{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,20]],"date-time":"2026-10-20T16:17:38Z","timestamp":1792513058288,"version":"4.5.0"},"reference-count":27,"publisher":"BMJ","issue":"9","content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["BMJ Open"],"accepted":{"date-parts":[[2014,8,27]]},"published-print":{"date-parts":[[2014,9]]},"abstract":"<jats:sec>\n                  <jats:title>Objective<\/jats:title>\n                  <jats:p>To assess the effectiveness of conservative treatment for adhesive small bowel obstruction (ASBO) in children.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Design<\/jats:title>\n                  <jats:p>Systematic review of studies involved children with ASBO who received initial conservative\/non-operative treatment.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Setting<\/jats:title>\n                  <jats:p>The search was performed in April 2013 using PubMed (see online supplementary file 1), current contents, and the Cochrane database.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Participants<\/jats:title>\n                  <jats:p>Children with ASBO.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Interventions<\/jats:title>\n                  <jats:p>Conservative treatment included nasogastric decompression, parenteral fluids and correction of electrolyte and fluid imbalance.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Primary outcome<\/jats:title>\n                  <jats:p>Treatment success.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Secondary outcomes<\/jats:title>\n                  <jats:p>Length of hospital stay and the time to first feeding after hospital admission.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Results<\/jats:title>\n                  <jats:p>7 studies (six retrospective, one prospective), involving 8\u2013109 patients (age: 1\u2005month to 16\u2005years) treated conservatively, were included in the review. The nature of conservative treatment was generally consistent between studies (nasogastric decompression, parenteral fluids and correction of electrolyte and fluid imbalance), although patients in one study also received Gastrografin. The rate of conservative treatment success ranged from 16% to 75% among the five studies, but one trial showed 0% successful rate. The hospital length of stay ranged from 3 to 6.5\u2005days for conservative treatment (vs 10.2\u201313\u2005days for operative treatment). The time to first feeding ranged from 31 to 84\u2005h for conservative treatment.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Conclusions<\/jats:title>\n                  <jats:p>In conclusion, in the majority of cases, conservative treatment is an effective means of managing ASBO in children.<\/jats:p>\n               <\/jats:sec>","DOI":"10.1136\/bmjopen-2014-005789","type":"journal-article","created":{"date-parts":[[2014,9,16]],"date-time":"2014-09-16T03:21:30Z","timestamp":1410837690000},"page":"e005789","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":17,"title":["Conservative treatment of adhesive small bowel obstruction in children: a systematic review"],"prefix":"10.1136","volume":"4","author":[{"given":"Lung-Huang","family":"Lin","sequence":"first","affiliation":[{"name":"Departments of Pediatrics, Cathay General Hospital, Taipei, Taiwan"},{"name":"School of Medicine, FuJen Catholic University, New Taipei City, Taiwan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Chee-Yew","family":"Lee","sequence":"additional","affiliation":[{"name":"Departments of Pediatrics, Cathay General Hospital, Taipei, Taiwan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Min-Hsuan","family":"Hung","sequence":"additional","affiliation":[{"name":"Department of Pediatrics, Song-Shan Armed Forces General Hospital, Taipei, Taiwan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Der-Fang","family":"Chen","sequence":"additional","affiliation":[{"name":"Department of Surgery, Cathay General Hospital, Taipei, Taiwan"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"239","published-online":{"date-parts":[[2014,9,15]]},"reference":[{"key":"2025101810483891000_4.9.e005789.1","first-page":"291","article-title":"Adhesive small bowel obstruction: epidemiology, biology and prevention","volume":"50","author":"Attard","year":"2007","journal-title":"Can J Surg"},{"key":"2025101810483891000_4.9.e005789.2","doi-asserted-by":"crossref","first-page":"642","DOI":"10.1067\/j.cpsurg.2012.06.005","article-title":"New paradigms in the treatment of small bowel obstruction","volume":"49","author":"Dayton","year":"2012","journal-title":"Curr Probl Surg"},{"key":"2025101810483891000_4.9.e005789.3","first-page":"60","article-title":"Intestinal obstruction from adhesions\u2014how big is the problem?","volume":"72","author":"Menzies","year":"1990","journal-title":"Ann R Coll Surg Engl"},{"key":"2025101810483891000_4.9.e005789.4","doi-asserted-by":"crossref","first-page":"234","DOI":"10.1055\/s-0030-1253401","article-title":"Bowel obstruction after treatment of intra-abdominal tumors","volume":"20","author":"Aguayo","year":"2010","journal-title":"Eur J Pediatr Surg"},{"key":"2025101810483891000_4.9.e005789.5","doi-asserted-by":"crossref","first-page":"203","DOI":"10.1007\/s00383-009-2483-y","article-title":"Long-term complications following operative intervention for intestinal malrotation: a 10-year review","volume":"26","author":"El-Gohary","year":"2010","journal-title":"Pediatr Surg