{"@context":{"@vocab":"https://cir.nii.ac.jp/schema/1.0/","rdfs":"http://www.w3.org/2000/01/rdf-schema#","dc":"http://purl.org/dc/elements/1.1/","dcterms":"http://purl.org/dc/terms/","foaf":"http://xmlns.com/foaf/0.1/","prism":"http://prismstandard.org/namespaces/basic/2.0/","cinii":"http://ci.nii.ac.jp/ns/1.0/","datacite":"https://schema.datacite.org/meta/kernel-4/","ndl":"http://ndl.go.jp/dcndl/terms/","jpcoar":"https://github.com/JPCOAR/schema/blob/master/2.0/"},"@id":"https://cir.nii.ac.jp/crid/1361699996023716096.json","@type":"Article","productIdentifier":[{"identifier":{"@type":"DOI","@value":"10.1046/j.1365-2168.2000.01530.x"}},{"identifier":{"@type":"URI","@value":"https://api.wiley.com/onlinelibrary/tdm/v1/articles/10.1046%2Fj.1365-2168.2000.01530.x"}},{"identifier":{"@type":"URI","@value":"https://academic.oup.com/bjs/article-pdf/87/9/1240/59439005/bjs130.pdf"}},{"identifier":{"@type":"NAID","@value":"30014601757"}}],"dc:title":[{"@value":"Natural history of patients with adhesive small bowel obstruction"}],"description":[{"type":"abstract","notation":[{"@value":"<jats:title>Abstract</jats:title>\n               <jats:sec>\n                  <jats:title>Background</jats:title>\n                  <jats:p>Small bowel obstruction (SBO) is a major cause of morbidity and financial expenditure. The goals of this study were to determine factors predisposing to adhesive SBO, to note the long-term prognosis and recurrence rates for operative and non-operative treatment, to elicit the complication rate of operations and to highlight factors predictive of recurrence.</jats:p>\n               </jats:sec>\n               <jats:sec>\n                  <jats:title>Methods</jats:title>\n                  <jats:p>The medical records of all patients admitted to one hospital between 1986 and 1996 with the diagnosis of SBO were reviewed retrospectively. This included 410 patients accounting for 675 admissions.</jats:p>\n               </jats:sec>\n               <jats:sec>\n                  <jats:title>Results</jats:title>\n                  <jats:p>The frequency of previous operation by procedure type was colorectal surgery (24 per cent), followed by gynaecological surgery (22 per cent), herniorrhaphy (15 per cent) and appendicectomy (14 per cent). A history of colorectal surgery (odds 2·7) and vertical incisions (odds 2·5) tended to predispose to multiple matted adhesions rather than an obstructive band. At initial admission 36 per cent of patients were treated by means of operation. As the number of admissions increased, the recurrence rate increased while the time interval between admissions decreased. Patients with an adhesive band had a 25 per cent readmission rate, compared with a 49 per cent rate for patients with matted adhesions (P &lt; 0·004). At the initial admission 36 per cent of patients were treated surgically. Patients treated without operation had a 34 per cent readmission rate, compared with 32 per cent for those treated surgically (P not significant), a shorter time to readmission (median 0·7 versus 2·0 years; P &lt; 0·05), no difference in reoperation rate (14 versus 11 per cent; P not significant) and fewer inpatient days over all admissions (4 versus 12 days; P &lt; 0·0001).</jats:p>\n               </jats:sec>\n               <jats:sec>\n                  <jats:title>Conclusion</jats:title>\n                  <jats:p>The likelihood of reobstruction increases and the time to reobstruction decreases with increasing number of previous episodes of obstruction. Patients with matted adhesions have a greater recurrence rate than those with band adhesions. Non-operative treatment for adhesions in stable patients results in a shorter hospital stay and similar recurrence and reoperation rates, but a reduced interval to reobstruction when compared with operative treatment.