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Small Bowel Obstruction in the Elderly

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Principles and Practice of Geriatric Surgery

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Abstract

Small bowel obstructions may occur in patients of any age; however, the underlying cause and management may differ in the elderly population.

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References

  1. Yeh EL, McNamara RM (2007) Abdominal pain. Clin Geriatr Med 23(2):255–270

    Article  PubMed  Google Scholar 

  2. Dua KS, Shaker R, Koch TR, et al. (2007) Gastroenterological disorders. Duthie EH, Katz PR, Malone ML (Eds.), In: Practice of geriatrics, 4th edn. Saunders/Elsevier, Philadelphia, pp 578–580

    Google Scholar 

  3. Sanson TG, O’Keefe KP (1996) Evaluation of abdominal pain in the elderly. Emerg Med Clin North Am 14(3):615–627

    Article  CAS  PubMed  Google Scholar 

  4. Martinez JP, Mattu A (2006) Abdominal pain in the elderly. Emerg Med Clin North Am 24(2):371–388, vii

    Article  PubMed  Google Scholar 

  5. International Classification of Diseases, Tenth Revision, Clinical Modification (ICD-10-CM) (2017) CDC NCHS

    Google Scholar 

  6. Hall MJ, DeFrances CJ, Williams SN, Golosinskiy A, Schwartzman A (2010) National Hospital Discharge Survey: 2007 summary NCHS. National Center for Health Statistics, Hyattsville. https://www.cdc.gov/nchs/data/nhsr/nhsr029.pdf

    Google Scholar 

  7. National Center for Health Statistics (2007) Death rates for 358 selected causes, by 10-year age groups, race, and sex: United States, 1999–2007. NCHS: National Center for Health Statistics, Hyattsville. https://www.cdc.gov/nchs/data/dvs/mortfinal2007_worktable12.pdf

    Google Scholar 

  8. Neugut AI, Marvin MR, Rella VA, Chabot JA (1997) An overview of adenocarcinoma of the small intestine. Oncology 11(4):529–536; discussion 45, 49–50

    CAS  PubMed  Google Scholar 

  9. Gutstein DE, Rosenberg SJ (1997) Nontraumatic intramural hematoma of the duodenum complicating warfarin therapy. Mt Sinai J Med 64(4–5):339–341

    CAS  PubMed  Google Scholar 

  10. Miller G, Boman J, Shrier I, Gordon PH (2000) Etiology of small bowel obstruction. Am J Surg 180(1):33–36

    Article  CAS  PubMed  Google Scholar 

  11. Eagon CJ (2001) Small bowel obstruction in the elderly. In: Rosenthal RA, Zenilman ME, Katlic MR (eds) Principles and practice of geriatric surgery, 1st edn. Springer, New York, pp 569–579

    Chapter  Google Scholar 

  12. Hendrickson M, Naparst TR (2003) Abdominal surgical emergencies in the elderly. Emerg Med Clin North Am 21(4):937–969

    Article  PubMed  Google Scholar 

  13. Attard JA, MacLean AR (2007) Adhesive small bowel obstruction: epidemiology, biology and prevention. Can J Surg 50(4):291–300

    PubMed  PubMed Central  Google Scholar 

  14. Miller G, Boman J, Shrier I, Gordon PH (2000) Natural history of patients with adhesive small bowel obstruction. Br J Surg 87(9):1240–1247

    Article  CAS  PubMed  Google Scholar 

  15. Tjandra JJ (2006) Small bowel obstruction. In: Tjandra JJ, Clunie GJA, Kaye AH, Smith JA (eds) Textbook of surgery, 3rd edn. Wiley, Oxford, pp 159–164

    Chapter  Google Scholar 

  16. Mucha P Jr (1987) Small intestinal obstruction. Surg Clin North Am 67(3):597–620

    Article  PubMed  Google Scholar 

  17. Wilson MS, Hawkswell J, McCloy RF (1998) Natural history of adhesional small bowel obstruction: counting the cost. Br J Surg 85(9):1294–1298

    Article  CAS  PubMed  Google Scholar 

  18. Matter I, Khalemsky L, Abrahamson J, Nash E, Sabo E, Eldar S (1997) Does the index operation influence the course and outcome of adhesive intestinal obstruction? Eur J Surg 163(10):767–772

