{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,18]],"date-time":"2026-08-18T00:44:11Z","timestamp":1787013851896,"version":"build-2736575974"},"reference-count":21,"publisher":"Wiley","issue":"10","license":[{"start":{"date-parts":[[2021,8,2]],"date-time":"2021-08-02T00:00:00Z","timestamp":1627862400000},"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":[[2021,10]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Adhesive small bowel obstruction (ASBO) is one of the major causes of postoperative morbidity. Non\u2010surgical management is generally applied to non\u2010strangulated ASBO. Several factors have been reported to affect the response to non\u2010surgical management in patients with ASBO. However, the association between sex differences and non\u2010strangulated ASBO remains unclear. This study aimed to elucidate the effect of sex differences in non\u2010strangulated postoperative ASBO.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>\n                      We divided 139 patients with a first episode of non\u2010strangulated postoperative ASBO into two groups: male group (\n                      <jats:italic>n<\/jats:italic>\n                      \u00a0=\u00a083) and female group (\n                      <jats:italic>n<\/jats:italic>\n                      \u00a0=\u00a056). Clinical features and prognosis were compared between the two groups.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      Female patients had lower proportions of oesophageal\/gastric malignancies (\n                      <jats:italic>P<\/jats:italic>\n                      \u00a0=\u00a00.044) and colorectal malignancies (\n                      <jats:italic>P<\/jats:italic>\n                      \u00a0=\u00a00.030) and a higher proportion of uterine\/ovarian malignancies (\n                      <jats:italic>P<\/jats:italic>\n                      \u2009&lt;\u20090.001) than male patients did. More female patients required surgical management than male patients (\n                      <jats:italic>P<\/jats:italic>\n                      \u00a0=\u00a00.003) did. Hospital length of stay (LOS) was longer (\n                      <jats:italic>P<\/jats:italic>\n                      \u00a0=\u00a00.046) in the female group than in the male group. Multiple logistic regression analysis showed that the female sex was associated with an increased risk of the need for surgical management (odds ratio 5.318,\n                      <jats:italic>P<\/jats:italic>\n                      \u00a0=\u00a00.006). Cox proportional hazards regression analysis revealed that the female sex was positively associated with increased LOS (hazard ratio 0.687,\n                      <jats:italic>P<\/jats:italic>\n                      \u00a0=\u00a00.045).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>Female sex was associated with failure of non\u2010surgical management and increased LOS in patients with non\u2010strangulated postoperative ASBO.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/ans.17103","type":"journal-article","created":{"date-parts":[[2021,8,2]],"date-time":"2021-08-02T11:22:01Z","timestamp":1627903321000},"page":"2074-2080","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":2,"title":["Sex differences in non\u2010strangulated postoperative adhesive small bowel obstruction: a retrospective cohort study"],"prefix":"10.1111","volume":"91","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-1225-2240","authenticated-orcid":false,"given":"Yuta","family":"Yamamoto","sequence":"first","affiliation":[{"name":"Division of Gastroenterological, Hepato\u2010Biliary\u2010Pancreatic, Transplantation and Paediatric Surgery, Department of Surgery Shinshu University School of Medicine  3\u20101\u20101 Asahi, Matsumoto, Nagano 390\u20108621 Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yusuke","family":"Miyagawa","sequence":"additional","affiliation":[{"name":"Division of Gastroenterological, Hepato\u2010Biliary\u2010Pancreatic, Transplantation and Paediatric Surgery, Department of Surgery Shinshu University School of Medicine  3\u20101\u20101 Asahi, Matsumoto, Nagano 390\u20108621 Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Masato","family":"Kitazawa","sequence":"additional","affiliation":[{"name":"Division of Gastroenterological, Hepato\u2010Biliary\u2010Pancreatic, Transplantation and Paediatric Surgery, Department of Surgery Shinshu University School of Medicine  3\u20101\u20101 Asahi, Matsumoto, Nagano 390\u20108621 Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Makoto","family":"Koyama","sequence":"additional","affiliation":[{"name":"Division of Gastroenterological, Hepato\u2010Biliary\u2010Pancreatic, Transplantation and Paediatric Surgery, Department of Surgery Shinshu University School of Medicine  3\u20101\u20101 Asahi, Matsumoto, Nagano 390\u20108621 Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Satoshi","family":"Nakamura","sequence":"additional","affiliation":[{"name":"Division of Gastroenterological, Hepato\u2010Biliary\u2010Pancreatic, Transplantation and Paediatric Surgery, Department of Surgery Shinshu University School of Medicine  3\u20101\u20101 Asahi, Matsumoto, Nagano 390\u20108621 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