{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,13]],"date-time":"2026-09-13T10:49:03Z","timestamp":1789296543757,"version":"build-2803163510"},"reference-count":8,"publisher":"Oxford University Press (OUP)","issue":"11","license":[{"start":{"date-parts":[[2003,7,31]],"date-time":"2003-07-31T00:00:00Z","timestamp":1059609600000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/academic.oup.com\/journals\/pages\/open_access\/funder_policies\/chorus\/standard_publication_model"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2003,10,27]]},"abstract":"<jats:title>Abstract<\/jats:title>\n               <jats:sec>\n                  <jats:title>Background<\/jats:title>\n                  <jats:p>Intestinal obstruction is the most severe consequence of adhesion formation. This study examined the annual surgical workload and costs of intestinal obstruction caused by postoperative intra-abdominal adhesions.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Methods<\/jats:title>\n                  <jats:p>The study was a retrospective case-note review of patients hospitalized for intestinal obstruction caused by postoperative adhesions in a well defined geographical area. The surgical workload and direct costs of inpatient care were analysed.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Results<\/jats:title>\n                  <jats:p>There were 138 admissions for postoperative adhesion-related intestinal obstruction during the study with a total of 1118 inpatient days. The median hospital stay was 4 (range 1\u201358) days among patients who had non-operative treatment and 11 (range 2\u201334) days for those who had surgery. Surgery was necessary in 40 patients (29\u00b70 per cent). The mean operating time (time from skin incision to last stitch) and the mean time spent in the operating theatre were 79 and 141 min respectively. The cumulative operating time for the surgical group was 52 h 20 min and the cumulative theatre time was 93 h 44 min. The annual direct hospital cost for postoperative adhesional intestinal obstruction was \u00a3181 653 in the district studied and the estimated cost for the whole of Finland was \u00a32 077 796.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Conclusion<\/jats:title>\n                  <jats:p>This population-based study indicates that the workload and costs associated with bowel obstruction caused by postoperative adhesions are substantial.<\/jats:p>\n               <\/jats:sec>","DOI":"10.1002\/bjs.4272","type":"journal-article","created":{"date-parts":[[2003,10,30]],"date-time":"2003-10-30T11:16:43Z","timestamp":1067512603000},"page":"1441-1444","source":"Crossref","is-referenced-by-count":85,"title":["Population-based study of the surgical workload and economic impact of bowel obstruction caused by postoperative adhesions"],"prefix":"10.1093","volume":"90","author":[{"given":"J","family":"K\u00f6ssi","sequence":"first","affiliation":[{"name":"Department of Surgery, University of Turku, Turku, Finland"},{"name":"Department of Surgery, P\u00e4ij\u00e4t-H\u00e4me Central Hospital, Lahti, Finland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"P","family":"Salminen","sequence":"additional","affiliation":[{"name":"Department of Surgery, University of Turku, Turku, Finland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"A","family":"Rantala","sequence":"additional","affiliation":[{"name":"Department of Surgery, Turku City Hospital for Surgery, Turku, Finland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"M","family":"Laato","sequence":"additional","affiliation":[{"name":"Department of Surgery, University of Turku, Turku, Finland"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"286","published-online":{"date-parts":[[2003,7,31]]},"reference":[{"key":"2021070911391162300_bib1","first-page":"5","article-title":"The clinical significance of adhesions: focus on intestinal obstruction","volume":"163","author":"Ellis","year":"1997","journal-title":"Eur J Surg"},{"key":"2021070911391162300_bib2","first-page":"679","article-title":"Cost of bowel obstruction resulting from adhesions","volume":"163","author":"Ivarsson","year":"1997","journal-title":"Eur J Surg"},{"key":"2021070911391162300_bib3","doi-asserted-by":"crossref","first-page":"1294","DOI":"10.1046\/j.1365-2168.1998.00822.x","article-title":"Natural history of adhesional small bowel obstruction: counting the cost","volume":"85","author":"Wilson","year":"1998","journal-title":"Br J Surg"},{"key":"2021070911391162300_bib4","doi-asserted-by":"crossref","first-page":"1","DOI":"10.1016\/S1072-7515(97)00127-0","article-title":"Abdominal adhesiolysis: inpatient care and expenditures in the United States in 1994","volume":"186","author":"Ray","year":"1998","journal-title":"J Am Coll Surg"},{"key":"2021070911391162300_bib5","first-page":"40","article-title":"Small bowel obstruction due to postoperative adhesions: treatment patterns and associated costs in 110 hospital admissions","volume":"83","author":"Menzies","year":"2001","journal-title":"Ann R Coll Surg Engl"},{"key":"2021070911391162300_bib6","doi-asserted-by":"crossref","first-page":"1240","DOI":"10.1046\/j.1365-2168.2000.01530.x","article-title":"Natural history of patients with adhesive small bowel obstruction","volume":"87","author":"Miller","year":"2000","journal-title":"Br J Surg"},{"key":"2021070911391162300_bib7","volume-title":"Health Care into the 21st Century. Production and Availability of Specialised Health Care Services in Different Parts of Finland in 1999","author":"Isolauri","year":"2000"},{"key":"2021070911391162300_bib8","doi-asserted-by":"crossref","first-page":"488","DOI":"10.1136\/gut.49.4.488","article-title":"The cost of long term therapy for gastro-oesophageal reflux disease: a randomized trial comparing omeprazole and open antireflux surgery","volume":"49","author":"Myrvold","year":"2001","journal-title":"Gut"}],"container-title":["British Journal of Surgery"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.wiley.com\/onlinelibrary\/tdm\/v1\/articles\/10.1002%2Fbjs.4272","content-type":"unspecified","content-version":"vor","intended-application":"text-mining"},{"URL":"http:\/\/academic.oup.com\/bjs\/article-pdf\/90\/11\/1441\/36726945\/bjs4272.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"syndication"},{"URL":"http:\/\/academic.oup.com\/bjs\/article-pdf\/90\/11\/1441\/36726945\/bjs4272.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2021,7,9]],"date-time":"2021-07-09T21:09:43Z","timestamp":1625864983000},"score":1,"resource":{"primary":{"URL":"https:\/\/academic.oup.com\/bjs\/article\/90\/11\/1441\/6143406"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2003,7,31]]},"references-count":8,"journal-issue":{"issue":"11","published-online":{"date-parts":[[2003,7,31]]},"published-print":{"date-parts":[[2003,10,27]]}},"URL":"https:\/\/doi.org\/10.1002\/bjs.4272","relation":{},"ISSN":["0007-1323","1365-2168"],"issn-type":[{"value":"0007-1323","type":"print"},{"value":"1365-2168","type":"electronic"}],"subject":[],"published-other":{"date-parts":[[2003,11]]},"published":{"date-parts":[[2003,7,31]]}}}