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Revista chilena de cirugía

versión On-line ISSN 0718-4026

Resumen

CSENDES J, Attila et al. Medical or surgical treatment of small bowel obstruction. Rev Chil Cir [online]. 2016, vol.68, n.3, pp.227-232. ISSN 0718-4026.  http://dx.doi.org/10.1016/j.rchic.2014.08.001.

Background: Small bowel intestinal obstruction (IO) is a frequent problem presenting in emergency rooms. Advances in diagnostic methods and the creation of intensive case units have diminished the morbidity and mortality of this disease. The diagnostic tool includes a careful clinical examination, the use of laboratory tests plus radiological procedures, which together allow to define the best treatment option for each patient wit IO. Aim: To report the response to medical or surgical treatment of patients with a small bowel IO. Material and methods: Review of a retrospective case series of 134 patients discharged from a clinical hospital with the primary diagnosis of small bowel intestinal obstruction between 2012 and 2014. Results: One hundred and one patients had a complete obstruction and 81 of these were treated surgically. In the remaining 20, a medical treatment was chosen, without observing a higher frequency of complications. However, 75% of these patients required surgery during their evolution. All partial obstructions were treated conservatively, without requiring surgery. Conclusion: Conservative treatment of intestinal obstruction is not associated with a higher rate of complications but requires a close clinical follow up. The etiology of the obstruction must be taken in consideration for decision making.

Palabras clave : Intestinal obstruction; Medical treatment; Surgery.

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