Comparative Outcomes of Early Surgical Intervention Versus Nonoperative Management in Adhesive Small Bowel Obstruction

Nonoperative management remains effective and safe for uncomplicated ASBO, offering shorter hospitalization and fewer immediate complications. Although early surgical intervention was associated with a higher complication rate, this finding likely reflects the inclusion of patients with more advanced disease at presentation rather than surgical risk alone. Early operative management remains essential for complicated or non-resolving cases to prevent ischemic injury and recurrence.

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Publication Details

Journal
Cureus
Published
2026-01-07
DOI
https://doi.org/10.7759/cureus.100991
Primary Topic
Intestinal and Peritoneal Adhesions
Type
article
Field-Weighted Citation Impact
0.00
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article

Comparative Outcomes of Early Surgical Intervention Versus Nonoperative Management in Adhesive Small Bowel Obstruction

Arslan Shahid, Abdullah Madni, Fatima Zafar, Muhammed Mustafa et al.
Cureus
Intestinal and Peritoneal Adhesions
article

Comparative Outcomes of Early Surgical Intervention Versus Nonoperative Management in Adhesive Small Bowel Obstruction

Arslan Shahid, Abdullah Madni, Fatima Zafar, Muhammed Mustafa, Muhammad Arshad Abbas, Muhammad Sanwal Abrar, Tahawwur Zubair, Hafiz Muhammad Usman, Ammar Yasir, Muhammad Nouman
article en

Abstract

Nonoperative management remains effective and safe for uncomplicated ASBO, offering shorter hospitalization and fewer immediate complications. Although early surgical intervention was associated with a higher complication rate, this finding likely reflects the inclusion of patients with more advanced disease at presentation rather than surgical risk alone. Early operative management remains essential for complicated or non-resolving cases to prevent ischemic injury and recurrence.

CureusVol. 18(1)
Pakistan Health Research Council (PK), Mehran University of Engineering and Technology (PK), Reliance Industries (United States) (US), Warrington and Halton Teaching Hospitals NHS Foundation Trust (GB), Universitas Muhammadiyah Malang (ID), Islamic Azad University, Shahinshahr Branch (IR)
Good health and well-being
Openalex Percentile: Top 94%
Intestinal and Peritoneal Adhesions
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Comparative Outcomes of Early Surgical Intervention Versus Nonoperative Management in Adhesive Small Bowel Obstruction — Arslan Shahid, Abdullah Madni, et al. · Cureus (2026) | TGRS Research Map | TGRS