• Skip to primary navigation
  • Skip to main content
  • Skip to footer

SAGES

Reimagining surgical care for a healthier world

  • Home
    • Search
    • SAGES Home
    • SAGES Foundation Home
  • About
    • Who is SAGES?
    • SAGES Mission Statement
    • Advocacy
    • Strategic Plan, 2020-2023
    • Committees
      • Request to Join a SAGES Committee
      • SAGES Board of Governors
      • Officers and Representatives of the Society
      • Committee Chairs and Co-Chairs
      • Full Committee Rosters
      • SAGES Past Presidents
    • Donate to the SAGES Foundation
    • SAGES Store
    • Awards
      • George Berci Award
      • Pioneer in Surgical Endoscopy
      • Excellence In Clinical Care
      • International Ambassador
      • IRCAD Visiting Fellowship
      • Social Justice and Health Equity
      • Excellence in Community Surgery
      • Distinguished Service
      • Early Career Researcher
      • Researcher in Training
      • Jeff Ponsky Master Educator
      • Excellence in Medical Leadership
      • Barbara Berci Memorial Award
      • Brandeis Scholarship
      • Advocacy Summit
      • RAFT Annual Meeting Abstract Contest and Awards
    • “Unofficial” Logo Products
  • Meetings
    • NBT Innovation Weekend
    • SAGES Annual Meeting
      • 2024 Scientific Session Call For Abstracts
      • 2024 Emerging Technology Call For Abstracts
    • CME Claim Form
    • Industry
      • Advertising Opportunities
      • Exhibit Opportunities
      • Sponsorship Opportunities
    • Future Meetings
    • Related Meetings Calendar
  • Join SAGES!
    • Membership Benefits
    • Membership Applications
      • Active Membership
      • Affiliate Membership
      • Associate Active Membership
      • Candidate Membership
      • International Membership
      • Medical Student Membership
    • Member News
      • Member Spotlight
      • Give the Gift of SAGES Membership
  • Patients
    • Healthy Sooner – Patient Information for Minimally Invasive Surgery
    • Patient Information Brochures
    • Choosing Wisely – An Initiative of the ABIM Foundation
    • All in the Recovery: Colorectal Cancer Alliance
    • Find a SAGES Member
  • Publications
    • SAGES Stories Podcast
    • SAGES Clinical / Practice / Training Guidelines, Statements, and Standards of Practice
    • Patient Information Brochures
    • TAVAC – Technology and Value Assessments
    • Surgical Endoscopy and Other Journal Information
    • SAGES Manuals
    • SCOPE – The SAGES Newsletter
    • COVID-19 Annoucements
    • Troubleshooting Guides
  • Education
    • OpiVoid.org
    • SAGES.TV Video Library
    • Safe Cholecystectomy Program
      • Safe Cholecystectomy Didactic Modules
    • Masters Program
      • SAGES Facebook Program Collaboratives
      • Acute Care Surgery
      • Bariatric
      • Biliary
      • Colorectal
      • Flexible Endoscopy (upper or lower)
      • Foregut
      • Hernia
      • Robotics
    • Educational Opportunities
    • HPB/Solid Organ Program
    • Courses for Residents
      • Advanced Courses
      • Basic Courses
    • Fellows Career Development Course
    • Robotics Fellows Course
    • MIS Fellows Course
    • Facebook Livestreams
    • Free Webinars For Residents
    • SMART Enhanced Recovery Program
    • SAGES OR SAFETY Video
    • SAGES at Cine-Med
      • SAGES Top 21 MIS Procedures
      • SAGES Pearls
      • SAGES Flexible Endoscopy 101
      • SAGES Tips & Tricks of the Top 21
  • Opportunities
    • NEW-Area of Concentrated Training Seal (ACT)-Advanced Flexible Endoscopy
    • SAGES Fellowship Certification for Advanced GI MIS and Comprehensive Flexible Endoscopy
    • Multi-Society Foregut Fellowship Certification
    • SAGES Research Opportunities
    • Fundamentals of Laparoscopic Surgery
    • Fundamentals of Endoscopic Surgery
    • Fundamental Use of Surgical Energy
    • Job Board
    • SAGES Go Global: Global Affairs and Humanitarian Efforts
  • Search
    • Search All SAGES Content
    • Search SAGES Guidelines
    • Search the Video Library
    • Search the Image Library
    • Search the Abstracts Archive
  • OWLS
  • Log In

Treatment of unresolved small bowel obstruction of different origins using laparoscopy

Juan D Hernandez, MD, Ricardo Nassar, MD. Hospital Universitario Fundacion Santa Fe de Bogota and Universidad de los Andes.

Introduction: In adhesive small bowel obstruction, surgical management is traditionally used only when medical, non-operative treatment has failed. The manipulation of dilated, ischemic bowel loops during small bowel obstruction is difficult and not free of complications under any approach. On occasions, other conditions force surgeons to operate since bowel viability is at risk. Authors present their experience using a minimally invasive approach in conditions causing acute small bowel obstruction.

Methods and procedures: After confirmation of a small bowel obstruction requiring surgical treatment, patients were informed of the options including laparoscopic approach. After consentment, patients underwent a laparoscopic exploration to assess the feasibility of competing the operation with this technique. According to preoperative diagnosis and intraoperative findings, a definitive conduct was taken.

Results: From July 2010 to September 2013, 16 operations in 16 patients were identified. Age ranged from 21 to 86 years. There were seven men and eight women. Diagnostics are: small bowel adhesive obstruction, two inguinal hernias, one of them with bowel necrosis, one hernia of the Petersen´s defect and one postoperative port hernia after a gastric bypass. Additionall, two patients with endoluminal foreign bodies, both fitobezoar, and one patient with an appendiceal mass under medical treatment. One of the patients had an acute relapse of the adhesive obstruction, requiring reoperation, which was converted due to technical difficulties. Of them, three were converted to open. The appendiceal mass made impossible to identify anatomy; foreign body trapped in the ileocecal valve and therefore unidentifiable; and the first mentioned of the adhesions group. Complications found were an ileum perforation repaired laparoscopically during the initial intervention, prolongued ileus in seven patients. Mortality: A patient who had a bone marrow transplant a week before died, after a successful resolution of the obstruction,  due to sepsis caused by complete leucopenia. Patients in whose laparoscopic procedure was completed, recovered uneventfully and were discharged uneventfully. They have been asymptomatic in posterior controls.

Conclusions: Laparoscopic treatment of different obstructive pathologies can be practiced with good results. Experience in bowel manipulation is fundamental to avoid damages. Long term follow-up will help to determine the incidence of new episodes as compared to open surgery. 

View Poster

586

Share this:

  • Twitter
  • Facebook
  • LinkedIn
  • Pinterest
  • WhatsApp
  • Reddit

Related

Hours & Info

11300 West Olympic Blvd, Suite 600
Los Angeles, CA 90064
1-310-437-0544
[email protected]
Monday - Friday
8am to 5pm Pacific Time

Find Us Around the Web!

  • Facebook
  • Twitter
  • YouTube

Important Links

SAGES 2023 Meeting Information

Healthy Sooner: Patient Information

SAGES Guidelines, Statements, & Standards of Practice

SAGES Manuals

 

  • taTME Study Info
  • Foundation
  • SAGES.TV
  • MyCME
  • Educational Activities

Copyright © 2023 Society of American Gastrointestinal and Endoscopic Surgeons