    CAS  PubMed  Google Scholar 

  19. Nieuwenhuijzen M, Reijnen MM, Kuijpers JH, van Goor H (1998) Small bowel obstruction after total or subtotal colectomy: a 10-year retrospective review. Br J Surg 85(9):1242–1245

    Article  CAS  PubMed  Google Scholar 

  20. Edna TH, Bjerkeset T (1998) Small bowel obstruction in patients previously operated on for colorectal cancer. Eur J Surg 164(8):587–592

    Article  CAS  PubMed  Google Scholar 

  21. Cox MR, Gunn IF, Eastman MC, Hunt RF, Heinz AW (1993) The operative aetiology and types of adhesions causing small bowel obstruction. Aust N Z J Surg 63(11):848–852

    Article  CAS  PubMed  Google Scholar 

  22. Meagher AP, Moller C, Hoffmann DC (1993) Non-operative treatment of small bowel obstruction following appendicectomy or operation on the ovary or tube. Br J Surg 80(10):1310–1311

    Article  CAS  PubMed  Google Scholar 

  23. Franko E, Cohen JR (1991) General surgical problems requiring operation in postoperative vascular surgery patients. Am J Surg 162(3):247–250

    Article  CAS  PubMed  Google Scholar 

  24. Siporin K, Hiatt JR, Treiman RL (1993) Small bowel obstruction after abdominal aortic surgery. Am Surg 59(12):846–849

    CAS  PubMed  Google Scholar 

  25. Rijken AM, Butzelaar RM (1996) Compression of the descending duodenum after reconstruction of infrarenal aortic aneurysm. J Vasc Surg 24(1):178–179

    Article  CAS  PubMed  Google Scholar 

  26. Azar T, Berger DL (1997) Adult intussusception. Ann Surg 226(2):134–138

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  27. Henry JC, Pouly S, Sullivan R, Sharif S, Klemanski D, Abdel-Misih S et al (2012) A scoring system for the prognosis and treatment of malignant bowel obstruction. Surgery 152(4):747–757

    Article  PubMed  PubMed Central  Google Scholar 

  28. Khan S, Gatt M, Petty D, Stojkovic S (2008) Intestinal obstruction after PEG tube replacement: implications to daily clinical practice. Surg Laparosc Endosc Percutan Tech 18(1):80–81

    Article  PubMed  Google Scholar 

  29. Schrag SP, Sharma R, Jaik NP, Seamon MJ, Lukaszczyk JJ, Martin ND et al (2007) Complications related to percutaneous endoscopic gastrostomy (PEG) tubes. A comprehensive clinical review. J Gastrointestin Liver Dis 16(4):407–418

    PubMed  Google Scholar 

  30. Lambertz MM, Earnshaw PM, Short J, Cumming JG (1995) Small bowel obstruction caused by a retained percutaneous endoscopic gastrostomy gastric flange. Br J Surg 82(7):951

    Article  CAS  PubMed  Google Scholar 

  31. Barton RJ (2006) Migrated double pigtail biliary stent causes small bowel obstruction. J Gastroenterol Hepatol 21(4):783–784

    Article  CAS  PubMed  Google Scholar 

  32. Ikeda T, Nagata S, Ohgaki K (2004) Intestinal obstruction because of a migrated metallic biliary stent. Gastrointest Endosc 60(6):988–989

    Article  PubMed  Google Scholar 

  33. Simpson D, Cunningham C, Paterson-Brown S (1998) Small bowel obstruction caused by a dislodged biliary stent. J R Coll Surg Edinb 43(3):203

    CAS  PubMed  Google Scholar 

  34. Spier LN, Lazzaro RS, Procaccino A, Geiss A (1993) Entrapment of small bowel after laparoscopic herniorrhaphy. Surg Endosc 7(6):535–536

    Article  CAS  PubMed  Google Scholar 

  35. Boughey JC, Nottingham JM, Walls AC (2003) Richter’s hernia in the laparoscopic era: four case reports and review of the literature. Surg Laparosc Endosc Percutan Tech 13(1):55–58

    Article  PubMed  Google Scholar 

  36. McKay R (2008) Preperitoneal herniation and bowel obstruction post laparoscopic inguinal hernia repair: case report and review of the literature. Hernia 12(5):535–537

