Miller G, Boman J, Shrier I, Gordon P H
Division of Colorectal Surgery, Sir Mortimer B. Davis-Jewish General Hospital and McGill University, Montreal, Quebec, Canada.
Am J Surg. 2000 Jul;180(1):33-6. doi: 10.1016/s0002-9610(00)00407-4.
Small bowel obstruction (SBO) is a major cause of morbidity and financial expenditure in hospitals around the world. The leading cause of SBO in the western world has become adhesions. The goal of this study was to determine the causes of SBO.
The medical records of all patients admitted to one hospital between 1986 and 1996 with the diagnosis of SBO were reviewed retrospectively. This included 552 patients accounting for 1,001 admissions.
The etiology of SBO was adhesions (74%), Crohn's disease (7%), neoplasia (5%), hernia (2%), radiation (1%), and miscellaneous (11%). Patients with Crohn's disease were younger than patients with other etiologies. Surprisingly, recurrence rates were similar for patients treated operatively as for those treated nonoperatively with the exception in the hernia group where higher recurrence rates were noted for patients initially treated in a nonoperative manner.
The most common cause of SBO is adhesions followed by Crohn's disease and neoplasia.
小肠梗阻（SBO）是全球医院发病和医疗支出的主要原因。西方世界SBO的主要病因已变为粘连。本研究的目的是确定SBO的病因。
回顾性分析1986年至1996年间一家医院收治的所有诊断为SBO的患者的病历。这包括552例患者，共1001次入院。
SBO的病因是粘连（74%）、克罗恩病（7%）、肿瘤（5%）、疝（2%）、放疗（1%）和其他（11%）。克罗恩病患者比其他病因患者年轻。令人惊讶的是，手术治疗患者与非手术治疗患者的复发率相似，但疝组除外，该组最初接受非手术治疗的患者复发率较高。
SBO最常见的病因是粘连，其次是克罗恩病和肿瘤。
