title: Laparoscopy for Small Bowel Obstruction Caused by Single Adhesive Band.
abstract: OBJECTIVE
  There are still concerns about the comparative outcomes of operative treatment (OT) and conservative (nonsurgical) treatment (CT) for small bowel obstruction (SBO), especially that caused by single adhesive bands. We performed a retrospective study to compare surgical with nonsurgical outcomes.
  
  
  METHODS
  A total of 62 patients were enrolled. The OT group underwent laparoscopy (n = 16), and the CT group (n = 46) did not. We compared early and late outcomes between the 2 groups.
  
  
  RESULTS
  Times to first flatus, oral intake, and defecation after treatment were shorter in the OT group (P = .030, .033, and .024), and the recurrence rate was lower in the OT group than in the CT group (6.2% vs 32.6%; P = .038). Time from discharge to first recurrence was longer in the OT group than in the CT group (172 vs 104.6 ± 26.5 days, P = .027).
  
  
  CONCLUSIONS
  SBO related to a single adhesive band is not effectively treated by CT. However, laparoscopic OT provides notable success if the surgery is performed early. Therefore, it should be the preferred treatment.
authors.affiliation: Department of Surgery, College of Medicine, Chung-Ang University, Seoul, Korea.
authors.forename: Suk Won
authors.initials: SW
authors.lastname: Suh
authors.affiliation: Department of Surgery, College of Medicine, Chung-Ang University, Seoul, Korea.
authors.forename: Yoo Shin
authors.initials: YS
authors.lastname: Choi
mesh_terms: D000328:Adult; D000368:Aged; D005260:Female; D006801:Humans; D007415:Intestinal Obstruction / Q000209:etiology / Q000601:surgery* / Q000628:therapy; D007421:Intestine, Small / Q000601:surgery*; D010535:Laparoscopy; D008297:Male; D008875:Middle Aged; D012008:Recurrence; D012189:Retrospective Studies; D000267:Tissue Adhesions / Q000150:complications*; D016896:Treatment Outcome
keywords: Conservative treatment; Laparoscopy; Operative treatment; Single adhesive band; Small bowel obstruction