    Article  CAS  PubMed  Google Scholar 

  37. Velasco JM, Vallina VL, Bonomo SR, Hieken TJ (1998) Postlaparoscopic small bowel obstruction. Rethinking its management. Surg Endosc 12(8):1043–1045

    Article  CAS  PubMed  Google Scholar 

  38. Di Mizio R, D’Amario F, Filippone A, et al. (2007) Computed Tomography Features. Di Mizio R, Scaglione M (Eds.), In: Small bowel obstruction: CT Features with Plain Film and US correlations, 1st edn

    Google Scholar 

  39. Evers MB (2004) Small intestine. In: Townsend CM, Sabiston DC (eds) Sabiston textbook of surgery: the biological basis of modern surgical practice, 17th edn. WB Saunders, Philadelphia, pp 1323–1380

    Google Scholar 

  40. Campbell KA (2008) Small bowel obstruction. In: Cameron JL, Cameron AM (eds) Current surgical therapy, 9th edn. Mosby Elsevier, Philadelphia, pp 117–120

    Google Scholar 

  41. Laurell H, Hansson LE, Gunnarsson U (2006) Acute abdominal pain among elderly patients. Gerontology 52(6):339–344

    Article  CAS  PubMed  Google Scholar 

  42. Bugliosi TF, Meloy TD, Vukov LF (1990) Acute abdominal pain in the elderly. Ann Emerg Med 19(12):1383–1386

    Article  CAS  PubMed  Google Scholar 

  43. Donckier V, Closset J, Van Gansbeke D, Zalcman M, Sy M, Houben JJ et al (1998) Contribution of computed tomography to decision making in the management of adhesive small bowel obstruction. Br J Surg 85(8):1071–1074

    Article  CAS  PubMed  Google Scholar 

  44. Taourel PG, Fabre JM, Pradel JA, Seneterre EJ, Megibow AJ, Bruel JM (1995) Value of CT in the diagnosis and management of patients with suspected acute small-bowel obstruction. AJR Am J Roentgenol 165(5):1187–1192

    Article  CAS  PubMed  Google Scholar 

  45. Frager D, Baer JW, Medwid SW, Rothpearl A, Bossart P (1996) Detection of intestinal ischemia in patients with acute small-bowel obstruction due to adhesions or hernia: efficacy of CT. AJR Am J Roentgenol 166(1):67–71

    Article  CAS  PubMed  Google Scholar 

  46. Balthazar EJ, Liebeskind ME, Macari M (1997) Intestinal ischemia in patients in whom small bowel obstruction is suspected: evaluation of accuracy, limitations, and clinical implications of CT in diagnosis. Radiology 205(2):519–522

    Article  CAS  PubMed  Google Scholar 

  47. Maglinte DD, Reyes BL, Harmon BH, Kelvin FM, Turner WW Jr, Hage JE et al (1996) Reliability and role of plain film radiography and CT in the diagnosis of small-bowel obstruction. AJR Am J Roentgenol 167(6):1451–1455

    Article  CAS  PubMed  Google Scholar 

  48. Fukuya T, Hawes DR, Lu CC, Chang PJ, Barloon TJ (1992) CT diagnosis of small-bowel obstruction: efficacy in 60 patients. AJR Am J Roentgenol 158(4):765–769; discussion 71–72

    Article  CAS  PubMed  Google Scholar 

  49. Hwang JY, Lee JK, Lee JE, Baek SY (2009) Value of multidetector CT in decision making regarding surgery in patients with small-bowel obstruction due to adhesion. Eur Radiol 19(10):2425–2431

    Article  PubMed  Google Scholar 

  50. Desser TS, Gross M (2008) Multidetector row computed tomography of small bowel obstruction. Semin Ultrasound CT MR 29(5):308–321

    Article  PubMed  Google Scholar 

  51. Ko YT, Lim JH, Lee DH, Lee HW, Lim JW (1993) Small bowel obstruction: sonographic evaluation. Radiology 188(3):649–653

    Article  CAS  PubMed  Google Scholar 

  52. Ogata M, Imai S, Hosotani R, Aoyama H, Hayashi M, Ishikawa T (1994) Abdominal ultrasonography for the diagnosis of strangulation in small bowel obstruction. Br J Surg 81(3):421–424

