Bowel obstruction in bariatric and nonbariatric patients: major differences in management strategies and outcome

  • Martin M
  • Beekley A
  • Sebesta J
  • 1

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Abstract

BACKGROUND: Postoperative bowel obstruction is a common condition with standard management algorithms. Bowel obstruction after bariatric surgery could require markedly different management strategies and have different outcomes. METHODS: All patients admitted for bowel obstruction were identified from the 2006 and 2007 Nationwide Inpatient Sample. Postbariatric (BAR) patients were identified and compared with the nonbariatric (NB) population for differences in demographics, operative interventions, and morbidity/mortality. RESULTS: A total of 9505 admissions for bowel obstruction in BAR patients and 54,342 in NB patients were found. The source of obstruction was most commonly the abdominal wall/internal hernias in the BAR group and adhesions in the NB group. Although nonoperative management was successful in 72% of the NB group, surgery was performed for most (62%) of the BAR group (P

Author-supplied keywords

  • *Disease Management
  • *Practice Guidelines as Topic
  • Aged
  • Bariatric Surgery/*adverse effects
  • Female
  • Follow-Up Studies
  • Hernia, Abdominal/epidemiology/etiology/therapy
  • Humans
  • Incidence
  • Inpatients/statistics & numerical data
  • Intestinal Obstruction/epidemiology/etiology/*ther
  • Intestine, Small
  • Laparoscopy/*methods
  • Male
  • Middle Aged
  • Obesity, Morbid/surgery
  • Postoperative Complications/epidemiology/etiology/
  • Prognosis
  • Retrospective Studies
  • Risk Factors
  • Survival Rate/trends
  • Washington/epidemiology

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Authors

  • M J Martin

  • A C Beekley

  • J A Sebesta

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