Non-Emergent Early Surgical Management for Adhesive Small Bowel Obstruction

Abstract

Background: Adhesive small bowel obstruction (ASBO) is one of the leading reasons for emergency surgical admissions. Current guidelines recommend the conservative approach, unless operative intervention is indicated. Case: Here, we present a case of a young male who underwent early laparoscopic adhesiolysis for ASBO. Discussion: Nonoperative management resolves majority of ASBO cases but has high recurrence. Early surgical management (ESM) has been shown to reduce recurrence rate and long-term health consequences. Conclusion: ESM can be considered for recurrent ASBO in younger patients with fewer comorbidities.

Keywords

• adhesive small bowel obstruction
• early surgery
• emergency
• gastroenterology
• general surgery
• surgery
• treatment