{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,16]],"date-time":"2026-10-16T13:26:18Z","timestamp":1792157178653,"version":"4.4.0"},"reference-count":52,"publisher":"Oxford University Press (OUP)","issue":"6","license":[{"start":{"date-parts":[[2004,5,17]],"date-time":"2004-05-17T00:00:00Z","timestamp":1084752000000},"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":[[2004,5,17]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Background<\/jats:title><jats:p>Early postoperative small bowel obstruction (EPSBO) is a distinct clinical entity that is often difficult to differentiate from postoperative ileus.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>A literature search was performed for articles dealing with early postoperative small bowel obstruction using Medline and Google\u2122.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results and conclusion<\/jats:title><jats:p>When bowel function does not return within 5 days after surgery, causes of persistent ileus should be excluded and treated. Most instances of mechanical EPSBO can be treated expectantly for at least 10\u201314 days with almost no risk of bowel strangulation. Some causes of obstruction (for example herniation at a laparoscopic trocar site) require early reintervention, whereas in other cases (such as radiation enteritis, carcinomatosis) reintervention may be deferred indefinitely. Many episodes of EPSBO resolve without the cause being elucidated.<\/jats:p><\/jats:sec>","DOI":"10.1002\/bjs.4589","type":"journal-article","created":{"date-parts":[[2004,5,17]],"date-time":"2004-05-17T17:01:01Z","timestamp":1084813261000},"page":"683-691","source":"Crossref","is-referenced-by-count":90,"title":["Early postoperative small bowel obstruction"],"prefix":"10.1093","volume":"91","author":[{"given":"S B S","family":"Sajja","sequence":"first","affiliation":[{"name":"Department of Surgery, Bronx Lebanon Hospital Center, New York, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"M","family":"Schein","sequence":"additional","affiliation":[{"name":"Department of Surgery, Bronx Lebanon Hospital Center, New York, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"286","published-online":{"date-parts":[[2004,5,17]]},"reference":[{"key":"2021070907201961600_bib1","first-page":"260","article-title":"Paralytic ileus: recent advances in pathophysiology and treatment","volume":"40","author":"Nadrowski","year":"1983","journal-title":"Curr Surg"},{"key":"2021070907201961600_bib2","doi-asserted-by":"crossref","first-page":"935","DOI":"10.1056\/NEJMoa010564","article-title":"Selective postoperative inhibition of gastrointestinal opioid receptors","volume":"345","author":"Taguchi","year":"2001","journal-title":"N Engl J Med"},{"key":"2021070907201961600_bib3","doi-asserted-by":"crossref","first-page":"643","DOI":"10.1016\/0002-9610(87)90234-0","article-title":"The incidence and risk of early postoperative small bowel obstruction. 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