{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,3]],"date-time":"2026-07-03T18:00:33Z","timestamp":1783101633994,"version":"3.54.6"},"reference-count":16,"publisher":"SAGE Publications","issue":"12","license":[{"start":{"date-parts":[[2022,12,20]],"date-time":"2022-12-20T00:00:00Z","timestamp":1671494400000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["The American Surgeon\u2122"],"published-print":{"date-parts":[[2023,12]]},"abstract":"<jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>In adhesive small bowel obstructions (ASBOs), literature has shown that passage of a water-soluble contrast challenge at either 8\u00a0hours or 24\u00a0hours is predictive of successful non-operative management (NOM) for an ASBO, but the long-term outcomes between these two groups are unknown. We hypothesized that patients who require longer transit times to the colon have a higher one-year recidivism of ASBO.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>This was a 4-year review of patients with presumed ASBO undergoing successful NOM. Those requiring operation or those with an SBO due to something other than adhesions were excluded. Patients were divided into two groups (8\u00a0hour and 24\u00a0hour) based on when contrast reached their right colon. Patients were followed for one year to determine ASBO recurrence.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>137 patients underwent NOM; 112 in the 8-hour group and 25 in the 24-hour group. One-year recurrence rate was 21.4% in the 8-hour group and 40% in the 24-hour group ( P = 0.05). The median time to recurrence was 113\u00a0days in the 8-hour group and 13\u00a0days in the 24-hour group ( P = 0.02). Of those who recurred in the 24-hour group, 60% recurred within 30\u00a0days ( P = 0.01). On univariable analysis, first-time ASBO and 24-hour transit time were risk factors for recurrence.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Adhesive small bowel obstruction patients undergoing NOM in the 24-hour group had a recurrence rate nearly twice that of patients in the 8-hour group and may benefit from an operative exploration during the index hospitalization at the 8-hour mark of a water-soluble contrast challenge, especially if experiencing a first-time ASBO.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/00031348221146973","type":"journal-article","created":{"date-parts":[[2022,12,20]],"date-time":"2022-12-20T08:15:26Z","timestamp":1671524126000},"page":"5304-5311","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":3,"title":["Successful Non-Operative Management of Adhesive Small Bowel Obstruction: Is it Really a Success?"],"prefix":"10.1177","volume":"89","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-9190-1880","authenticated-orcid":false,"given":"W. T. Hillman","family":"Terzian","sequence":"first","affiliation":[{"name":"Department of Surgery, University of Nebraska Medical Center, Omaha, NE, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Rachel D.","family":"Appelbaum","sequence":"additional","affiliation":[{"name":"Department of Surgery, Vanderbilt University Medical Center, Nashville, TN, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ashley","family":"Raposo-Hadley","sequence":"additional","affiliation":[{"name":"Department of Surgery, University of Nebraska Medical Center, Omaha, NE, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-9087-8989","authenticated-orcid":false,"given":"Ingrid Lorese D.","family":"Tablazon","sequence":"additional","affiliation":[{"name":"Department of Surgery, Wake Forest School of Medicine, Winston-Salem, NC, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Lindsay A. N.","family":"Duy","sequence":"additional","affiliation":[{"name":"Department of Radiology, Wake Forest School of Medicine, Winston-Salem, NC, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Michael Y.","family":"Chen","sequence":"additional","affiliation":[{"name":"Department of Radiology, Wake Forest School of Medicine, Winston-Salem, NC, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-8958-6866","authenticated-orcid":false,"given":"Raymond B.","family":"Dyer","sequence":"additional","affiliation":[{"name":"Department of Radiology, Wake Forest School of Medicine, Winston-Salem, NC, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"suffix":"III","given":"Preston R.","family":"Miller","sequence":"additional","affiliation":[{"name":"Department of Surgery, Wake Forest School of Medicine, Winston-Salem, NC, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nathan T.","family":"Mowery","sequence":"additional","affiliation":[{"name":"Department of Surgery, Wake Forest School of Medicine, Winston-Salem, NC, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2022,12,20]]},"reference":[{"key":"bibr1-00031348221146973","doi-asserted-by":"publisher","DOI":"10.1177\/145749691009900206"},{"key":"bibr2-00031348221146973","doi-asserted-by":"publisher","DOI":"10.1007\/s00261-018-1591-3"},{"key":"bibr3-00031348221146973","doi-asserted-by":"publisher","DOI":"10.1016\/j.ijsu.2017.07.073"},{"key":"bibr4-00031348221146973","doi-asserted-by":"publisher","DOI":"10.1097\/TA.0000000000002366"},{"key":"bibr5-00031348221146973","doi-asserted-by":"publisher","DOI":"10.1016\/j.jamcollsurg.2019.12.006"},{"key":"bibr6-00031348221146973","doi-asserted-by":"publisher","DOI":"10.1001\/jamasurg.2018.5248"},{"key":"bibr7-00031348221146973","doi-asserted-by":"publisher","DOI":"10.1097\/TA.0000000000002401"},{"key":"bibr8-00031348221146973","doi-asserted-by":"publisher","DOI":"10.1016\/j.amjsurg.2018.03.010"},{"issue":"24","key":"bibr9-00031348221146973","first-page":"2","volume":"13","author":"Broek R","year":"2018","journal-title":"World J Emerg"},{"key":"bibr10-00031348221146973","doi-asserted-by":"publisher","DOI":"10.1016\/j.jamcollsurg.2020.07.212"},{"key":"bibr11-00031348221146973","doi-asserted-by":"publisher","DOI":"10.1016\/j.jss.2020.06.053"},{"key":"bibr12-00031348221146973","doi-asserted-by":"publisher","DOI":"10.1002\/sim.4116"},{"key":"bibr13-00031348221146973","doi-asserted-by":"publisher","DOI":"10.7326\/0003-4819-147-8-200710160-00010"},{"key":"bibr14-00031348221146973","doi-asserted-by":"publisher","DOI":"10.1097\/TA.0b013e31816f709e"},{"key":"bibr15-00031348221146973","doi-asserted-by":"publisher","DOI":"10.1097\/TA.0b013e31827019de"},{"key":"bibr16-00031348221146973","doi-asserted-by":"publisher","DOI":"10.1097\/TA.0000000000001499"}],"container-title":["The American Surgeon\u2122"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/00031348221146973","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/full-xml\/10.1177\/00031348221146973","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/00031348221146973","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,4,28]],"date-time":"2026-04-28T12:36:16Z","timestamp":1777379776000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1177\/00031348221146973"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2022,12,20]]},"references-count":16,"journal-issue":{"issue":"12","published-print":{"date-parts":[[2023,12]]}},"alternative-id":["10.1177\/00031348221146973"],"URL":"https:\/\/doi.org\/10.1177\/00031348221146973","relation":{},"ISSN":["0003-1348","1555-9823"],"issn-type":[{"value":"0003-1348","type":"print"},{"value":"1555-9823","type":"electronic"}],"subject":[],"published":{"date-parts":[[2022,12,20]]}}}