American College Of Surgeons - Inspiring Quality: Highest Standards, Better Outcomes

V37N3: Small Intestine

Alvarez-Downing M, Klaassen Z, Orringer R, et al. Incidence of small bowel obstruction after laparoscopic and open colon resection. Am J Surg. 2011;201(3):411-415.
This article examines outcomes data to determine whether laparoscopic resection is associated with improved risk of postoperative small bowel obstruction.

Attard JA, MacLean AR. Adhesive small bowel obstruction: epidemiology, biology and prevention. Can J Surg. 2007;50(4):291-300. Free full-text
Attard and MacLean provide a lucid discussion of the pathophysiology of adhesion formation. Additional data about the epidemiology and prevention of adhesions are supplied.

Byrnes MC, Riggle A, Beilman G, et al. A novel technique to skin graft abdominal wall wounds surrounding enterocutaneous fistulas. Surg Infect (Larchmt). 2010;11(6):505-509.
This article provides a nicely illustrated description of a technique for managing skin graft closure of a granulating abdominal wound containing an enterocutaneous fistula.

Connolly PT, Teubner A, Lees NP, et al. Outcome of reconstructive surgery for intestinal fistula in the open abdomen. Ann Surg. 2008;247(3):440-444.
This article provides outcomes data for contemporary approaches to repair of enterocutaneous fistulas in the open abdomen.

Fazio VW, Cohen Z, Fleshman JW, et al. Reduction in adhesive small-bowel obstruction by Seprafilm adhesion barrier after intestinal resection. Dis Colon Rectum. 2006;49(1):1-11.
The data reported come from an international randomized prospective trial comparing an absorbable, adhesion-preventive film with placebo. Subgroup analysis suggests some benefit for the patients treated with the film.

Fischer JE. The importance of reconstruction of the abdominal wall after gastrointestinal fistula closure. Am J Surg. 2009;197(1):131-132.
This is a useful opinion piece from a master surgeon with extensive experience in the management of enterocutaneous fistula. The emphasis on native tissue reconstruction of the abdominal wall at the time of fistula repair represents an important concept that surgeons need to keep in mind when managing patients with this challenging problem.

Fishbein TM. Intestinal transplantation. N Engl J Med. 2009;361(10):998-1008.
This is a detailed review of the current status of intestinal transplantation.

McLeod RS, Wolff BG, Ross S, et al. Recurrence of Crohn's disease after ileocolic resection is not affected by anastomotic type: results of a multicenter, randomized, controlled trial. Dis Colon Rectum. 2009;52(5):919-927.
This article provides results from a multicenter trial comparing end-to-end to end-to-side anastomosis for re-establishing intestinal continuity following ileocecal resection for Crohn’s disease.

Michelassi F, Taschieri A, Tonelli F, et al. An international, multicenter, prospective, observational study of the side-to-side isoperistaltic strictureplasty in Crohn's disease. Dis Colon Rectum. 2007;50(3):277-284.
This article describes results from an international multicenter trial of strictureplasty for management of multiple intestinal stenoses from Crohn’s disease.

Sica GS, Iaculli E, Benavoli D, et al. Laparoscopic versus open ileo-colonic resection in Crohn's disease: short- and long-term results from a prospective longitudinal study. J Gastrointest Surg. 2008;12(6):1094-1102.
This article provides important data supporting the value of laparoscopic resection for isolated ileocecal Crohn’s disease.

Szomstein S, Lo Menzo E, Simpfendorfer C, et al. Laparoscopic lysis of adhesions. World J Surg. 2006;30(4):535-540.
Szomstein and coauthors analyze outcomes data to determine the safety and efficacy of laparoscopic management of adhesive small bowel obstruction. Shortened recovery times were observed in patients treated laparoscopically.

Yannam GR, Sudan DL, Grant W, et al. Intestinal lengthening in adult patients with short bowel syndrome. J Gastrointest Surg. 2010;14(12):1931-1936.
Yannam and coauthors provide interesting and valuable data regarding outcomes of techniques for intestinal lengthening in patients with intestinal failure due to short bowel syndrome.