July 31, 2025JOURNAL OF ACUTE CARE SURGERYOpen Access

Evidence-based conservative and surgical management of adhesive small bowel obstruction: a narrative review

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YKYoung Hun KimMemorial Sloan Kettering Cancer Center YCYoung Un ChoiWonju Severance Christian Hospital KCKang Kook ChoiGachon University

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Implication

Narrative review synthesizes evidence on adhesive small bowel obstruction management, highlighting surgical and conservative strategies for improved outcomes.

Key Points

Adhesive small bowel obstruction (ASBO) commonly follows abdominal surgery and can lead to emergency admissions.
Conservative management, effective in 65% to 80% of cases, includes nasogastric decompression and nutritional support.
Surgical intervention is critical if symptoms persist beyond 3 to 5 days or clinical signs worsen, indicating failure of conservative measures.
Implementing evidence-based guidelines enhances safety and outcomes in ASBO management and reduces complications.

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Kim et al. (2025) studied this question.

synapsesocial.com/papers/689a094be6551bb0af8cf42d https://doi.org/10.17479/jacs.2025.0009

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Implication

Narrative review synthesizes evidence on adhesive small bowel obstruction management, highlighting surgical and conservative strategies for improved outcomes.

Evidence-based conservative and surgical management of adhesive small bowel obstruction: a narrative review

Discussion

Member takes

Implication

Key Points

Cite This Study

Evidence-based conservative and surgical management of adhesive small bowel obstruction: a narrative review

Discussion

Member takes

Implication

Key Points

Cite This Study

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