Diagnosis and surgical management strategy for pediatric small bowel obstruction: Experience from a single medical center Article Swipe
Mingzhu Liu
,
Fengchun Cheng
,
Xijie Liu
,
Bufeng Zheng
,
Feifei Wang
,
Cheng-wei Qin
,
Guojian Ding
,
Tingliang Fu
,
Lei Geng
·
YOU?
·
· 2023
· Open Access
·
· DOI: https://doi.org/10.3389/fsurg.2023.1043470
YOU?
·
· 2023
· Open Access
·
· DOI: https://doi.org/10.3389/fsurg.2023.1043470
Identifying Bowel strangulation and the approach and timing of surgical intervention for pediatric SBO are still uncertain. In this study, 75 consecutive pediatric patients with surgically confirmed SBO were retrospectively reviewed. The patients were divided into group 1 ( n = 48) and group 2 ( n = 27) according to the presence of reversible or irreversible bowel ischemia, which was analyzed based on the degree of ischemia at the time of operation. The results demonstrated that the proportion of patients with no prior abdominopelvic surgery was higher, the serum albumin level was lower, and the proportion of patients in which ascites were detected by ultrasonography was higher in group 2 than that in group 1. The serum albumin level was negatively correlated with ultrasonographic findings of the fluid sonolucent area in group 2. There were significant differences in the choice of surgical approach between group 1 and group 2. A symptom duration of >48 h was associated with an increased bowel resection rate. The mean length of hospital stay was shorter in group 1 than that in group 2. In conclusion, immediate surgical intervention should be considered in patients with a symptom duration of >48 h or the presence of free ascites between dilated small bowel loops on ultrasonography. Laparoscopic exploration is recommended as first-line treatment in patients with stable status.
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Metadata
- Type
- article
- Language
- en
- Landing Page
- https://doi.org/10.3389/fsurg.2023.1043470
- https://www.frontiersin.org/articles/10.3389/fsurg.2023.1043470/pdf
- OA Status
- gold
- Cited By
- 9
- References
- 59
- Related Works
- 10
- OpenAlex ID
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All OpenAlex metadata
Raw OpenAlex JSON
- OpenAlex ID
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https://openalex.org/W4321458631Canonical identifier for this work in OpenAlex
- DOI
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https://doi.org/10.3389/fsurg.2023.1043470Digital Object Identifier
- Title
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Diagnosis and surgical management strategy for pediatric small bowel obstruction: Experience from a single medical centerWork title
- Type
-
articleOpenAlex work type
- Language
-
enPrimary language
- Publication year
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2023Year of publication
- Publication date
-
2023-02-21Full publication date if available
- Authors
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Mingzhu Liu, Fengchun Cheng, Xijie Liu, Bufeng Zheng, Feifei Wang, Cheng-wei Qin, Guojian Ding, Tingliang Fu, Lei GengList of authors in order
- Landing page
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https://doi.org/10.3389/fsurg.2023.1043470Publisher landing page
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https://www.frontiersin.org/articles/10.3389/fsurg.2023.1043470/pdfDirect link to full text PDF
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YesWhether a free full text is available
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goldOpen access status per OpenAlex
- OA URL
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https://www.frontiersin.org/articles/10.3389/fsurg.2023.1043470/pdfDirect OA link when available
- Concepts
-
Medicine, Ascites, Bowel obstruction, Ultrasonography, Surgery, Group B, Bowel resection, Single Center, Group A, Gastroenterology, Internal medicineTop concepts (fields/topics) attached by OpenAlex
- Cited by
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9Total citation count in OpenAlex
- Citations by year (recent)
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2025: 3, 2024: 4, 2023: 2Per-year citation counts (last 5 years)
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59Number of works referenced by this work
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10Other works algorithmically related by OpenAlex
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