The burden of adhesive bowel obstruction requiring surgery in children: a single-center retrospective review
Topic overview
This retrospective study examines 71 pediatric patients requiring surgery for adhesive bowel obstruction over nine years, identifying appendicitis, NEC, and gastroschisis as leading antecedent conditions. The 41% complication rate doubled hospital stays, with bowel resection and prolonged operative time emerging as key risk factors for adverse outcomes.
Key takeaways
- Adhesive bowel obstruction requiring surgery affects children from 11 days to 18 years, most commonly after appendicitis, NEC, or gastroschisis repair.
- 41% of pediatric ABO cases develop postoperative complications, which double the hospital length of stay.
- Longer operative time and bowel resection are associated with increased complications; prior infant surgery and recurrent ABO predict longer operations.
- Median time from initial surgery to ABO is 6.4 months, but range extends to 16 years, making long-term surveillance important.
- Post-appendicitis ABO cases have significantly shorter operative times (82 vs 175 min), suggesting less severe adhesive disease than other etiologies.
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How to cite: GlobalCastMD. The burden of adhesive bowel obstruction requiring surgery in children: a single-center retrospective review. GlobalCastMD Medical Library. 2024-11-27. https://dev.library.globalcastmd.com/article/9466?via_space=staycurrentmd
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