{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,11,2]],"date-time":"2026-11-02T04:28:24Z","timestamp":1793593704792,"version":"4.5.0"},"reference-count":55,"publisher":"Wiley","issue":"10","license":[{"start":{"date-parts":[[2026,7,2]],"date-time":"2026-07-02T00:00:00Z","timestamp":1782950400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2026,7,2]],"date-time":"2026-07-02T00:00:00Z","timestamp":1782950400000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["ANZ Journal of Surgery"],"published-print":{"date-parts":[[2026,10]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>\n                      Adhesive small bowel obstruction (\n                      <jats:styled-content style=\"fixed-case\">ASBO<\/jats:styled-content>\n                      ) accounts for 65%\u201375% of all reported small bowel obstructions, primarily occurring following abdominal surgery. Although conservative treatment is effective in most cases, adhesions remain, which frequently recur. This systematic review and meta\u2010analysis aimed to compare operative and non\u2010operative management of\n                      <jats:styled-content style=\"fixed-case\">ASBO<\/jats:styled-content>\n                      with respect to recurrence rate and other clinical outcomes.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>\n                      <jats:styled-content style=\"fixed-case\">PubMed<\/jats:styled-content>\n                      , Embase and Cochrane Library databases were searched for randomised and non\u2010randomised studies (\n                      <jats:styled-content style=\"fixed-case\">NRSs<\/jats:styled-content>\n                      ) comparing operative with non\u2010operative management of\n                      <jats:styled-content style=\"fixed-case\">ASBO<\/jats:styled-content>\n                      in November 2025. The pooled results for recurrence, mortality, complications and length of hospital stay (\n                      <jats:styled-content style=\"fixed-case\">LOS<\/jats:styled-content>\n                      ) were analysed. The Risk Of Bias In Non\u2010randomized Studies\u2014of Interventions was used to assess the risk of bias.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      One randomised controlled study and 26\n                      <jats:styled-content style=\"fixed-case\">NRSs<\/jats:styled-content>\n                      were selected, with a total of 91\u2009838 patients enrolled. Recurrence rate was significantly reduced with operative management across all study designs, including\n                      <jats:styled-content style=\"fixed-case\">NRSs<\/jats:styled-content>\n                      using clinical and administrative data analyses. No significant differences in mortality rates were observed between the two groups across all time periods and study designs, except for short\u2010term mortality in\n                      <jats:styled-content style=\"fixed-case\">NRSs<\/jats:styled-content>\n                      using clinical data. Operative treatment was associated with significantly higher complication rates than non\u2010operative treatment.\n                      <jats:styled-content style=\"fixed-case\">LOS<\/jats:styled-content>\n                      was generally longer and treatment costs were higher in the operative group than in the non\u2010operative group.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>\n                      Operative management reduces the recurrence of\n                      <jats:styled-content style=\"fixed-case\">ASBO<\/jats:styled-content>\n                      compared with non\u2010operative treatment; however, it is associated with higher complication rates, longer\n                      <jats:styled-content style=\"fixed-case\">LOS<\/jats:styled-content>\n                      and increased costs. Elective surgery may benefit patients with recurrent episodes.\n                    <\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/ans.70839","type":"journal-article","created":{"date-parts":[[2026,7,3]],"date-time":"2026-07-03T06:12:04Z","timestamp":1783059124000},"page":"2814-2826","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Clinical Outcomes of Non\u2010Operative Versus Operative Treatment in Adhesive Small Bowel Obstruction: A Systematic Review and Meta\u2010Analysis"],"prefix":"10.1111","volume":"96","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-5660-5701","authenticated-orcid":false,"given":"Yujin","family":"Lee","sequence":"first","affiliation":[{"name":"Department of General Surgery, Sanggye Paik Hospital Inje University College of Medicine  Seoul Republic of Korea"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sun Jung","family":"Kim","sequence":"additional","affiliation":[{"name":"Department of Surgery Ajou University School of Medicine  Suwon Republic of Korea"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,7,2]]},"reference":[{"issue":"4","key":"e_1_2_11_2_1","first-page":"291","article-title":"Adhesive Small Bowel Obstruction: Epidemiology, Biology and Prevention","volume":"50","author":"Attard J. 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