Small Bowel Obstruction: the Sun Also Rises?

Small bowel obstruction (SBO) remains a common reason for emergency/unplanned admissions, and remains a significant burden to SBO patients and the healthcare system alike. The management of SBO has undergone a significant paradigm shift over the years, shifting far from the tenet to “never let the sun rise on a bowel obstruction.” Not only has the timing to surgery changed, but there is also an increased utilization of diagnostic tools to aid clinical decision-making. Furthermore, the surgical management is beginning to favor a less invasive approach. This review will serve to provide an up-to-date review of the evaluation and management of SBO, based on the most recent available evidence and our experience with the methods described.