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The 16 golden hours for conservative treatment in children with postoperative small bowel obstruction
Journal of Pediatric Surgery, 05/05/2010
Feigin E et al. – In children presenting with postoperative small bowel obstruction, prolonging observant treatment for more than 48 hours yields only a small benefit in terms of spontaneous resolution. Bowel strangulation can occur within 16 hours of admission. On the basis of these findings, the authors suggest raising the index of suspicion for compromised bowel after 16 hours and making the decision for surgery at around 48 hours.