Glen Jay
10 May 2026 · Coroner Jyoti Gill · Essex
This report repeats 1 earlier warning. See the linked reports.
The coroner's concerns
1. use of Preoperative Progressive Pneumoperitoneum in patients with history of adhesional small bowel obstruction
“There are other clinics nationally who may be offering patients Preoperative Progressive Pneumoperitoneum (PPP) to patients who have a history of adhesional small bowel obstruction (ASBO). Mid & South Essex NHS Foundation Trust have updated their protocol to include a prior history of recurrent ASBO, as a contraindication to PPP. This is because it can induce ASBO due to stretching of any intra-abdominal or hernia sac adhesions and consequent obstruction of involved loops of small bowel.”
Linked reports
Identical hazardConfidence 0.90 · high
Earlier report
“Independent expert evidence was heard that indicated that the deceased likely had band adhesions - a known complication of her past abdominal surgery.”
This report
“There are other clinics nationally who may be offering patients Preoperative Progressive Pneumoperitoneum (PPP) to patients who have a history of adhesional small bowel obstruction (ASBO).”