Knowledge Gap: The purpose of this activity is to educate healthcare providers with the most up-to-date information on Small Bowel Obstruction Management. |
Target Audience The target audience includes all healthcare professionals such as physicians, nurses, pharmacists and allied health professionals who would like to learn about Small Bowel Obstruction Management and how it pertains to their respective profession. |
Release and Expiration Dates 5/15/2017 - 5/15/2020 |
Objectives - Explain the epidemiology of small bowel obstruction.
- Define a strategy for risk stratification of need for operative intervention.
- Apply current management strategies for small bowel obstruction, including medical and operative therapy.
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Biographical Info Dr. Sexton is a physician scientist interested in the physiologic response to injury and resuscitation. Dr. Sexton is a general surgeon that completed research fellowships in vascular and neurobiology as they pertain to injury. He completed surgical training at Vanderbilt University Medical Center and during his last year served as administrative chief resident. He is currently an Assistant Professor in the Department of Surgery, Division of Trauma, Critical Care, and Acute Care Surgery under the leadership of Dr. Ronald Robertson. His clinical focus is general surgery with a particular interest in hernia and laparoscopic surgery. | | References Foster, NM et al. Small bowel obstruction: a population based appraisal. J Am Coll Surg 2006; 203: 170-176 Ten Broek, R et al. Adhesiolysis-Related Morbidity in Abdominal Surgery. Annals of Surgery. 2012. 00(00). Kim, Jung, et al. Usefulness of known computed tomography and clinical criteria for diagnosing strangulation in small bowel obstruction: Analysis of true and false interpretation groups in computed tomography. World J Surg. 28, 2004 Hong, et al. 3DCT enterography using oral gastrograffin in patients with small bowel obstruction: Abdom Imaging (2010) 35 Weibel, MA et al Peritoneal adhesions and their relation to abdominal surgery. A post mortem study. Am J Surg. 1973; 126(3):345-353 Vieira, Lisa et al. An internal hernia causes abdominal pain and small bowel obstruction. JAAPA. Jan 9 2012 Barmparas, Galinos. The incidence and risk factors of post laparotomy adhesive small bowel obstruction. J Gastrointest Surg (2010) 14: 1619-1628 Malvasi A. et al. Effects of visceral peritoneal closure on scar formation at cesarean delivery. Int J Gynaecol Obstet. 2009; 105(2) 131-135s: Sarr MG, et al. Preoperative recognition of intestinal strangulation obstruction. Prospective evaluation of diagnostic capability. Am J Surg 1983; 145 Jancelewicz, Tim et al. Predicting Strangulated Small Bowel Obstruction: An Old Problem Revisited. J Gastrointest Surg (2009) 13:93-99 Silen, William. Strangulation Obstruction on the small intestine. Archive of Surg. Vol 85. July 1962 Kintu-Luwaga et al. International Journal of Emergency Medicine 2013, 6:44 F. MUSOKE. Comparison between sonographic and plain radiography in the diagnosis of small bowel obstruction at Mulago Hospital, Uganda.. East African Medical Journal Vol. 80 No. 10 October 2003 Thompson, William, et al. Accuracy of Abdominal Radiography in Acute Small-Bowel Obstruction: Does Reviewer Experience Matter? AJR March 2007 vol. 188 no. 3 Lappas, John et al. Abdominal radiography findings in small bowel obstruction: Relevance to triage for additional diagnostic imaging. AJR: 176, Jan 2001 Grassi R, Romano S, D’Amario F, et al: The relevance of free fluid between intestinal loops detected by sonography in the clinical assessment of small bowel obstruction in adults. Eur J Radiol 2004, 50(1):5–14. Hayakawa, Katsumi et al. CT findings of small bowel strangulation: the importance of contrast enhancement. Emergency Radiology. August 8 2012 Rakesh R. Suri, MD*; Parag Vora, MD†; John M. Kirby, MD†; Leyo Ruo, MD Computed tomography features associated with operative management for nonstrangulating small bowel obstruction. Can J Surg 2014;57(4)254-59 Kottler et al. Imaging the obstructed bowel and other intestinal emergencies. Applied Radiology. April 2005 Zalcman, Marc. Helical CT signs in the diagnosis of intestinal ischemia in small bowel obstruction. AJR: 175. December 2000 Mallo, Rebecca et al. Computed Tomography Diagnosis of Ischemia and Complete Obstruction in Small Bowel Obstruction: A Systemic Review Jancelewicz, Tim et al. Predicting Strangulated Small Bowel Obstruction: An Old Problem Revisited. J Gastrointest Surg (2009) 13:93-99 | |
Speaker Disclosures: The planners, speakers, moderators, peer reviewers and /or panelists of this CE activity have no relevant financial relationships with commercial interests to disclose. |
Planners: Kim Miller Susan Smith Dodson Mark Jansen Speaker: Kevin Sexton, MD | Peer Reviewers: Kim Miller, MCHES |
Instructions to obtain credit: 1. Launch the activity 2. Complete the pre-test 3. View the entire activity online 4. Complete the post-test (must pass the post-test with a score of 80% to receive credit). You may retake the post-test if you do not receive a passing score. 5. Complete Evaluation Print certificate or transcript (Available in the “My Profile” tab). |
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ACCME Accreditation Statement: The University of Arkansas for Medical Sciences (UAMS) Office of Continuing Education is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians. | UAMS Office of Continuing Education 4301 West Markham Street #525 Little Rock, AR 72205 Phone: 501-661-7962 Fax: 501-661-7968 |
Direct Provider Statement The University of Arkansas for Medical Sciences (UAMS) Office of Continuing Education is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians. |
Designation Statement The University of Arkansas for Medical Science Office of Continuing Education designates this live activity for a maximum of 1.00 AMA PRA Category 1 CreditsTM. Physicians should claim only the credit commensurate with the extent of their participation in the activity. |
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