    Article  CAS  PubMed  Google Scholar 

  53. Czechowski J (1996) Conventional radiography and ultrasonography in the diagnosis of small bowel obstruction and strangulation. Acta Radiol 37(2):186–189

    Article  CAS  PubMed  Google Scholar 

  54. Schmutz GR, Benko A, Fournier L, Peron JM, Morel E, Chiche L (1997) Small bowel obstruction: role and contribution of sonography. Eur Radiol 7(7):1054–1058

    Article  CAS  PubMed  Google Scholar 

  55. Regan F, Beall DP, Bohlman ME, Khazan R, Sufi A, Schaefer DC (1998) Fast MR imaging and the detection of small-bowel obstruction. AJR Am J Roentgenol 170(6):1465–1469

    Article  CAS  PubMed  Google Scholar 

  56. Makanjuola D (1998) Computed tomography compared with small bowel enema in clinically equivocal intestinal obstruction. Clin Radiol 53(3):203–208

    Article  CAS  PubMed  Google Scholar 

  57. Maglinte DD, Nolan DJ, Herlinger H (1991) Preoperative diagnosis by enteroclysis of unsuspected closed loop obstruction in medically managed patients. J Clin Gastroenterol 13(3):308–312

    Article  CAS  PubMed  Google Scholar 

  58. Joyce WP, Delaney PV, Gorey TF, Fitzpatrick JM (1992) The value of water-soluble contrast radiology in the management of acute small bowel obstruction. Ann R Coll Surg Engl 74(6):422–425

    CAS  PubMed  PubMed Central  Google Scholar 

  59. Chung CC, Meng WC, Yu SC, Leung KL, Lau WY, Li AK (1996) A prospective study on the use of water-soluble contrast follow-through radiology in the management of small bowel obstruction. Aust N Z J Surg 66(9):598–601

    Article  CAS  PubMed  Google Scholar 

  60. Assalia A, Schein M, Kopelman D, Hirshberg A, Hashmonai M (1994) Therapeutic effect of oral Gastrografin in adhesive, partial small-bowel obstruction: a prospective randomized trial. Surgery 115(4):433–437

    CAS  PubMed  Google Scholar 

  61. Feigin E, Seror D, Szold A, Carmon M, Allweis TM, Nissan A et al (1996) Water-soluble contrast material has no therapeutic effect on postoperative small-bowel obstruction: results of a prospective, randomized clinical trial. Am J Surg 171(2):227–229

    Article  CAS  PubMed  Google Scholar 

  62. Brolin RE (1984) Partial small bowel obstruction. Surgery 95(2):145–149

    CAS  PubMed  Google Scholar 

  63. Foster NM, McGory ML, Zingmond DS, Ko CY (2006) Small bowel obstruction: a population-based appraisal. J Am Coll Surg 203(2):170–176

    Article  PubMed  Google Scholar 

  64. Peetz DJ Jr, Gamelli RL, Pilcher DB (1982) Intestinal intubation in acute, mechanical small-bowel obstruction. Arch Surg 117(3):334–336

    Article  PubMed  Google Scholar 

  65. Sosa J, Gardner B (1993) Management of patients diagnosed as acute intestinal obstruction secondary to adhesions. Am Surg 59(2):125–128

    CAS  PubMed  Google Scholar 

  66. Cox MR, Gunn IF, Eastman MC, Hunt RF, Heinz AW (1993) The safety and duration of non-operative treatment for adhesive small bowel obstruction. Aust N Z J Surg 63(5):367–371

    Article  CAS  PubMed  Google Scholar 

  67. Sarr MG, Bulkley GB, Zuidema GD (1983) Preoperative recognition of intestinal strangulation obstruction. Prospective evaluation of diagnostic capability. Am J Surg 145(1):176–182

    Article  CAS  PubMed  Google Scholar 

  68. Zadeh BJ, Davis JM, Canizaro PC (1985) Small bowel obstruction in the elderly. Am Surg 51(8):470–473

    CAS  PubMed  Google Scholar 

  69. Nguyen N, Yegiyants S, Kaloostian C, Abbas MA, Difronzo LA (2008) The Surgical Care Improvement project (SCIP) initiative to reduce infection in elective colorectal surgery: which performance measures affect outcome? Am Surg 74(10):1012–1016

