{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2024,9,8]],"date-time":"2024-09-08T10:19:39Z","timestamp":1725790779973},"reference-count":32,"publisher":"Wiley","issue":"6","license":[{"start":{"date-parts":[[1985,12,1]],"date-time":"1985-12-01T00:00:00Z","timestamp":502243200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["World j. surg."],"published-print":{"date-parts":[[1985,12]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:p>Adhesive obstruction of the small bowel complicates about 5% of laparotomies; of these, 5\u201310% have recurrent attacks. The etiology of adhesions is incompletely understood and attempts to prevent their formation are of unproven value. Patients with recurrent acute obstruction that threatens strangulation, or that fails to subside, require laparotomy. If numerous adhesions have to be divided, it is worth considering a procedure to encourage fresh adhesions to form in a favorable pattern. Suture plication of the bowel by Noble's technique has a high incidence of complications and recurrent obstruction, and transmesenteric plication cannot be used in the presence of sepsis. Splinting of the entire small bowel by intraoperative passage of a long tube, which is left indwelling for 2\u20133 weeks, appears to be effective and safe. We have used this method in 140 patients without associated complications; of these, 17 had recurrent intestinal obstruction after 1\u20135 previous laparotomies for adhesions. A meticulous adhesiolysis followed by transluminal splinting through a jejunostomy has been followed by freedom from recurrence during 103 patient\u2010years of follow\u2010up.<\/jats:p>","DOI":"10.1007\/bf01655391","type":"journal-article","created":{"date-parts":[[2005,5,8]],"date-time":"2005-05-08T02:39:16Z","timestamp":1115519956000},"page":"868-875","source":"Crossref","is-referenced-by-count":20,"title":["Recurrent adhesive small bowel obstruction"],"prefix":"10.1002","volume":"9","author":[{"given":"Peter F.","family":"Jones","sequence":"first","affiliation":[{"name":"Department of Surgery Woodend General Hospital University of Aberdeen UK"},{"name":"Department of Surgery Royal Aberdeen Children's Hospital University of Aberdeen UK"},{"name":"Raigmore Hospital Inverness UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Alexander","family":"Munro","sequence":"additional","affiliation":[{"name":"Department of Surgery Woodend General Hospital University of Aberdeen UK"},{"name":"Department of Surgery Royal Aberdeen Children's Hospital University of Aberdeen UK"},{"name":"Raigmore Hospital Inverness UK"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[1985,12]]},"reference":[{"key":"e_1_2_1_2_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1445-2197.1968.tb03179.x"},{"key":"e_1_2_1_3_1","first-page":"73","article-title":"Causes of abdominal adhesions in cases of intestinal obstruction","volume":"135","author":"R\u00e4f L.E.","year":"1969","journal-title":"Acta Chir. 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Bicentenary Proceedings of Royal College of Surgeons of Ireland Dublin 1984."},{"key":"e_1_2_1_31_1","first-page":"37","volume-title":"Adhesions: The Problems","author":"Jones P.F.","year":"1983"},{"key":"e_1_2_1_32_1","doi-asserted-by":"publisher","DOI":"10.1016\/0002-9610(80)90123-3"},{"key":"e_1_2_1_33_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1445-2197.1983.tb02387.x"}],"container-title":["World Journal of Surgery"],"original-title":[],"language":"en","link":[{"URL":"http:\/\/link.springer.com\/content\/pdf\/10.1007\/BF01655391.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"http:\/\/link.springer.com\/article\/10.1007\/BF01655391\/fulltext.html","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1007\/BF01655391","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2024,1,11]],"date-time":"2024-01-11T15:15:30Z","timestamp":1704986130000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1007\/BF01655391"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[1985,12]]},"references-count":32,"journal-issue":{"issue":"6","published-print":{"date-parts":[[1985,12]]}},"alternative-id":["10.1007\/BF01655391"],"URL":"https:\/\/doi.org\/10.1007\/bf01655391","archive":["Portico"],"relation":{},"ISSN":["0364-2313","1432-2323"],"issn-type":[{"value":"0364-2313","type":"print"},{"value":"1432-2323","type":"electronic"}],"subject":[],"published":{"date-parts":[[1985,12]]}}}