Clinical features of failure of conservative management in adult patients with adhesive small bowel obstruction: a retrospective cohort study - Takeaways - MDSpire

Clinical Characteristics of Adult Patients with Adhesive Small Bowel Obstruction Who Do Not Respond to Conservative Treatment: A Retrospective Cohort Analysis

  • By

  • Jie Shen

  • Bin Chen

  • Hongyang Xie

  • Yiping Wang

  • July 20, 2026

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  • 1

    Adhesive small bowel obstruction (ASBO) is a significant cause of acute abdominal pain in adults, often managed conservatively.

  • 2

    In a study of 510 patients, 54 failed conservative treatment and required surgical intervention due to complications.

  • 3

    Independent risk factors for conservative treatment failure included older age, higher CRP levels, fever, and larger maximum diameter of the dilated small bowel.

  • 4

    Patients requiring surgery had longer hospital stays, higher costs, and more ICU admissions compared to those successfully managed conservatively.

  • 5

    Surgical intervention did not increase the post-discharge recurrence rate of ASBO.

Original Source(s)

Clinical features of failure of conservative management in adult patients with adhesive small bowel obstruction: a retrospective cohort study

  • by Jie Shen, Bin Chen, Hongyang Xie, Yiping Wang

  • July 20, 2026

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