Bowel obstruction natural history, complications and prognosis

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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1];Associate Editor(s)-in-Chief: Hadeel Maksoud M.D.[2]

Overview

If left untreated, 85% of patients with complete bowel obstruction may progress to develop ischemia, necrosis, and gangrene. Common complications of bowel obstruction include bowel ischemia, bowel perforation, gangrene and sepsis. Prognosis is generally excellent for non-ischemic bowel obstruction, and the mortality rate of patients with bowel obstruction is approximately 4 per 100,000. In contrast, prognosis for ischemic bowel obstruction is approximately 600 per 100,000.

Natural History, Complications, and Prognosis

Natural History

Complications

Prognosis

  • Prognosis is generally excellent for non-ischemic bowel obstruction, and the mortality rate of patients with bowel obstruction is approximately 4 per 100,000.[2]
  • In contrast, prognosis for ischemic bowel obstruction is approximately 60 per 100,000.

References

  1. Miller G, Boman J, Shrier I, Gordon PH (2000). "Natural history of patients with adhesive small bowel obstruction". Br J Surg. 87 (9): 1240–7. doi:10.1046/j.1365-2168.2000.01530.x. PMID 10971435.
  2. 2.0 2.1 Fevang BT, Fevang J, Stangeland L, Soreide O, Svanes K, Viste A (2000). "Complications and death after surgical treatment of small bowel obstruction: A 35-year institutional experience". Ann. Surg. 231 (4): 529–37. PMC 1421029. PMID 10749614.

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