Document Type : Letter to Editor

Authors

Department of General and Thoracic Surgery, University Hospital of Chieti, Chieti, Italy

Abstract

As known, small bowel obstruction is one of the most common emergencies in general surgery carrying a not negligible rate of morbidity and financial expenditures as far as high social impact . Peritoneal adhesions are the leading cause of intestinal obstruction up to 74% of cases. In spite of increasing incidence worldwide, current management still presents some “blind corners”, whose aspects still claim debate.

Keywords

Main Subjects

1. Cooper JM, Thirlby RC. Small Bowel Obstruction. Curr Treat Options Gastroenterol 2002; 5(1): 3-8.
2. Ellis H. The clinical significance of adhesions: focus on intestinal obstruction. Eur J Surg Suppl 1997; (577): 5-9.
3. Choi HK, Chu KW, Law WL. Therapeutic value of gastrografin in adhesive small bowel obstruction after unsuccessful conservative treatment: a prospective randomized trial. Ann Surg 2002; 236(1): 1-6.
4. Biondo S, Pares D, Mora L, Marti Rague J, Kreisler E, Jaurrieta E. Randomized clinical study of Gastrografin administration in patients with adhesive small bowel obstruction. Br J Surg 2003; 90(5): 542-6. doi: 10.1002/bjs.4150.
5. Di Saverio S, Catena F, Ansaloni L, Gavioli M, Valentino M, Pinna AD. Water-soluble contrast medium (gastrografin)
value in adhesive small intestine obstruction (ASIO): a prospective, randomized, controlled, clinical trial. World J Surg 2008; 32(10): 2293-304. doi: 10.1007/s00268-008-9694-6.
6. Rahmani N, Mohammadpour RA, Khoshnood P, Ahmadi A, Assadpour S. Prospective evaluation of oral gastrografin(®)
in the management of postoperative adhesive small bowel obstruction. Indian J Surg 2013; 75(3): 195-9. doi: 10.1007/
s12262-012-0479-7.
7. Srinivasa S, Thakore N, Abbas S, Mahmood M, Kahokehr AA, Hill AG. Impact of gastrografin in clinical practice in the management of adhesive small bowel obstruction. Can J Surg 2011; 54(2): 123-7. doi: 10.1503/cjs.024009.
8. Abbas S, Bissett IP, Parry BR. Oral water soluble contrast for the management of adhesive small bowel obstruction. Cochrane Database Syst Rev 2007; (3): Cd004651. doi: 10.1002/14651858.CD004651.pub3.
9. Ten Broek RPG, Krielen P, Di Saverio S, Coccolini F, Biffl WL, Ansaloni L, et al. Bologna guidelines for diagnosis and
management of adhesive small bowel obstruction (ASBO): 2017 update of the evidence-based guidelines from the
world society of emergency surgery ASBO working group. World J Emerg Surg 2018; 13: 24. doi: 10.1186/s13017-018-
0185-2.
10. Guy S, Al Askari M. Haemorrhagic gastritis following Gastrografin administration for adhesive small bowel obstruction: a case report of a rare outcome. Int J Surg Case Rep 2017; 33: 51-4. doi: 10.1016/j.ijscr.2017.02.030.