Skip to main content

Advertisement

SpringerLink
Log in

Laparoscopic diagnosis and treatment of intestinal obstruction

  • Original article
  • Published:
Surgical Endoscopy And Other Interventional Techniques Aims and scope Submit manuscript

Abstract

Background: Intestinal obstruction is a common reason for general surgical referral. The traditional approach has been conservative management, followed by laparotomy if conservative measures are unsuccessful. However, with the advent of minimally invasive surgery, the need for laparotomy for this common problem is being challenged.Methods: From May 1991 to April 2001, 167 patients underwent laparoscopy for diagnosis and/or treatment of intestinal obstruction. Average patient age was 62 years (range, 21–98). The site of obstruction was the stomach in seven patients, small bowel in 116 patients, and colon in 44 patients.Results: Laparoscopy successfully diagnosed the site of obstruction in all patients. In addition, 154 patients (92.2%) were successfully treated laparoscopically without conversion to laparotomy. Both intraoperative and postoperative complication rates were low (3.5 and 18.6%, respectively) and compared favorably with those of published reports.Conclusions: Intestinal obstruction can be approached safely and effectively by laparoscopy with the intent not only to correctly diagnose the patient but also to render treatment.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Log in via an institution

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Institutional subscriptions

Similar content being viewed by others

References

  1. S Adams T Wilson AR Brown (1993) ArticleTitleLaparoscopic management of acute small bowel obstruction. Aust N Z J Surg 63 39–41 Occurrence Handle1:STN:280:ByyB387ktlI%3D Occurrence Handle8466459

    CAS  PubMed  Google Scholar 

  2. F Agresta I Michelet G Coluci N Bedin (2000) ArticleTitleEmergency laparoscopy: a community hospital experience. Surg Endosc 14 484–487 Occurrence Handle10.1007/s004640000022 Occurrence Handle1:STN:280:DC%2BD3cvitlWgsA%3D%3D Occurrence Handle10858477

    Article  CAS  PubMed  Google Scholar 

  3. F Agresta A Piazza I Michelet N Bedin CA Sartori (2000) ArticleTitleSmall bowel obstruction: laparoscopic approach. Surg Endosc 14 154–156 Occurrence Handle10.1007/s004649900089 Occurrence Handle1:STN:280:DC%2BD3c7isVSqtw%3D%3D Occurrence Handle10656950

    Article  CAS  PubMed  Google Scholar 

  4. AA Al-Mulhim (2000) ArticleTitleLaparoscopic management of acute small bowel obstruction: experience from a Saudi teaching hospital. Surg Endosc 14 157–160 Occurrence Handle10.1007/s004649900090 Occurrence Handle1:STN:280:DC%2BD3c7isVSqtA%3D%3D Occurrence Handle10656951

    Article  CAS  PubMed  Google Scholar 

  5. IS Bailey M Rhodes N O’Rourke L Nathanson G Frielding (1998) ArticleTitleLaparoscopic management of acute small bowel obstruction. Br J Surg 85 84–87 Occurrence Handle10.1046/j.1365-2168.1998.00535.x Occurrence Handle1:STN:280:DyaK1c7itl2nsQ%3D%3D Occurrence Handle9462391

    Article  CAS  PubMed  Google Scholar 

  6. TL Bryant RK Umstot (1996) ArticleTitleLaparoscopic repair of an incarcerated obturator hernia. Surg Endosc 10 437 Occurrence Handle10.1007/s004649910085 Occurrence Handle1:STN:280:BymB28rpsVc%3D Occurrence Handle8661798

    Article  CAS  PubMed  Google Scholar 

  7. MR Cox IF Gunn MC Eastman RF Hunt AW Heinz (1993) ArticleTitleThe operative aetiology and types of adhesions causing small bowel obstruction. Aust N Z J Surg 63 848–852 Occurrence Handle1:STN:280:ByuD38bnsVI%3D Occurrence Handle8216061

