Laurens Schattenkerk

195 Adhesive small bowel obstruction following abdominal surgery in young children (≤ 3 years) Chapter 8 Figure 1 - Kaplan-Meier estimate curve Discussion Our results provide the following answers to our research questions: (1) the incidence of SBO in our cohort of young children is 5%. Following laparoscopic treatment approximately 1% develops a SBO. (2) NEC, gastroschisis and intestinal atresias are high risk diseases for the development of SBO. Diaphragmatic hernia and meconium ileus also show a trend towards increased risk for SBO development. (3) General risk factors for SBO development in young children are history of stoma, undergoing an emergency operation and post-operative infections. Open procedures and undergoing more than one operation seem to increase the risk as well, though these results are less definite which is reflected in the wide confidence intervals . The incidence of SBO in young children seems to be similar to the incidence in neonates but lower than in older children. For this reason, these age groups should be reviewed

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