Zhonghua Wei Chang Wai Ke Za Zhi. 2023 May 25;26(5):401-409. doi: 10.3760/cma.j.cn441530-20230304-00065.
Small bowel obstruction is a common surgical acute abdomen, with high rates of missed diagnosis, misdiagnosis, mortality and disability. The majority of patients with small bowel obstruction can be relieved by early non-operative treatment and intestinal obstruction catheter. However, there are still many controversies about the window of observation, the time of emergency operation and the method of operation. In recent years, the basic and clinical research on small bowel obstruction has made further progress, but there is no authoritative reference in clinical practice, and there is no relevant consensus and guidelines to standardize the diagnosis and treatment of small bowel obstruction in China. Accordingly, on the initiative of the Chinese Society for Parenteral and Enteral Nutrition and Enhanced Recovery after Surgery Branch of China International Health Care Promotion Exchange Association. The experts in this field of our country constitute the editorial committee, and refer to the main results of the current domestic and foreign research. According to the GRADE system of evidence quality assessment and recommendation intensity grading, the Chinese expert consensus on the diagnosis and treatment of small bowel obstruction was formulated for the study and reference of related specialties. It is expected to improve the overall level of diagnosis and treatment of small bowel obstruction in our country.
小肠梗阻是常见的外科急腹症，漏诊、误诊、死亡率及致残率均较高。大多数小肠梗阻患者可通过早期非手术治疗及肠梗阻导管得以缓解。然而，关于观察窗、急诊手术时机及手术方式仍存在诸多争议。近年来，小肠梗阻的基础与临床研究取得了进一步进展，但临床实践中尚无权威参考，我国也没有规范小肠梗阻诊治的相关共识及指南。据此，在中国医师协会肠外肠内营养学分会及中国国际健康促进交流协会外科快速康复分会的倡导下，我国该领域专家组成编辑委员会，参考国内外当前研究的主要成果，依据证据质量评估的GRADE系统及推荐强度分级，制定了《中国小肠梗阻诊断和治疗专家共识》，供相关专业学习参考，以期提高我国小肠梗阻的整体诊治水平。
