小肠梗阻的诊断和治疗

Although small-bowel obstruction (SBO) has been recognized since the time of Hippocrates, surgical therapy for SBO did not become commonly accepted until the advent of anesthesia, antisepsis, and safer surgical techniques in the late 1800s.[1] At the same time, the increased prevalence of abdominal and pelvic surgery created a new source of SBO—postoperative adhesions. Adhesions are currently the leading cause of SBO in industrialized countries (∼70%), followed by malignancy, inflammatory bowel disease, and hernias. SBO accounts for as many as 12% to 16% of surgical admissions and more than 300,000 operations annually in the United States. This represents more than 2.3 billion dollars in health care expenditures

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