Int"},{"key":"2025101810483891000_4.9.e005789.6","doi-asserted-by":"publisher","DOI":"10.1016\/j.jpedsurg.2006.04.023"},{"key":"2025101810483891000_4.9.e005789.7","doi-asserted-by":"crossref","first-page":"580","DOI":"10.1097\/00000658-198211000-00012","article-title":"Postoperative small bowel obstruction in infants and children","volume":"196","author":"Festen","year":"1982","journal-title":"Ann Surg"},{"key":"2025101810483891000_4.9.e005789.8","doi-asserted-by":"crossref","first-page":"779","DOI":"10.1016\/j.amjsurg.2012.03.005","article-title":"Laparoscopic versus open adhesiolysis in patients with adhesive small bowel obstruction: a systematic review and meta-analysis","volume":"204","author":"Li","year":"2012","journal-title":"Am J Surg"},{"key":"2025101810483891000_4.9.e005789.9","doi-asserted-by":"crossref","first-page":"e208","DOI":"10.1111\/j.1463-1318.2012.02968.x","article-title":"Laparoscopic adhesiolysis: consensus conference guidelines","volume":"14","author":"Vettoretto","year":"2012","journal-title":"Colorectal Dis"},{"key":"2025101810483891000_4.9.e005789.10","doi-asserted-by":"publisher","DOI":"10.1046\/j.1365-2168.2000.01394.x"},{"key":"2025101810483891000_4.9.e005789.11","doi-asserted-by":"publisher","DOI":"10.1002\/bjs.7019"},{"key":"2025101810483891000_4.9.e005789.12","doi-asserted-by":"publisher","DOI":"10.1046\/j.1365-2168.2000.01530.x"},{"key":"2025101810483891000_4.9.e005789.13","doi-asserted-by":"publisher","DOI":"10.1007\/s10350-004-0882-7"},{"key":"2025101810483891000_4.9.e005789.14","doi-asserted-by":"publisher","DOI":"10.1016\/S0002-9610(05)80414-3"},{"key":"2025101810483891000_4.9.e005789.15","doi-asserted-by":"publisher","DOI":"10.1080\/110241502321116488"},{"key":"2025101810483891000_4.9.e005789.16","doi-asserted-by":"publisher","DOI":"10.1016\/j.jpedsurg.2010.02.025"},{"key":"2025101810483891000_4.9.e005789.17","doi-asserted-by":"crossref","first-page":"969","DOI":"10.1016\/j.jpedsurg.2010.02.030","article-title":"Adhesive small bowel obstruction in children: should we still operate?","volume":"45","author":"Eeson","year":"2010","journal-title":"J Pediatr Surg"},{"key":"2025101810483891000_4.9.e005789.18","first-page":"81","article-title":"Adhesive small bowel obstruction (ASBO) in children\u2013role of conservative management","volume":"60","author":"Vijay","year":"2005","journal-title":"Med J Malaysia"},{"key":"2025101810483891000_4.9.e005789.19","doi-asserted-by":"publisher","DOI":"10.1016\/0022-3468(91)90422-P"},{"key":"2025101810483891000_4.9.e005789.20","doi-asserted-by":"crossref","first-page":"42","DOI":"10.1186\/1749-7922-8-42","article-title":"Bologna guidelines for diagnosis and management of adhesive small bowel obstruction (ASBO): 2013 update of the evidence-based guidelines from the world society of emergency surgery ASBO working group","volume":"8","author":"Di Saverio","year":"2013","journal-title":"World J Emerg Surg"},{"key":"2025101810483891000_4.9.e005789.21","doi-asserted-by":"crossref","first-page":"1277","DOI":"10.1007\/s00383-011-2963-8","article-title":"Gastrografin for uncomplicated adhesive small bowel obstruction in children","volume":"27","author":"Bonnard","year":"2011","journal-title":"Pediatr Surg Int"},{"key":"2025101810483891000_4.9.e005789.22","doi-asserted-by":"crossref","first-page":"66","DOI":"10.4103\/0189-6725.62843","article-title":"Is nonoperative management of adhesive intestinal obstruction applicable to children in a resource-poor country?","volume":"7","author":"Osifo","year":"2010","journal-title":"Afr J Paediatr Surg"},{"key":"2025101810483891000_4.9.e005789.23","doi-asserted-by":"crossref","first-page":"259","DOI":"10.4103\/0189-6725.120908","article-title":"Is non-operative management still justified in the treatment of adhesive small bowel obstruction in children?","volume":"10","author":"Nasir","year":"2013","journal-title":"Afr J Paediatr Surg"},{"key":"2025101810483891000_4.9.e005789.24","first-page":"422","article-title":"The value of water-soluble contrast radiology in the management of acute small bowel obstruction","volume":"74","author":"Joyce","year":"1992","journal-title":"Ann R Coll Surg Engl"},{"key":"2025101810483891000_4.9.e005789.25","doi-asserted-by":"publisher","DOI":"10.1007\/s00268-008-9694-6"},{"key":"2025101810483891000_4.9.e005789.26","doi-asserted-by":"publisher","DOI":"10.1016\/S0002-9610(97)89553-0"},{"key":"2025101810483891000_4.9.e005789.27","doi-asserted-by":"crossref","unstructured":"Abbas S Bissett IP Parry BR . Oral water soluble contrast for the management of adhesive small bowel obstruction. Cochrane Database Syst Rev 2007:CD004651.","DOI":"10.1002\/14651858.CD004651.pub3"}],"container-title":["BMJ Open"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/syndication.highwire.org\/content\/doi\/10.1136\/bmjopen-2014-005789","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,10,18]],"date-time":"2025-10-18T17:48:52Z","timestamp":1760809732000},"score":1,"resource":{"primary":{"URL":"https:\/\/bmjopen.bmj.com\/lookup\/doi\/10.1136\/bmjopen-2014-005789"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2014,9]]},"references-count":27,"journal-issue":{"issue":"9","published-online":{"date-parts":[[2014,9,15]]},"published-print":{"date-parts":[[2014,9]]}},"alternative-id":["10.1136\/bmjopen-2014-005789"],"URL":"https:\/\/doi.org\/10.1136\/bmjopen-2014-005789","relation":{},"ISSN":["2044-6055","2044-6055"],"issn-type":[{"value":"2044-6055","type":"print"},{"value":"2044-6055","type":"electronic"}],"subject":[],"published":{"date-parts":[[2014,9]]}}}