RECENT ADVANCES IN THE THERAPEUTIC STRATEGIES FOR ADHESIVE SMALL BOWEL OBSTRUCTION
Keywords:
ASBO, treatment, laparoscopic adhesiolysis, adhesion prevention, surgical managementAbstract
Adhesive Small Bowel Obstruction (ASBO) is a common intestinal blockage caused by postoperative adhesions. Initial management typically involves conservative measures such as bowel rest, fluids, and Gastrografin®, which succeed in over 70% of stable patients. Surgery is reserved for complications like ischemia or failed conservative treatment, with laparoscopic techniques offering improved outcomes and reduced duration of hospitalization. Preventive strategies, including meticulous surgical methods and anti-adhesive materials, are crucial in minimizing recurrence. Emerging therapies, such as gene therapy, show promise but require further research. Effective ASBO management combines tailored conservative care, timely surgery, and robust prevention, with a emphasis on advancing diagnostics and treatment protocols.
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