{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,10,12]],"date-time":"2025-10-12T19:53:32Z","timestamp":1760298812489},"reference-count":27,"publisher":"Wiley","issue":"2","license":[{"start":{"date-parts":[[2013,10,19]],"date-time":"2013-10-19T00:00:00Z","timestamp":1382140800000},"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":[[2014,2]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Background<\/jats:title><jats:p>Determining the cause of acute small bowel obstruction (SBO) in patients previously treated for cancer is necessary for adequate management, especially to avoid incorrectly classing the patient as palliative. We aimed to identify predictive factors for a malignant or a benign origin of SBO.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>We retrospectively studied data for all patients with a prior history of cancer who had undergone operations for SBO between January 2002 and December 2011. Of the 124 patients included, 36 patients had a known cancer recurrence before surgery for SBO, whereas 88 had none.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Causes of SBO were benign (post\u2010operative adhesions, post\u2010irradiation strictures) in 68 patients (54.8 %) and malignant in 56 (45.2 %). Incomplete obstruction, acute clinical onset, non\u2010permanent abdominal pain, a shorter period between primary cancer surgery and the first episode of obstruction, and a known cancer recurrence were significant predictors of a malignant SBO. Benign causes of SBO were observed in 72.8 % of patients who had no known cancer recurrence, but were observed in only 11.1 % of patients whose recurrences were known. In patients with cancer recurrence\u2010related SBO, post\u2010operative mortality was 28.6 %, with a median overall survival of 120\u00a0days. 1\u00a0month after surgery, 38 (67.8 %) of these patients tolerated oral intake.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>A benign cause of SBO was observed in half of the patients with a prior history of cancer and in two\u2010thirds of those without known recurrence. Even in the absence of bowel strangulation, surgery must be considered soon after failure of medical management to treat a possible adhesion\u2010related SBO.<\/jats:p><\/jats:sec>","DOI":"10.1007\/s00268-013-2303-3","type":"journal-article","created":{"date-parts":[[2013,10,18]],"date-time":"2013-10-18T17:58:08Z","timestamp":1382119088000},"page":"363-369","source":"Crossref","is-referenced-by-count":16,"title":["Small Bowel Obstruction in Patients with a Prior History of Cancer: Predictive Findings of Malignant Origins"],"prefix":"10.1002","volume":"38","author":[{"given":"J.","family":"Prost \u00e0 la Denise","sequence":"first","affiliation":[{"name":"Department of General and Digestive Surgery Avicenne AP\u2010HP University Hospital 125, rue de Stalingrad 93009 Bobigny France"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"R.","family":"Douard","sequence":"additional","affiliation":[{"name":"Department of General and Digestive Surgery Avicenne AP\u2010HP University Hospital 125, rue de Stalingrad 93009 Bobigny France"},{"name":"UFR SMBH, Paris\u2010Nord University Bobigny France"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"G.","family":"Malamut","sequence":"additional","affiliation":[{"name":"Department of Gastroenterology and Endoscopy Georges Pompidou European AP\u2010HP University Hospital Paris France"},{"name":"Paris\u2010Descartes Faculty of Medicine Paris France"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"F.","family":"Mecheri","sequence":"additional","affiliation":[{"name":"Department of General and Digestive Surgery Avicenne AP\u2010HP University Hospital 125, rue de Stalingrad 93009 Bobigny France"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"P.","family":"Wind","sequence":"additional","affiliation":[{"name":"Department of General and Digestive Surgery Avicenne AP\u2010HP University Hospital 125, rue de Stalingrad 93009 Bobigny France"},{"name":"UFR SMBH, Paris\u2010Nord 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