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
Alexander TYAGUNOV, Anton TYAGUNOV, Taras NECHAY, Kirill MELNIKOV-MAKARCHUK, Zaripat ALIEVA, Botan ABDULKARIM, Alexander SAZHIN · 2026
Read 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 by Alexander TYAGUNOV, Anton TYAGUNOV, Taras NECHAY, Kirill MELNIKOV-MAKARCHUK, Zaripat ALIEVA, Botan ABDULKARIM, Alexander SAZHIN (2026) in the Tower of Babel, a free online library of public-domain works preserved in clean, searchable text. No sign-up. The full text is served as a plain-text file at a predictable URL, where text is present: https://antarctic-labs.com/tower-of-babel/PMC13652511.txt.
Description
Alexander Tyagunov and six colleagues ask whether early surgery actually helps patients with adhesive small bowel obstruction. Blockages caused by internal scar tissue can settle without an operation, yet doctors lack firm rules for when waiting becomes dangerous. The multicenter study looked back at 143 patients and compared surgery within twelve hours, later surgery. Treatment without surgery, separating cases where the bowel was strangulated from those where it was not.
About half the patients had an operation, most of them started through keyhole surgery. Outcomes for early surgery were no better than for the delayed approach, and the gap was clearest in older patients, who fared worse with rushed intervention. The findings push back on the habit of operating as fast as possible and support a monitored trial of nonoperative care for selected patients, with surgery held in reserve.
Catalog record
| CREATOR | Alexander TYAGUNOV, Anton TYAGUNOV, Taras NECHAY, Kirill MELNIKOV-MAKARCHUK, Zaripat ALIEVA, Botan ABDULKARIM, Alexander SAZHIN |
|---|---|
| YEAR | 2026 |
| COLLECTION | PAPERS |
| FORMAT | TXT |
| FILE SIZE | 28 KB |
| LICENSE | https://creativecommons.org/licenses/by/4.0 |
| RIGHTS | CC BY |
| SOURCE | Europe PMC |