Can small bowel obstruction during pregnancy be treated with conservative management? A review

IF 6 1区 医学 Q1 EMERGENCY MEDICINE World Journal of Emergency Surgery Pub Date : 2024-04-10 DOI:10.1186/s13017-024-00541-y
Xiao Shuang Ling, Wei Cheng Anthony Brian Tian, Goran Augustin, Fausto Catena
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Abstract

Small bowel obstruction can occur during pregnancy, which, if missed, can lead to dire consequences for both the mother and foetus. Management of this condition usually requires surgical intervention. However, only a small number of patients are treated conservatively. The objective was to review the literature to determine the feasibility of conservative management for small bowel obstruction. A systematic search of the PubMed and Embase databases was performed using the keywords [small bowel obstruction AND pregnancy]. All original articles were then reviewed and included in this review if deemed suitable. Conservative management of small bowel obstruction in pregnant women is feasible if the patient is clinically stable and after ruling out bowel ischaemia and closed-loop obstruction.
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妊娠期小肠梗阻可以通过保守治疗吗?综述
怀孕期间可能会发生小肠梗阻,如果漏诊,可能会对母亲和胎儿造成严重后果。这种情况通常需要手术治疗。然而,只有少数患者可以接受保守治疗。我们的目的是回顾文献,确定保守治疗小肠梗阻的可行性。我们使用关键词[小肠梗阻和妊娠]对 PubMed 和 Embase 数据库进行了系统性检索。然后对所有原始文章进行了审查,如果认为合适,则将其纳入本综述。如果患者的临床情况稳定,并排除了肠缺血和闭环阻塞的可能性,那么孕妇小肠梗阻的保守治疗是可行的。
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来源期刊
World Journal of Emergency Surgery
World Journal of Emergency Surgery EMERGENCY MEDICINE-SURGERY
CiteScore
14.50
自引率
5.00%
发文量
60
审稿时长
10 weeks
期刊介绍: The World Journal of Emergency Surgery is an open access, peer-reviewed journal covering all facets of clinical and basic research in traumatic and non-traumatic emergency surgery and related fields. Topics include emergency surgery, acute care surgery, trauma surgery, intensive care, trauma management, and resuscitation, among others.
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