Association of Surgical Intervention for Adhesive Small-Bowel Obstruction With the Risk of Recurrence. Behman R, Nathens AB, Mason S, Byrne JP, Hong NL, Pechlivanoglou P, Karanicolas P. JAMA Surg. 2019 May 1;154(5):413-420. doi: 10.1001/jamasurg.2018.5248. PMID: 30698610

Conclusions and Relevance: According to this study, operative management of the first episode of aSBO is associated with significantly reduced risk of recurrence. Guidelines advocating trials of nonoperative management for aSBO may assume that surgery increases the risk of recurrence putatively through the formation of additional adhesions. The long-term risk of recurrence of aSBO should be considered in the management of this patient population.