    PubMed  Google Scholar 

  70. Pei KY, Asuzu D, Davis KA (2016) Will laparoscopic lysis of adhesions become the standard of care? Evaluating trends and outcomes in laparoscopic management of small-bowel obstruction using the american College of Surgeons National Surgical Quality Improvement Project Database. Surg Endosc 31(5):2180–2186

    Article  PubMed  Google Scholar 

  71. Bulkley GB, Zuidema GD, Hamilton SR, O’Mara CS, Klacsmann PG, Horn SD (1981) Intraoperative determination of small intestinal viability following ischemic injury: a prospective, controlled trial of two adjuvant methods (Doppler and fluorescein) compared with standard clinical judgment. Ann Surg 193(5):628–637

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  72. Cooperman M, Pace WG, Martin EW Jr, Pflug B, Keith LM Jr, Evans WE et al (1978) Determination of viability of ischemic intestine by Doppler ultrasound. Surgery 83(6):705–710

    CAS  PubMed  Google Scholar 

  73. Mann A, Fazio VW, Lucas FV (1982) A comparative study of the use of fluorescein and the Doppler device in the determination of intestinal viability. Surg Gynecol Obstet 154(1):53–55

    CAS  PubMed  Google Scholar 

  74. Rodriguez-Ruesga R, Meagher AP, Wolff BG (1995) Twelve-year experience with the long intestinal tube. World J Surg 19(4):627–630; discussion 30–31

    Article  CAS  PubMed  Google Scholar 

  75. DeCherney AH, diZerega GS (1997) Clinical problem of intraperitoneal postsurgical adhesion formation following general surgery and the use of adhesion prevention barriers. Surg Clin North Am 77(3):671–688

    Article  CAS  PubMed  Google Scholar 

  76. Byrne J, Saleh F, Ambrosini L, Quereshy F, Jackson TD, Okrainec A (2015) Laparoscopic versus open surgical management of adhesive small bowel obstruction: a comparison of outcomes. Surg Endosc 29(9):2525–2532

    Article  PubMed  Google Scholar 

  77. Cirocchi R, Abraha I, Farinella E, Montedori A, Sciannameo F (2010) Laparoscopic versus open surgery in small bowel obstruction. Cochrane Database Syst Rev 2:CD007511

    Google Scholar 

  78. Farinella E, Cirocchi R, La Mura F, Morelli U, Cattorini L, Delmonaco P et al (2009) Feasibility of laparoscopy for small bowel obstruction. World J Emerg Surg 4:3

    Article  PubMed  PubMed Central  Google Scholar 

  79. Franklin ME Jr, Gonzalez JJ Jr, Miter DB, Glass JL, Paulson D (2004) Laparoscopic diagnosis and treatment of intestinal obstruction. Surg Endosc 18(1):26–30

    Article  PubMed  Google Scholar 

  80. Kirshtein B, Roy-Shapira A, Lantsberg L, Avinoach E, Mizrahi S (2005) Laparoscopic management of acute small bowel obstruction. Surg Endosc 19(4):464–467

    Article  CAS  PubMed  Google Scholar 

  81. Zerey M, Sechrist CW, Kercher KW, Sing RF, Matthews BD, Heniford BT (2007) Laparoscopic management of adhesive small bowel obstruction. Am Surg 73(8):773–778; discussion 8–9

    PubMed  Google Scholar 

  82. Bates AT, Divino C (2015) Laparoscopic surgery in the elderly: a review of the literature. Aging Dis 6(2):149–155

    Article  PubMed  PubMed Central  Google Scholar 

  83. Bailey IS, Rhodes M, O’Rourke N, Nathanson L, Fielding G (1998) Laparoscopic management of acute small bowel obstruction. Br J Surg 85(1):84–87

    Article  CAS  PubMed  Google Scholar 

  84. Baron TH (2009) Interventional palliative strategies for malignant bowel obstruction. Curr Oncol Rep 11(4):293–297

    Article  PubMed  Google Scholar 

  85. Park JJ, Cheon JH (2012) Malignant small bowel obstruction: the last frontier for gastrointestinal stenting. J Gastroenterol Hepatol 27(7):1136–1137

