A new clinical severity score for the management of acute small bowel obstruction in predicting bowel ischemia: a cohort study.

ABSTRACT:

Background

Small bowel obstruction (SBO) is a common hospital admission diagnosis. Identification of patients who will require a surgical resection because of a nonviable small bowel remains a challenge. Through a prospective cohort study, the authors aimed to validate risk factors and scores for intestinal resection, and to develop a practical clinical score designed to guide surgical versus conservative management.

Patients and methods

All patients admitted for an acute SBO between 2004 and 2016 in the center were included. Patients were divided in three categories depending on the management: conservative, surgical with bowel resection, and surgical without bowel resection. The outcome variable was small bowel necrosis. Logistic regression models were used to identify the

SUBMITTER: Wassmer CH 

PROVIDER: S-EPMC10389338 | biostudies-literature | 2023 Jun

REPOSITORIES: biostudies-literature