{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,24]],"date-time":"2026-10-24T00:14:46Z","timestamp":1792800886098,"version":"4.5.0"},"reference-count":56,"publisher":"Wiley","issue":"11","license":[{"start":{"date-parts":[[2018,5,14]],"date-time":"2018-05-14T00:00:00Z","timestamp":1526256000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["ANZ Journal of Surgery"],"published-print":{"date-parts":[[2018,11]]},"abstract":"<jats:p>Small bowel obstruction is a common and significant surgical presentation. Approximately 30% of presentations will require surgery during admission. The great challenge of adhesive small bowel obstruction (ASBO) management is the early detection of silent intestinal ischaemia in patients initially deemed suitable for conservative therapy. Recent literature emphasizes the effectiveness of computed tomography enterography and water\u2010soluble contrast studies in the management of ASBO. Low\u2010volume undiluted water\u2010soluble contrast has been shown to have both triage and therapeutic value in the management of ASBO. Their use has been demonstrated to reduce the need for surgery to below 20%. There has also been growing interest in clinicoradiological algorithms which aim to predict ischaemia early in the course of presentation. The aim of this review is to summarize the latest evidence and clarify previous uncertainties, specifically regarding the duration of conservative treatment, timing of contrast studies and the reliability of predictive algorithms. Based on this latest evidence, we have formulated a management protocol which aims to integrate these latest developments and formalize a strategy for best management in ASBO.<\/jats:p>","DOI":"10.1111\/ans.14556","type":"journal-article","created":{"date-parts":[[2018,5,14]],"date-time":"2018-05-14T09:36:50Z","timestamp":1526290610000},"page":"1117-1122","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":39,"title":["Current management of adhesive small bowel obstruction"],"prefix":"10.1111","volume":"88","author":[{"given":"Jakob","family":"K\u00f6stenbauer","sequence":"first","affiliation":[{"name":"Rural Clinical School, The University of New South Wales  Sydney New South Wales Australia"},{"name":"Department of Surgery, Wagga Wagga Rural Referral Hospital  Wagga Wagga New South Wales Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Philip G.","family":"Truskett","sequence":"additional","affiliation":[{"name":"Rural Clinical School, The University of New South Wales  Sydney New South Wales Australia"},{"name":"Department of General Surgery Prince of Wales Hospital  Sydney New South Wales Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2018,5,14]]},"reference":[{"key":"e_1_2_9_2_1","doi-asserted-by":"publisher","DOI":"10.1016\/S1072-7515(97)00127-0"},{"key":"e_1_2_9_3_1","doi-asserted-by":"publisher","DOI":"10.1046\/j.1365-2168.2000.01530.x"},{"key":"e_1_2_9_4_1","doi-asserted-by":"publisher","DOI":"10.1067\/j.cpsurg.2012.06.005"},{"key":"e_1_2_9_5_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.amjsurg.2015.06.012"},{"key":"e_1_2_9_6_1","doi-asserted-by":"publisher","DOI":"10.3109\/02841859909177758"},{"key":"e_1_2_9_7_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00261-009-9567-y"},{"key":"e_1_2_9_8_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00261-004-0211-6"},{"key":"e_1_2_9_9_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0720-048X(02)00382-0"},{"key":"e_1_2_9_10_1","doi-asserted-by":"publisher","DOI":"10.1097\/TA.0b013e31816f709e"},{"key":"e_1_2_9_11_1","first-page":"175","article-title":"Radiographic evaluation of suspected small bowel obstruction","volume":"86","author":"Shrake PD","year":"1991","journal-title":"Am. J. Gastroenterol."},{"key":"e_1_2_9_12_1","doi-asserted-by":"publisher","DOI":"10.2214\/ajr.167.6.8956576"},{"key":"e_1_2_9_13_1","doi-asserted-by":"publisher","DOI":"10.2214\/AJR.06.0817"},{"key":"e_1_2_9_14_1","doi-asserted-by":"publisher","DOI":"10.2214\/ajr.175.6.1751601"},{"key":"e_1_2_9_15_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jamcollsurg.2004.12.027"},{"key":"e_1_2_9_16_1","doi-asserted-by":"publisher","DOI":"10.1007\/s11604-010-0500-7"},{"key":"e_1_2_9_17_1","doi-asserted-by":"publisher","DOI":"10.1007\/s11605-012-2011-6"},{"key":"e_1_2_9_18_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00268-003-6899-6"},{"key":"e_1_2_9_19_1","doi-asserted-by":"publisher","DOI":"10.1097\/TA.0b013e31827019de"},{"key":"e_1_2_9_20_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00330-014-3440-2"},{"key":"e_1_2_9_21_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.amjsurg.2007.09.020"},{"key":"e_1_2_9_22_1","doi-asserted-by":"publisher","DOI":"10.1002\/bjs.7037"},{"key":"e_1_2_9_23_1","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pone.0089804"},{"key":"e_1_2_9_24_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00268-016-3796-3"},{"key":"e_1_2_9_25_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jamcollsurg.2011.02.023"},{"key":"e_1_2_9_26_1","doi-asserted-by":"publisher","DOI":"10.1097\/TA.0000000000000759"},{"key":"e_1_2_9_27_