    Article  PubMed  Google Scholar 

  86. Jeurnink SM, Repici A, Luigiano C, Pagano N, Kuipers EJ, Siersema PD (2009) Use of a colonoscope for distal duodenal stent placement in patients with malignant obstruction. Surg Endosc 23(3):562–567

    Article  PubMed  Google Scholar 

  87. Ross AS, Semrad C, Waxman I, Dye C (2006) Enteral stent placement by balloon enteroscopy for palliation of malignant small bowel obstruction. Gastrointest Endosc 64(5):835–837

    Article  PubMed  Google Scholar 

  88. Lennon AM, Chandrasekhara V, Shin EJ, PIr O (2010) Spiral-enteroscopy-assisted enteral stent placement for palliation of malignant small-bowel obstruction (with video). Gastrointest Endosc 71(2):422–425

    Article  PubMed  Google Scholar 

  89. Espinel J, Pindeo E (2011) A simplified method for stent placement in the distal duodenum: enteroscopy overtube. World J Gastrointest Endosc 3(11):225–227

    Article  PubMed  PubMed Central  Google Scholar 

  90. Lee H, Park JC, Shin SK, Lee SK, Lee YC (2012) Preliminary study of enteroscopy-guided, self-expandable metal stent placement for malignant small bowel obstruction. World J Gastrointest Endosc 27(7):1181–1186

    Google Scholar 

  91. Xinopoulos D, Dimitroulopoulos D, Theodosopoulos T, Tsamakidis K, Bitsakou G, Plataniotis G et al (2004) Stenting or stoma creation for patients with inoperable malignant colonic onstructions? Results of a study and cost-effectiveness analysis. Surg Endosc 18(3):421–426

    Article  CAS  PubMed  Google Scholar 

  92. Miner TJ, Brennan MF, Jaques DP (2004) A prospective, symptom related, outcomes analysis of 1022 palliative procedures for advanced cancer. Ann Surg 240(4):719–726; discussion 26–27

    PubMed  PubMed Central  Google Scholar 

  93. Margenthaler JA, Longo WE, Virgo KS, Johnson FE, Grossmann EM, Schifftner TL et al (2006) Risk factors for adverse outcomes following surgery for small bowel obstruction. Ann Surg 243(4):456–464

    Article  PubMed  PubMed Central  Google Scholar 

  94. Landercasper J, Cogbill TH, Merry WH, Stolee RT, Strutt PJ (1993) Long-term outcome after hospitalization for small-bowel obstruction. Arch Surg 128(7):765–770; discussion 70–71

    Article  CAS  PubMed  Google Scholar 

  95. Fevang BT, Fevang J, Lie SA, Soreide O, Svanes K, Viste A (2004) Long-term prognosis after operation for adhesive small bowel obstruction. Ann Surg 240(2):193–201

    Article  PubMed  PubMed Central  Google Scholar 

  96. Ivarsson ML, Holmdahl L, Franzen G, Risberg B (1997) Cost of bowel obstruction resulting from adhesions. Eur J Surg 163(9):679–684

    CAS  PubMed  Google Scholar 

  97. Ogata M, Mateer JR, Condon RE (1996) Prospective evaluation of abdominal sonography for the diagnosis of bowel obstruction. Ann Surg 223(3):237–241

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  98. Lin HS, Watts JN, Peel NM, Hubbard RE (2016) Frailty and post-operative outcomes in older surgical patients: a systematic review. BMC Geriatr 16(1):157

    Article  PubMed  PubMed Central  Google Scholar 

  99. Kim S, Han H, Jung H, Kim K, Hwang DW, Kang S et al (2014) Multidimensional frailty score for the prediction of postoperative mortality risk. JAMA Surg 149(7):633–640

    Article  PubMed  Google Scholar 

  100. McIsaac DI, Bryson GL, van Walraven C (2016) Association of frailty and 1-year postoperative mortality following major elective noncardiac surgery: a population-based cohort study. JAMA Surg 151(6):538–545

    Article  PubMed  Google Scholar 

  101. Makary MA, Segev DL, Pronovost PJ, Syin D, Bandeen-Roche K, Patel P et al (2010) Frailty as a predictor of surgical outcomes in older patients. J Am Coll Surg 210(6):901–908

