Short bowel syndrome after laparoscopic procedures

Corrigan L. McBride, Dmitry Oleynikov, Debra Sudan, Jon S. Thompson

Research output: Contribution to journalArticlepeer-review

4 Scopus citations

Abstract

Short bowel syndrome (SBS) is a potential postoperative complication after intra-abdominal procedures. Whether the laparoscopic approach is as likely to result in SBS or the causative mechanisms are similar to open procedures is unknown. Our aim was to evaluate potential mechanisms of SBS after laparoscopic procedures. The records of 175 adult patients developing SBS as a postoperative complication were reviewed. One hundred forty-seven patients had open procedures and 28 laparoscopic. Colectomy (39%), hysterectomy (11%), and appendectomy (11%) were the most common open procedures. SBS followed laparoscopic gastric bypass (46%) and cholecystectomy (32%) most frequently. The mechanisms of SBS were different: adhesive obstruction (57 vs 22%, P<0.05) was more common in the open group, whereas volvulus (18 vs 46%, P < 0.05) was more common after laparoscopy. Overall, ischemia (25 vs 32%) was similar but significantly more laparoscopic patients had postoperative hypoperfusion (32 vs 67%, P<0.05). Eleven of the 13 laparoscopic bariatric procedures had internal hernias and volvulus. Of the nine patients undergoing cholecystectomy, four developed ischemia early postoperatively presumably secondary to pneumoperitoneum. SBS is an increasingly recognized complication of laparoscopic procedures. The mechanisms of intestinal injury differ from open procedures with a higher incidence of volvulus and more frequent ischemia from hypoperfusion.

Original languageEnglish (US)
Pages (from-to)382-385
Number of pages4
JournalAmerican Surgeon
Volume80
Issue number4
StatePublished - Apr 1 2014

ASJC Scopus subject areas

  • Surgery

Fingerprint Dive into the research topics of 'Short bowel syndrome after laparoscopic procedures'. Together they form a unique fingerprint.

Cite this