Learn on Demand
Small Bowel Obstruction Management
Presenter: Kevin Sexton, MD
View Activity Information

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


  1. Explain the epidemiology of small bowel obstruction.
  2. Define a strategy for risk stratification of need for operative intervention.
  3. Apply current management strategies for small bowel obstruction, including medical and operative therapy.

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.





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.

Kim Miller  
Susan Smith Dodson
Mark Jansen

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).


ANCC Accreditation Statement:
The Office of Continuing Education, University of Arkansas for Medical Sciences is accredited as a provider of continuing nursing education by the American Nurses Credentialing Center’s Commission on Accreditation

Learn OnDemand Contact Us:
For information regarding this educational activity or website, please contact

UAMS Office of Continuing Education
4301 W. Markham #525
Little Rock, AR 72205
Phone: 501-661-7962 Fax: 501-661-7968


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.


Disclosure Policy statement
It is the policy of the University of Arkansas for Medical Sciences (UAMS) College of Medicine to ensure balance, independence, objectivity, and scientific rigor in all directly or jointly provided educational activities. All individuals who are in a position to control the content of the educational activity (course/activity directors, planning committee members, staff, teachers, or authors of CE) must disclose all relevant financial relationships they have with any commercial interest(s) as well as the nature of the relationship. Financial relationships of the individual’s spouse or partner must also be disclosed, if the nature of the relationship could influence the objectivity of the individual in a position to control the content of the CE. The ACCME describes relevant financial relationships as those in any amount occurring within the past 12 months that create a conflict of interest. Individuals who refuse to disclose will be disqualified from participation in the development, management, presentation, or evaluation of the CE activity.



Type:  Internet Activity (Enduring Material)
43 Registered Users
1 Hours> Non-Accredited

1 Credits> Accreditation Council for Continuing Medical Education> AMA PRA Category 1 Credit

1 Contact Hours> American Nurses Credentialing Center> ANCC

1 CECH, 1 CECH> National Commission for Health Education Credentialing, Inc. > CHES