TY - CHAP M1 - Book, Section TI - Small Bowel Obstruction A1 - Go, Kristina L. A1 - Jordan, Janeen R. A1 - Sarosi, Jr., George A. A1 - Behrns, Kevin E. A2 - Zinner, Michael J. A2 - Ashley, Stanley W. A2 - Hines, O. Joe Y1 - 2019 N1 - T2 - Maingot's Abdominal Operations, 13e AB - Bowel obstruction vexed medical practitioners as long ago as 350 BC, and it continues to do so today.1 The management of patients with bowel obstruction is challenging because decision-making is complicated in many patient care scenarios. First, the diagnosis of bowel obstruction may be difficult in a patient who recently underwent surgery. That is, does this lack of gastrointestinal function represent an ileus or a true bowel obstruction? Second, the timing of surgical intervention may not be obvious. When is an operation appropriate in a patient who underwent recent surgery? Finally, what is the appropriate operation in patients who have had multiple, chronic intestinal obstructions? All of these scenarios represent high-risk decisions, and thus management of bowel obstruction requires critical analysis and decision-making. The goal of this review is to provide a contemporary summary of the epidemiology, diagnosis, and management of bowel obstruction in a broad context of impaired gastrointestinal function. SN - PB - McGraw-Hill Education CY - New York, NY Y2 - 2022/08/17 UR - accesssurgery.mhmedical.com/content.aspx?aid=1160041426 ER -