Bowel Ischemia Score Predicts Early Operation in Patients With Adhesive Small Bowel Obstruction.

ABSTRACT:

Background

Nonoperative management of adhesive small bowel obstruction (SBO) is successful in up to 80% of patients. Current recommendations advocate for computed tomography (CT) scan in all patients with SBO to supplement surgical decision-making. The hypothesis of this study was that cumulative findings on CT would predict the need for operative intervention in the setting of SBO.

Methods

This is an analysis of a retrospectively and prospectively collected adhesive SBO database over a 6-year period. A Bowel Ischemia Score (BIS) was developed based on the Eastern Association for the Surgery of Trauma guidelines of CT findings suggestive of bowel ischemia. One point was assigned for each of the six variables. Early operation was defined as surgery within 6 hours of CT scan.<

SUBMITTER: Morris RS 

PROVIDER: S-EPMC9057653 | biostudies-literature | 2022 Feb

REPOSITORIES: biostudies-literature