Bologna guidelines for diagnosis and management of adhesive small bowel obstruction (ASBO): 2017 update of the evidence-
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Bologna guidelines for diagnosis and management of adhesive small bowel obstruction (ASBO): 2017 update of the evidence-based guidelines from the world society of emergency surgery ASBO working group Richard P. G. ten Broek1,39*†, Pepijn Krielen1†, Salomone Di Saverio2, Federico Coccolini3, Walter L. Biffl4, Luca Ansaloni3, George C. Velmahos5, Massimo Sartelli6, Gustavo P. Fraga7, Michael D. Kelly8, Frederick A. Moore9, Andrew B. Peitzman10, Ari Leppaniemi11, Ernest E. Moore12, Johannes Jeekel13, Yoram Kluger14, Michael Sugrue15, Zsolt J. Balogh16, Cino Bendinelli17, Ian Civil18, Raul Coimbra19, Mark De Moya20, Paula Ferrada21, Kenji Inaba22, Rao Ivatury21, Rifat Latifi23, Jeffry L. Kashuk24, Andrew W. Kirkpatrick25, Ron Maier26, Sandro Rizoli27, Boris Sakakushev28, Thomas Scalea29, Kjetil Søreide30,31, Dieter Weber32, Imtiaz Wani33, Fikri M. Abu-Zidan34, Nicola De’Angelis35, Frank Piscioneri36, Joseph M. Galante37, Fausto Catena38 and Harry van Goor1
Abstract Background: Adhesive small bowel obstruction (ASBO) is a common surgical emergency, causing high morbidity and even some mortality. The adhesions causing such bowel obstructions are typically the footprints of previous abdominal surgical procedures. The present paper presents a revised version of the Bologna guidelines to evidencebased diagnosis and treatment of ASBO. The working group has added paragraphs on prevention of ASBO and special patient groups. Methods: The guideline was written under the auspices of the World Society of Emergency Surgery by the ASBO working group. A systematic literature search was performed prior to the update of the guidelines to identify relevant new papers on epidemiology, diagnosis, and treatment of ASBO. Literature was critically appraised according to an evidence-based guideline development method. Final recommendations were approved by the workgroup, taking into account the level of evidence of the conclusion. (Continued on next page)
* Correspondence: [email protected]; http://www. dutchadhesiongroup.org † Richard P. G. ten Broek and Pepijn Krielen contributed equally to this work. 1 Department of Surgery, Radboud University Medical Center, Nijmegen, The Netherlands 39 Department of Surgery, Radboud University Nijmegen Medical Centre, P.O. Box 9101, 6500 HB Nijmegen, The Netherlands Full list of author information is available at the end of the article © The Author(s). 2018 Open Access This article is distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated.
ten Broek et al. World Journal of
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