    CAS  PubMed  Google Scholar 

  8. QY Duh LW Way (1993) ArticleTitleDiganostic laparoscopy and laparoscopic cecostomy for colonic pseudo-obstruction. Dis Colon Rectum 36 65–70 Occurrence Handle1:STN:280:ByyC3crnsVE%3D Occurrence Handle8416781

    CAS  PubMed  Google Scholar 

  9. W Ehrmantraut A Sardi (1997) ArticleTitleLaparoscopy-assisted small bowel resection. Am Surg 63 996–1001 Occurrence Handle1:STN:280:DyaK1c%2FitlKrsw%3D%3D Occurrence Handle9358789

    CAS  PubMed  Google Scholar 

  10. H Ellis (1997) ArticleTitleThe clinical significance of adhesions: focus on intestinal obstruction. Eur J Surg Suppl 577 5–9 Occurrence Handle9076446

    PubMed  Google Scholar 

  11. CP Fischer D Doherty (2002) ArticleTitleLaparoscopic approach to small bowel obstruction. Semin Laparosc Surg 9 40–45 Occurrence Handle10.1053/slas.2002.32714 Occurrence Handle1:STN:280:DC%2BD383ktFCgtA%3D%3D Occurrence Handle11979409

    Article  CAS  PubMed  Google Scholar 

  12. ME Franklin JP Dorman D Pharand (1994) ArticleTitleLaparoscopic surgery in acute small bowel obstruction. Surg Laparosc Endosc 4 289–296 Occurrence Handle7952440

    PubMed  Google Scholar 

  13. ME Franklin JP Dorman WW Schuessler (1994) ArticleTitleLaparoscopic treatment of gallstone ileus: a case report and review of the literature. J Laparoendosc Surg 4 265–272 Occurrence Handle7949386

    PubMed  Google Scholar 

  14. D Gaddie JW Serpell (1995) ArticleTitleObturation of the small bowel. Aust N Z J Surg 65 902–905 Occurrence Handle1:STN:280:BymB3czgtlY%3D Occurrence Handle8611120

    CAS  PubMed  Google Scholar 

  15. ER Kreutzer SE Lerner NZ Kahan A Melman (1994) ArticleTitleLaparoscopic treatment of small-bowel obstruction following laparoscopic lymphadenectomy. Urology 44 768–770 Occurrence Handle1:STN:280:ByqD28rjsVE%3D Occurrence Handle7974955

    CAS  PubMed  Google Scholar 

  16. GM Larson (1995) ArticleTitleLaparoscopy for abdominal emergencies. Scand J Gastroenterol 30 IssueIDSuppl 208 62–66

    Google Scholar 

  17. FD Loffer D Pent (1975) ArticleTitleIndications, contraindications, and complications of laparoscopy. Obstet Gynecol Surv 30 407–427 Occurrence Handle1:STN:280:CSqC2srnt1M%3D Occurrence Handle124409

    CAS  PubMed  Google Scholar 

  18. B Navez JM Arimont P Guiot (1998) ArticleTitleLaparoscopic approach in acute small bowel obstruction. A review of 68 patients. Hepato-Gastroenterology 45 2146–2150 Occurrence Handle1:STN:280:DyaK1M7jsFemsQ%3D%3D Occurrence Handle9951882

    CAS  PubMed  Google Scholar 

  19. S Paterson-Brown MN Vipond (1990) ArticleTitleModern aids to clinical decision-making in the acute abdomen. Br J Surg 77 13–18 Occurrence Handle1:STN:280:By%2BC2cblsVE%3D Occurrence Handle2137357

    CAS  PubMed  Google Scholar 

  20. P Reissman SD Wexner (1995) ArticleTitleLaparoscopic surgery for intestinal obstruction. Surg Endosc 9 865–868 Occurrence Handle1:STN:280:BymD3MnmslA%3D Occurrence Handle8525435

