July 30, 2026 · Journal of the American College of Surgeons · DOI: 10.1097/XCS.0000000000002114

Impact of Increased Time for Trial of Nonoperative Management in Small Bowel Obstruction: Evidence from the American College of Surgeons NSQIP Emergency General Surgery Targeted Database

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The authors aimed to investigate the optimal duration of nonoperative management (NOM) for small bowel obstruction (SBO) and its impact on clinical outcomes and healthcare utilization. Their study found significant national variation in NOM duration, with longer NOM associated with increased postoperative length of stay but no improvement in short-term morbidity, mortality, or readmission rates. These findings suggest a need for standardization in the management of SBO to optimize healthcare resources.

Sarah L Remer, Geoffrey Hobika, Patrick B Murphy, Caroline E Reinke, Samuel Ross, Jennifer L Hartwell, Stephanie Savage, Clifford Y Ko, Michael W Wandling

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