{
  "abstract": "Background\n\nAdhesive small bowel obstruction (SBO) can be managed surgically or non-operatively. However, there are still no well-established criteria for defining the optimal treatment strategy. Recent evidence suggests that early intervention within 24 hours of admission to hospital may benefit patients.Methods\n\nThis was a multicenter retrospective study of adhesive SBO investigating the outcomes of early surgery (<12 hours), delayed surgery, and nonoperative treatment in 143 patients. In addition, the impact of time to surgery was also assessed in cases of strangulated and non-strangulated SBO.Results\n\nSixty-six (46.2%) patients underwent surgery, which was initiated laparoscopically in 49 (74.2%) cases. Of them, 36 (54.5%) patients were operated on within 12 hours of admission, and another 30 (45.5%) after 12 hours. The remaining 77 (53.5%) patients were successfully treated nonoperatively. In-hospital mortality was 7%, and all deaths (n=10; mean age 75.4 years, standard deviation±13.1 years) occurred postoperatively. Time from admission to surgery was not associated with mortality from any type of obstruction (strangulated or non-strangulated). Mortality was higher among older patients (>75 years) with non-strangulated SBO (p=0.01).Conclusions\n\nThe surgery performed in the first 12 hours of admission, whether for strangulated or non-strangulated adhesive SBO, did not show advantages over delayed surgery. A less aggressive approach to the treatment of older or frail patients would be a wiser option.",
  "abstract_shown": true,
  "affiliations": [
    "Pirogov Medical University, Pirogov Russian National Research Medical University, Surgery - Moscow, Russia."
  ],
  "article_type": "research article",
  "arxiv": null,
  "author_total": 7,
  "authors": [
    {
      "affs": [
        0
      ],
      "name": "Alexander Tyagunov",
      "orcid": "0000-0003-0558-4079"
    },
    {
      "affs": [
        0
      ],
      "name": "Anton Tyagunov",
      "orcid": "0000-0002-2953-3404"
    },
    {
      "affs": [
        0
      ],
      "name": "Taras Nechay",
      "orcid": "0000-0003-0769-5282"
    },
    {
      "affs": [
        0
      ],
      "name": "Kirill Melnikov-Makarchuk",
      "orcid": "0000-0003-1678-413X"
    },
    {
      "affs": [
        0
      ],
      "name": "Zaripat Alieva",
      "orcid": "0009-0006-1503-8134"
    },
    {
      "affs": [
        0
      ],
      "name": "Botan Abdulkarim",
      "orcid": "0009-0005-0117-2108"
    },
    {
      "affs": [
        0
      ],
      "name": "Alexander Sazhin",
      "orcid": "0000-0001-6188-6093"
    }
  ],
  "bibtex": "https://research.draconitic.com/paper/dnfsssqy514zy.bib",
  "cited_by": 0,
  "doi": "10.1590/0102-672020260000041e1970",
  "fulltext_url": "https://europepmc.org/articles/PMC13652511",
  "id": "dnfsssqy514zy",
  "issns": [
    "0102-6720",
    "2317-6326"
  ],
  "landing_url": "https://europepmc.org/article/MED/42912027",
  "language": "eng",
  "licence": "CC-BY",
  "licence_label": "CC BY",
  "licence_source": "article",
  "licence_url": "https://creativecommons.org/licenses/by/4.0/",
  "metadata_licence": null,
  "native_subjects": [
    [
      "openalex",
      "2746|Intestinal and Peritoneal Adhesions"
    ]
  ],
  "openalex": "W7214628835",
  "pdf_url": "https://europepmc.org/articles/PMC13652511?pdf=render",
  "pmcid": "PMC13652511",
  "pmid": "42912027",
  "published": "2026-10-09",
  "publisher": null,
  "ris": "https://research.draconitic.com/paper/dnfsssqy514zy.ris",
  "sources": [
    {
      "first_seen": "2026-10-30T12:20:10Z",
      "native_id": "MED:42912027",
      "source": "europepmc",
      "url": "https://europepmc.org/article/MED/42912027"
    }
  ],
  "subjects": [
    {
      "field": "medicine",
      "origin": "openalex:2746|Intestinal and Peritoneal Adhesions",
      "subfield": "surgery"
    }
  ],
  "title": "Early surgery for strangulated and non-strangulated small bowel obstruction has no advantages over delayed procedure, especially in elderly patients: results of a multicenter retrospective cohort study.",
  "title_text": "Early surgery for strangulated and non-strangulated small bowel obstruction has no advantages over delayed procedure, especially in elderly patients: results of a multicenter retrospective cohort study.",
  "type": "peer-reviewed",
  "updated_at": "2026-10-30T12:20:10Z",
  "url": "https://research.draconitic.com/paper/dnfsssqy514zy",
  "venue": "Arquivos brasileiros de cirurgia digestiva : ABCD = Brazilian archives of digestive surgery",
  "versions": []
}