    CAS  PubMed  Google Scholar 

  21. R Robles JA Lujan P Parrilla JA Torralba C Escamilla (1995) ArticleTitleLaparoscopic surgery in the treatment of small bowel obstruction by bezoar. Br J Surg 82 520 Occurrence Handle1:STN:280:ByqA3sfmtlE%3D Occurrence Handle7613900

    CAS  PubMed  Google Scholar 

  22. D Rosin J Kuriansky B Bar Zakai M Shabtai A Ayalon (2000) ArticleTitleLaparoscopic approach to small-bowel obstruction. J Laparoendosc Adv Surg Tech 10 253–257 Occurrence Handle1:STN:280:DC%2BD3crht12jsQ%3D%3D

    CAS  Google Scholar 

  23. LE Sanders (1995) ArticleTitleLaparoscopic treatment of Meckel’s diverticulum: obstruction and bleeding managed with minimal morbidity. Surg Endosc 9 724–727 Occurrence Handle1:STN:280:BymD2srotlE%3D Occurrence Handle7482174

    CAS  PubMed  Google Scholar 

  24. P Strickland DL Lourie EA Suddleson JB Blitz SC Stain (1999) ArticleTitleIs laparoscopy safe and effective for treatment of acute small-bowel obstruction?. Surg Endosc 13 695–698 Occurrence Handle10.1007/s004649901075 Occurrence Handle1:STN:280:DyaK1Mzhs1equw%3D%3D Occurrence Handle10384077

    Article  CAS  PubMed  Google Scholar 

  25. M Suter P Zermatten N Halkic O Martinet V Bettschart (2000) ArticleTitleLaparoscopic management of mechanical small bowel obstruction: are there predictors of success and failure?. Surg Endosc 14 478–483 Occurrence Handle10.1007/s004640000104 Occurrence Handle1:STN:280:DC%2BD3cvitlWgsw%3D%3D Occurrence Handle10858476

    Article  CAS  PubMed  Google Scholar 

  26. DC van der Zee NMA Bax (1999) ArticleTitleManagement of adhesive bowel obstruction in children is changed by laparoscopy. Surg Endosc 13 925–927 Occurrence Handle10.1007/s004649901136 Occurrence Handle1:STN:280:DyaK1MzotVKltQ%3D%3D Occurrence Handle10449855

    Article  CAS  PubMed  Google Scholar 

  27. MS Wilson H Ellis D Menzies BJ Moran MC Parker JN Thompson (1999) ArticleTitleA review of the management of small bowel obstruction. Ann R Coll Surg England 81 320–328 Occurrence Handle1:STN:280:DC%2BD3c7gvFOluw%3D%3D

    CAS  Google Scholar 

Download references

Author information

Authors and Affiliations

  1. Texas Endosurgery Institute, 4242 E. Southcross, Suite 1, San Antonio, TX 78222, USA

    M. E. Franklin Jr, J. J. Gonzalez Jr, D. B. Miter, J. L. Glass & D. Paulson

Authors
  1. M. E. Franklin Jr
    View author publications

    You can also search for this author in PubMed Google Scholar

  2. J. J. Gonzalez Jr
    View author publications

    You can also search for this author in PubMed Google Scholar

  3. D. B. Miter
    View author publications

    You can also search for this author in PubMed Google Scholar

  4. J. L. Glass
    View author publications

    You can also search for this author in PubMed Google Scholar

  5. D. Paulson
    View author publications

    You can also search for this author in PubMed Google Scholar

Corresponding author

Correspondence to J. J. Gonzalez Jr.

Rights and permissions

Reprints and permissions

About this article

Cite this article

Franklin Jr, M., Gonzalez Jr, J., Miter, D. et al. Laparoscopic diagnosis and treatment of intestinal obstruction . Surg Endosc 18, 26–30 (2004). https://doi.org/10.1007/s00464-003-8804-7

Download citation

  • Received:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s00464-003-8804-7

Keywords

Search

Navigation