{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,29]],"date-time":"2026-06-29T17:20:07Z","timestamp":1782753607923,"version":"3.54.5"},"reference-count":14,"publisher":"SAGE Publications","issue":"12","license":[{"start":{"date-parts":[[2023,5,9]],"date-time":"2023-05-09T00:00:00Z","timestamp":1683590400000},"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>Decompression of the intestine with a long tube or nasogastric tube is the first-choice treatment for adhesive small bowel obstruction (ASBO). Scheduling surgery while weighing the risks of surgery against conservative care is a crucial factor in clinical decision-making. Whenever feasible, unnecessary surgeries should be avoided, and it is essential to provide clinical markers for this. This study aimed to obtain evidence regarding the optimal timing of ASBO and when conservative treatment options are not successful.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>The data of patients diagnosed with ASBO and receiving long tube insertion for more than 7\u00a0days were reviewed. We investigated transit ileal drainage volume and recurrence. The primary outcomes were the change in the drainage volume from the long tube over time and the percentage of patients who required surgery. We evaluated some cutoff values to determine the indication for surgery based on the insertion duration and volume of long tube drainage.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Ninety-nine patients were enrolled in this study. Fifty-one patients showed improvement with conservative treatment, whereas 48 ultimately required surgery. When a daily drainage volume of \u2265500\u00a0mL was considered an indication for surgery, 13-37 cases (25%-72%) would be judged unnecessary within 6\u00a0days of long tube insertion, while 5 cases (9.8%) would be judged unnecessary on day 7.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Discussion<\/jats:title>\n                    <jats:p>Unnecessary surgical interventions for ASBO might be avoided by assessing the drainage volume on day 7 after inserting a long tube.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/00031348231175465","type":"journal-article","created":{"date-parts":[[2023,5,10]],"date-time":"2023-05-10T08:57:59Z","timestamp":1683709079000},"page":"5768-5774","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":2,"title":["Clinical Indicators to Determine the Timing of Surgery for Adhesive Small Bowel Obstruction"],"prefix":"10.1177","volume":"89","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-7857-3947","authenticated-orcid":false,"given":"Eiichi","family":"Nakao","sequence":"first","affiliation":[{"name":"Department of Minimally Invasive Surgical and Medical Oncology, Fukushima Medical University, Fukushima, Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Michitaka","family":"Honda","sequence":"additional","affiliation":[{"name":"Department of Minimally Invasive Surgical and Medical Oncology, Fukushima Medical University, Fukushima, Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yoshinao","family":"Takano","sequence":"additional","affiliation":[{"name":"Department of Surgery, Southern Tohoku General Hospital, Koriyama, Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nobuyasu","family":"Suzuki","sequence":"additional","affiliation":[{"name":"Department of Surgery, Southern Tohoku General Hospital, Koriyama, Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yukitoshi","family":"Todate","sequence":"additional","affiliation":[{"name":"Department of Minimally Invasive Surgical and Medical Oncology, Fukushima Medical University, Fukushima, Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hidetaka","family":"Kawamura","sequence":"additional","affiliation":[{"name":"Department of Minimally Invasive Surgical and Medical Oncology, Fukushima Medical University, Fukushima, Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Teppei","family":"Miyakawa","sequence":"additional","affiliation":[{"name":"Department of Minimally Invasive Surgical and Medical Oncology, Fukushima Medical University, Fukushima, Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Satoshi","family":"Toshiyama","sequence":"additional","affiliation":[{"name":"Department of Minimally Invasive Surgical and Medical Oncology, Fukushima Medical University, Fukushima, Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ryuya","family":"Yamamoto","sequence":"additional","affiliation":[{"name":"Department of Minimally Invasive Surgical and Medical Oncology, Fukushima Medical University, Fukushima, Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Shinichi","family":"Konno","sequence":"additional","affiliation":[{"name":"Department of Minimally Invasive Surgical and Medical Oncology, Fukushima Medical University, Fukushima, Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2023,5,9]]},"reference":[{"key":"bibr1-00031348231175465","doi-asserted-by":"publisher","DOI":"10.1002\/ams2.587"},{"key":"bibr2-00031348231175465","doi-asserted-by":"publisher","DOI":"10.1097\/TA.0000000000000491"},{"issue":"75","key":"bibr3-00031348231175465","first-page":"787","volume":"54","author":"Sakakibara T","year":"2007","journal-title":"Hepato-Gastroenterology"},{"key":"bibr4-00031348231175465","doi-asserted-by":"publisher","DOI":"10.1016\/j.amjsurg.2009.07.045"},{"key":"bibr5-00031348231175465","first-page":"629","volume":"20","author":"Onda M","year":"2000","journal-title":"Nihon Fukubukyukyu Igakkaizasshi (J Abdom Emerg Med)"},{"key":"bibr6-00031348231175465","first-page":"53","volume":"32","author":"Matsumura C","year":"1971","journal-title":"Nihon Rinshogeka Gakkaizasshi (J Jpn Surg Assoc)"},{"key":"bibr7-00031348231175465","doi-asserted-by":"publisher","DOI":"10.1007\/BF02471029"},{"key":"bibr8-00031348231175465","first-page":"857","volume":"19","author":"Higaki N","year":"1999","journal-title":"Nihon Fukubukyukyu Igakkaizasshi (J Abdom Emerg Med)"},{"key":"bibr9-00031348231175465","doi-asserted-by":"publisher","DOI":"10.1186\/s13017-018-0185-2"},{"key":"bibr10-00031348231175465","doi-asserted-by":"publisher","DOI":"10.3748\/wjg.v9.i3.603"},{"key":"bibr11-00031348231175465","doi-asserted-by":"publisher","DOI":"10.1007\/s11605-012-1953-z"},{"key":"bibr12-00031348231175465","doi-asserted-by":"publisher","DOI":"10.1177\/000313481508100627"},{"key":"bibr13-00031348231175465","doi-asserted-by":"publisher","DOI":"10.1097\/SLA.0b013e3182a1b100"},{"key":"bibr14-00031348231175465","doi-asserted-by":"publisher","DOI":"10.1097\/TA.0000000000000246"}],"container-title":["The American Surgeon\u2122"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/00031348231175465","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/full-xml\/10.1177\/00031348231175465","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/00031348231175465","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,4,28]],"date-time":"2026-04-28T12:37:57Z","timestamp":1777379877000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1177\/00031348231175465"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2023,5,9]]},"references-count":14,"journal-issue":{"issue":"12","published-print":{"date-parts":[[2023,12]]}},"alternative-id":["10.1177\/00031348231175465"],"URL":"https:\/\/doi.org\/10.1177\/00031348231175465","relation":{},"ISSN":["0003-1348","1555-9823"],"issn-type":[{"value":"0003-1348","type":"print"},{"value":"1555-9823","type":"electronic"}],"subject":[],"published":{"date-parts":[[2023,5,9]]}}}