Variation in the management of adhesive small bowel obstruction in the Netherlands: a prospective cross-sectional study.

ABSTRACT:

Background

ASBO is a frequent abdominal surgical emergency and a leading cause of morbidity and mortality in emergency surgery. The aim of this study is to provide insight into the current management of adhesive small bowel obstruction (ASBO) and associated outcomes.

Methods and materials

A nationwide prospective cross-sectional cohort study was conducted. All patients with clinical signs of ASBO admitted to participating Dutch hospitals were included during a 6 months inclusion period between April 2019 and December 2020. Ninety-day clinical outcomes were described and compared for nonoperative management (NOM) and laparoscopic and open surgery.

Results

In 34 participating hospitals, 510 patients were included, of whom 382 (74.9%) had a definitive diagnosis of ASBO.

SUBMITTER: Krielen P 

PROVIDER: S-EPMC10442142 | biostudies-literature | 2023 Aug

REPOSITORIES: biostudies-literature