</jats:p>\n               </jats:sec>"}]}],"creator":[{"@id":"https://cir.nii.ac.jp/crid/1582261550950211456","@type":"Researcher","foaf:name":[{"@value":"G Miller"}],"jpcoar:affiliationName":[{"@value":"Division of Colorectal Surgery, Sir Mortimer B. Davis – Jewish General Hospital and McGill University , Montreal,"}]},{"@id":"https://cir.nii.ac.jp/crid/1381699996023716097","@type":"Researcher","foaf:name":[{"@value":"J Boman"}],"jpcoar:affiliationName":[{"@value":"Division of Colorectal Surgery, Sir Mortimer B. Davis – Jewish General Hospital and McGill University , Montreal,"}]},{"@id":"https://cir.nii.ac.jp/crid/1381699996023716099","@type":"Researcher","foaf:name":[{"@value":"I Shrier"}],"jpcoar:affiliationName":[{"@value":"Center for Epidemiology and Community Studies, Sir Mortimer B. Davis – Jewish General Hospital and McGill University , Montreal,"}]},{"@id":"https://cir.nii.ac.jp/crid/1381699996023716096","@type":"Researcher","foaf:name":[{"@value":"P H Gordon"}],"jpcoar:affiliationName":[{"@value":"Division of Colorectal Surgery, Sir Mortimer B. Davis – Jewish General Hospital and McGill University , Montreal,"}]}],"publication":{"publicationIdentifier":[{"@type":"PISSN","@value":"00071323"},{"@type":"EISSN","@value":"13652168"},{"@type":"PISSN","@value":"http://id.crossref.org/issn/00071323"}],"prism:publicationName":[{"@value":"Journal of British Surgery"}],"dc:publisher":[{"@value":"Oxford University Press (OUP)"}],"prism:publicationDate":"2000-09-01","prism:volume":"87","prism:number":"9","prism:startingPage":"1240","prism:endingPage":"1247"},"reviewed":"false","dc:rights":["https://academic.oup.com/journals/pages/open_access/funder_policies/chorus/standard_publication_model"],"url":[{"@id":"https://api.wiley.com/onlinelibrary/tdm/v1/articles/10.1046%2Fj.1365-2168.2000.01530.x"},{"@id":"https://academic.oup.com/bjs/article-pdf/87/9/1240/59439005/bjs130.pdf"}],"createdAt":"2003-03-11","modifiedAt":"2024-09-30","relatedProduct":[{"@id":"https://cir.nii.ac.jp/crid/1360008373651904768","@type":"Article","relationType":["isReferencedBy"],"jpcoar:relatedTitle":[{"@value":"Multidetector CT appearance of adhesion-induced small bowel obstructions: matted adhesions versus single adhesive bands"}]},{"@id":"https://cir.nii.ac.jp/crid/1360580232174193792","@type":"Article","resourceType":"学術雑誌論文(journal article)","relationType":["isReferencedBy"],"jpcoar:relatedTitle":[{"@value":"Radiation dose and factors related to exceeding the diagnostic reference level in 496 transnasal ileus tube placement procedures from the REX-GI study"}]},{"@id":"https://cir.nii.ac.jp/crid/1390001204821433984","@type":"Article","relationType":["isCitedBy"],"jpcoar:relatedTitle":[{"@language":"ja","@value":"小児における術後癒着性イレウスの検討"},{"@language":"en","@value":"Post-operative Adhesive Small Bowel Obstruction in Infants and Children"}]},{"@id":"https://cir.nii.ac.jp/crid/1390001204846783488","@type":"Article","relationType":["isReferencedBy","isCitedBy"],"jpcoar:relatedTitle":[{"@language":"en","@value":"A COMPARISON BETWEEN OPEN SURGERY AND LAPAROSCOPIC SURGERY FOR POSTOPERATIVE ADHESIVE INTESTINAL OBSTRUCTION"},{"@language":"ja","@value":"術後癒着性イレウスに対する開腹手術，腹腔鏡手術の比較検討"}]},{"@id":"https://cir.nii.ac.jp/crid/1390282679896517248","@type":"Article","relationType":["isCitedBy"],"jpcoar:relatedTitle":[{"@language":"en","@value":"A Laparoscopic Right Hemicolectomy Performed on a Patient with Ascending Colon Cancer Accompanied by Adult Intestinal Malrotation"},{"@value":"成人腸回転異常症を伴った上行結腸癌に対し腹腔鏡補助下結腸右半切除術を施行した１例"}]},{"@id":"https://cir.nii.ac.jp/crid/1571417124985300480","@type":"Article","relationType":["isCitedBy"],"jpcoar:relatedTitle":[{"@language":"en","@value":"Risk management in pediatric surgery"}]}],"dataSourceIdentifier":[{"@type":"CROSSREF","@value":"10.1046/j.1365-2168.2000.01530.x"},{"@type":"CIA","@value":"30014601757"},{"@type":"CROSSREF","@value":"10.1007/s11604-012-0121-4_references_DOI_JJibe1p1qgucGI0udbtQYsLGazL"},{"@type":"CROSSREF","@value":"10.3919/jjsa.68.2947_references_DOI_JJibe1p1qgucGI0udbtQYsLGazL"},{"@type":"CROSSREF","@value":"10.1259/bjr.20230086_references_DOI_JJibe1p1qgucGI0udbtQYsLGazL"}]}