    Article  PubMed  Google Scholar 

  102. Naito M, Ogura N, Yamanashi T, Sato T, Nakamura T, Miura H et al (2017) Prospective randomized controlled study on the validity and safety of an absorbable adhesion barrier (Interceed®) made of oxidized regenerated cellulose for laparoscopic colorectal surgery. Asian J Endosc Surg 10(1):7–11

    Article  PubMed  Google Scholar 

  103. Becker JM, Dayton MT, Fazio VW, Beck DE, Stryker SJ, Wexner SD et al (1996) Prevention of postoperative abdominal adhesions by a sodium hyaluronate-based bioresorbable membrane: a prospective, randomized, double-blind multicenter study. J Am Coll Surg 183(4):297–306

    CAS  PubMed  Google Scholar 

  104. Diamond MP (1996) Reduction of adhesions after uterine myomectomy by Seprafilm membrane (HAL-F): a blinded, prospective, randomized, multicenter clinical study. Seprafilm Adhesion Study Group. Fertil Steril 66(6):904–910

    Article  CAS  PubMed  Google Scholar 

  105. Beck DE, Cohen Z, Fleshman JW, Kaufman HS, van Goor H, Wolff BG (2003) A prospective, randomized, multicenter, controlled study of the safety of Seprafilm adhesion barrier in abdominopelvic surgery of the intestine. Dis Colon Rectum 46(10):1310–1319

    Article  PubMed  Google Scholar 

  106. Fazio VW, Cohen Z, Fleshman JW, van Goor H, Bauer JJ, Wolff BG et al (2006) Reduction in adhesive small-bowel obstruction by Seprafilm adhesion barrier after intestinal resection. Dis Colon Rectum 49(1):1–11

    Article  PubMed  Google Scholar 

  107. Kusunoki M, Ikeuchi H, Yanagi H, Noda M, Tonouchi H, Mohri Y et al (2005) Bioresorbable hyaluronate–carboxymethylcellulose membrane (Seprafilm) in surgery for rectal carcinoma: a prospective randomized clinical trial. Surg Today 35(11):940–945

    Article  PubMed  Google Scholar 

  108. Hayashi S, Takayama T, Masuda H, Kochi M, Ishii Y, Matsuda M et al (2008) Bioresorbable membrane to reduce postoperative small bowel obstruction in patients with gastric cancer: a randomized clinical trial. Ann Surg 247(5):766–770

    Article  PubMed  Google Scholar 

  109. Vrijland WW, Tseng LNL, Eijkman HJM, Hop WCJ, Jakimowicz JJ, Leguit P et al (2002) Fewer intraperitoneal adhesions with use of hyaluronic acid–carboxymethylcellulose membrane: a randomized clinical trial. Ann Surg 235(2):193–199

    Article  PubMed  PubMed Central  Google Scholar 

  110. Van der Wal JBC, Iordens GIT, Vrijland WW, Van Veen RN, Lange J, Jeekel J (2011) Adhesion prevention during laparotomy. Ann Surg 253(6):1118–1121

    Article  PubMed  Google Scholar 

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Authors and Affiliations

  1. Department of Surgery, College of Medicine, Drexel University, 245 N. 15th Street, Suite 7150, Philadelphia, PA, 19102, USA

    William F. Morano & Wilbur B. Bowne

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  1. William F. Morano
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  2. Wilbur B. Bowne
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Correspondence to Wilbur B. Bowne .

Editor information

Editors and Affiliations

  1. Surgical Service, Yale University School of Medicine VA Connecticut Health Care System, West Haven, Connecticut, USA

    Ronnie A. Rosenthal

  2. SUNY Downstate School of Public Health, National Capital Region Johns Hopkins Medicine, Bethesda, Maryland, USA

    Michael E. Zenilman

  3. Center for Geriatric Surgery, Sinai Hospital of Baltimore, Baltimore, Maryland, USA

    Mark R. Katlic

Section Editor information

  1. Department of Surgery, University of Nebraska Medical Center, Omaha, NE, USA

    Jason Johanning

  2. Duke Medicine, Durham, NC, USA

    Sandhya Lagoo-Deenadayalan

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Morano, W.F., Bowne, W.B. (2018). Small Bowel Obstruction in the Elderly. In: Rosenthal, R., Zenilman, M., Katlic, M. (eds) Principles and Practice of Geriatric Surgery. Springer, Cham. https://doi.org/10.1007/978-3-319-20317-1_64-1

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