Small-bowel obstruction is a common complication after major abdominal surgery. After IPAA, it may occur before ileostomy closure; however, it is more common after closure. The cumulative probability of developing small-bowel obstruction increases with longer duration of follow-up. The risk varies between 14% and 27% at 5 years after ileostomy closure whereas at 10 years, it increases to 31% . While most patients may be treated conservatively, up to 17% of patients after IPAA require laparotomy with adhesiolysis or small-bowel resection due to this complication .
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