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.surg.2009.10.005"},{"key":"e_1_2_9_28_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jss.2009.05.036"},{"key":"e_1_2_9_29_1","doi-asserted-by":"publisher","DOI":"10.1007\/DCR.0b013e3181b35c06"},{"key":"e_1_2_9_30_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00261-008-9436-0"},{"key":"e_1_2_9_31_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.yasu.2011.03.017"},{"key":"e_1_2_9_32_1","doi-asserted-by":"publisher","DOI":"10.1080\/110241502321116488"},{"key":"e_1_2_9_33_1","doi-asserted-by":"publisher","DOI":"10.1177\/145749690309200204"},{"key":"e_1_2_9_34_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00268-010-0479-3"},{"key":"e_1_2_9_35_1","doi-asserted-by":"crossref","first-page":"40","DOI":"10.1177\/000313480407000109","article-title":"Clinical studies of strangulating small bowel obstruction","volume":"70","author":"Takeuchi K","year":"2004","journal-title":"Am. Surg."},{"key":"e_1_2_9_36_1","doi-asserted-by":"publisher","DOI":"10.1016\/0002-9610(83)90186-1"},{"key":"e_1_2_9_37_1","doi-asserted-by":"publisher","DOI":"10.1159\/000338086"},{"key":"e_1_2_9_38_1","doi-asserted-by":"publisher","DOI":"10.1007\/s11605-008-0610-z"},{"key":"e_1_2_9_39_1","first-page":"433","article-title":"Therapeutic effect of oral Gastrografin in adhesive, partial small\u2010bowel obstruction: a prospective randomized trial","volume":"115","author":"Assalia A","year":"1994","journal-title":"Surgery"},{"key":"e_1_2_9_40_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0002-9610(97)89553-0"},{"key":"e_1_2_9_41_1","doi-asserted-by":"publisher","DOI":"10.1046\/j.1365-2168.1998.00919.x"},{"key":"e_1_2_9_42_1","doi-asserted-by":"publisher","DOI":"10.1080\/110241500750009681"},{"key":"e_1_2_9_43_1","doi-asserted-by":"publisher","DOI":"10.1002\/bjs.4150"},{"key":"e_1_2_9_44_1","first-page":"120","article-title":"Water soluble contrast follow\u2010through in the management of adhesive small bowel obstruction: a prospective randomized trial","volume":"8","author":"Lee JF\u2010Y","year":"2004","journal-title":"Surg. Pract."},{"key":"e_1_2_9_45_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1445-1433.2004.03183.x"},{"key":"e_1_2_9_46_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1445-2197.2005.03491.x"},{"key":"e_1_2_9_47_1","doi-asserted-by":"publisher","DOI":"10.3748\/wjg.v11.i24.3742"},{"key":"e_1_2_9_48_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jss.2005.12.008"},{"key":"e_1_2_9_49_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.dld.2005.10.010"},{"key":"e_1_2_9_50_1","first-page":"CD004651","article-title":"Oral water soluble contrast for the management of adhesive small bowel obstruction","volume":"3","author":"Abbas S","year":"2007","journal-title":"Cochrane Database Syst. Rev."},{"key":"e_1_2_9_51_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00268-008-9694-6"},{"key":"e_1_2_9_52_1","first-page":"360","article-title":"Therapeutic role of oral water soluble iodinated contrast agent in postoperative small bowel obstruction","volume":"50","author":"Kumar P","year":"2009","journal-title":"Singapore Med. J."},{"key":"e_1_2_9_53_1","doi-asserted-by":"publisher","DOI":"10.1002\/bjs.7019"},{"key":"e_1_2_9_54_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jss.2009.03.092"},{"key":"e_1_2_9_55_1","first-page":"936","article-title":"Role of orally administered gastrografin in small bowel obstruction after unsuccessful conservative treatment","volume":"28","author":"Jaffar S","year":"2012","journal-title":"Pak. J. Med. Sci."},{"key":"e_1_2_9_56_1","unstructured":"WardN PilgrimS HumphrysN et al. The use of oral gastrografin in patients with adhesive small bowel obstruction reduces operative intervention and length of hospital stay. 7th Scientific and Annual Meeting of the European Society of Coloproctology Vienna Austria. var.pagings Colorectal Disease 2012. 14: 40\u201341."},{"key":"e_1_2_9_57_1","doi-asserted-by":"publisher","DOI":"10.1186\/1749-7922-8-42"}],"container-title":["ANZ Journal of Surgery"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.wiley.com\/onlinelibrary\/tdm\/v1\/articles\/10.1111%2Fans.14556","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/ans.14556","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,9,16]],"date-time":"2023-09-16T22:20:15Z","timestamp":1694902815000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1111\/ans.14556"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2018,5,14]]},"references-count":56,"journal-issue":{"issue":"11","published-print":{"date-parts":[[2018,11]]}},"alternative-id":["10.1111\/ans.14556"],"URL":"https:\/\/doi.org\/10.1111\/ans.14556","archive":["Portico"],"relation":{},"ISSN":["1445-1433","1445-2197"],"issn-type":[{"value":"1445-1433","type":"print"},{"value":"1445-2197","type":"electronic"}],"subject":[],"published":{"date-parts":[[2018,5,14]]},"assertion":[{"value":"2017-10-28","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2018-02-28","order":1,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2018-05-14","order":2,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}