Prevention of acute adhesive intestinal obstruction in the postoperative period: A meta-analysis
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Bekezhan Aitbekov 1 , Auyeskhan Dzhumabekov 1 * , Ernis Alybaev 2 , Berik Dzhumabekov 1 , Ildar Fakhradiyev 3 , Daniyar Sultankulov 4
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1 Kazakhstan’s Medical University “KSPH”, Almaty, KAZAKHSTAN2 National Surgical Center, Ministry of Health, Bishkek, KYRGYZSTAN3 JSC “Kazakh National Medical University named after S.D. Asfendiyarov”, Almaty, KAZAKHSTAN4 Al-Farabi Kazakh National University, Almaty, KAZAKHSTAN* Corresponding Author

Abstract

Background: Adhesive small bowel obstruction (ASBO) results from postoperative adhesions, causing prolonged hospital stays and surgeries.
Objective: To evaluate the effectiveness of ASBO prevention: surgical, adhesion prevention strategies, and conservative methods.
Methods: A meta-analysis evaluating interventions to prevent ASBO post-surgery used data from Web of Science, Scopus, Cochrane Library, ProQuest, PubMed, and Google Scholar (2020-2025). RevMan 5.4 and R Studio were used, including 25 relevant studies.
Results: Results highlighted differences in reoperation rates (1.4-20.7%), hospital stay lengths (4-23 days), and follow-up durations (≥ 2 years for 55% of studies). Surgical methods (odds ratio [OR] = 12.01) and the use of adhesion barriers (OR = 0.21) mitigated the risk of adhesive intestinal obstruction (AIO). Conservative management (OR = 4.58) was also effective.
Conclusions: Surgical methods, the use of barriers to adhesions, and other less invasive interventions help in the prevention of AIO, as well as in the recovery processes.

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Article Type: Review Article

ELECTRON J GEN MED, Volume 23, Issue 3, June 2026, Article No: em730

https://doi.org/10.29333/ejgm/18345

Publication date: 01 May 2026

Online publication date: 11 Apr 2026

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