm Cecily Genna from Cincinnati Children's Hospital, and I think this is an article that you should know about. This is an observational retrospective study done in Sweden, and their aim was to investigate the underlying diagnosis, treatment, complications, and cause in ASP. They had 101 patients with 137 episodes of ASPO, with a medium follow-up of 11.3 years. The most common diagnoses were necrotizing enterocolitis, duodenal obstruction, and primary aspo. For the treatment, 86.6% require a second laparotomy. 52% presented any type of complications and the median cost for one episode of Asbo was over $36,000. Let us know what you think and stay tuned for more articles that you should know about.