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Occlusion grêle aiguë: traitement conservateur ou chirurgical?

Published in Revue médicale suisse. 2011, vol. 7, no. 300, p. 1341-47
Abstract Small bowel obstruction (SBO) is a common clinical syndrome caused mainly by postoperative adhesions. In complement to clinical and biological evaluations, CT scan has emerged as a valuable imaging modality and may provide reliable information. The early recognition of signs suggesting bowel ischemia is essential for urgent operation. However appropriate management of SBO remains a common clinical challenge. Although a conservative approach can be successful in a substantial percentage of selected patients, regular and close re-assessement is mandatory. Any persistance or progression of the critical symptoms and signs should indeed lead to surgical exploration. Here we review the principles of adhesive SBO management and suggest a decision procedure for conservative versus surgical treatment.
Keywords Acute DiseaseAlgorithmsEarly DiagnosisFluid Therapy/methodsHumansIntestinal Obstruction/diagnosis/etiology/surgery/therapyIntestine, Small/surgeryLaparoscopy/methodsRisk AssessmentSeverity of Illness IndexTissue Adhesions/surgeryTreatment Outcome
PMID: 21815533
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Other version: http://rms.medhyg.ch/
Research groups Chirurgie viscérale (104)
Chirurgie viscérale (HUG)
Radiologie des urgences (800)
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SCHWENTER, Frank et al. Occlusion grêle aiguë: traitement conservateur ou chirurgical?. In: Revue médicale suisse, 2011, vol. 7, n° 300, p. 1341-47. https://archive-ouverte.unige.ch/unige:24990

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Deposited on : 2013-01-04

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