• About
  • Masthead
  • License Content
  • Advertise
  • Submit Press Release
  • RSS/Email List
  • Write for us
  • Contact us
2 Minute Medicine
No Result
View All Result

No products in the cart.

SUBSCRIBE
  • Specialties
    • Cardiology
    • Chronic Disease
    • Dermatology
    • Emergency
    • Endocrinology
    • Gastroenterology
    • Imaging and Intervention
    • Infectious Disease
    • Nephrology
    • Neurology
    • Obstetrics
    • Oncology
    • Ophthalmology
    • Pediatrics
    • Preclinical
    • Psychiatry
    • Public Health
    • Pulmonology
    • Rheumatology
    • Surgery
  • The Scan
  • Wellness
  • Classics™
    • 2MM+ Online Access
    • Paperback and Ebook
  • Rewinds
  • Visual
  • Partners
    • License Content
    • Submit Press Release
    • Advertise with Us
  • AccountLog-in/out
    • Subscribe
    • Sign-in
    • My account
2 Minute Medicine
  • Specialties
    • Cardiology
    • Chronic Disease
    • Dermatology
    • Emergency
    • Endocrinology
    • Gastroenterology
    • Imaging and Intervention
    • Infectious Disease
    • Nephrology
    • Neurology
    • Obstetrics
    • Oncology
    • Ophthalmology
    • Pediatrics
    • Preclinical
    • Psychiatry
    • Public Health
    • Pulmonology
    • Rheumatology
    • Surgery
  • The Scan
  • Wellness
  • Classics™
    • 2MM+ Online Access
    • Paperback and Ebook
  • Rewinds
  • Visual
  • Partners
    • License Content
    • Submit Press Release
    • Advertise with Us
  • AccountLog-in/out
    • Subscribe
    • Sign-in
    • My account
SUBSCRIBE
2 Minute Medicine
Subscribe
Home All Specialties Gastroenterology

Prompt surgery may yield better outcomes for adhesive small bowel obstruction

bys25qthea
August 24, 2013
in Gastroenterology, Surgery
Reading Time: 3 mins read
0
Share on FacebookShare on Twitter

Image: PD 

1. Surgical intervention within 24 hours of admission for an adhesive small bowel obstruction (ASBO) results in lower morbidity, less infectious complications and shorter length of stay. 

2. Longer delays in intervention resulted in progressively higher mortality and morbidity rates. 

Evidence Rating Level: 2 (Good)       

Study Rundown: Current guidelines from the World Society of Emergency Surgery and the Eastern Association for the Surgery of Trauma (EAST) endorse the decision to delay surgical intervention for an ASBO for up to three or five days respectively. This large multi-center cohort study demonstrates that even a 24-hour delay results in statistically significant increases in mortality, morbidity and length of hospital stay.  Several possible confounding variables such as patient age and prior operation were not controlled for in this study which may limit its generalizability to current practice.  Reluctance of surgeons to operate immediately on older patients, those with prior abdominal surgery, or others with surgical risks factors may have contributed to the results seen in this study.  If true, the conclusions of this study would markedly change the clinical practice guidelines for ASBO management.  A prospective study is therefore warranted to validate the results seen here.

Click to read the study in Annals of Surgery

Relevant Reading: Early operation or conservative management of patients with small bowel obstruction?

RELATED REPORTS

Subcuticular sutures following elective hepatobiliary surgery may reduce site infections

Risk of hydroxychloroquine retinopathy increases with longer use and higher dosage

Chronic obstructive pulmonary disease associated with worse postoperative outcomes

In-Depth [retrospective cohort]: Over four thousand patients with an ASBO requiring emergent surgery between 2005 and 2010 were identified from the American College of Surgeons’ National Surgical Quality Improvement Program (NSQIP) database. Patient characteristics and time delay to operation were analyzed with respect to 30-day mortality as the primary outcome.   Secondary outcomes included patient complications and length of hospital stay.  Over half (61%) of the surgeries were performed beyond 24 hours from admission. Logistic regression analysis demonstrated that along with 12 other independent predictors of mortality, longer delays in surgical intervention resulted in progressively higher mortality and complication rates. A 72-hour delay increased mortality 3-fold and increased systemic infection rates 2-fold.  A delay of greater than 24 hours showed an independent association with mortality (OR = 1.64, 95% CI = 1.15-2.32, p = 0.005) and was associated with a statistically significant increase in mortality (adjusted OR = 1.58, 95% CI = 1.12-2.24, p = 0.009]. Complications followed a similar trend with respect to 24-hour delay, particularly for surgical site and systemic infections (adjusted OR = 1.33 and 1.62 respectively). Length of hospital stay was also significantly increased with delayed operations with an adjusted mean difference of 5.2 days (95% CI = 4.49 to 5.90).

By Asya Ofshteyn and Chaz Carrier

More from this author: Immediate cholecystectomy preferred treatment for acute cholecystitis, Living donor outcomes improved by motivational interviewing, Pancreatic islet autotransplantation a potential treatment for malignant disease, Antibiotic implants reduce surgical site infections, Validated index scores severity of postsurgical morbidity

© 2013 2minutemedicine.com. All rights reserved. No works may be reproduced without expressed written consent from 2minutemedicine.com. Disclaimer: We present factual information directly from peer reviewed medical journals. No post should be construed as medical advice and is not intended as such by the authors, editors, staff or by 2minutemedicine.com. PLEASE SEE A HEALTHCARE PROVIDER IN YOUR AREA IF YOU SEEK MEDICAL ADVICE OF ANY SORT.  

Tags: bowel obstructionSurgery
Previous Post

Mixed picture for pazopanib versus sunitinib in metastatic renal-cell carcinoma

Next Post

Discharge to home decreasing after higher risk CABG

RelatedReports

Comparable cesarean incision infection following Vicryl versus Monocryl skin closure
Infectious Disease

Subcuticular sutures following elective hepatobiliary surgery may reduce site infections

February 3, 2023
Blindness and visual impairment decreasing worldwide
Chronic Disease

Risk of hydroxychloroquine retinopathy increases with longer use and higher dosage

February 1, 2023
2 Minute Medicine Rewind May 20, 2019
Chronic Disease

Chronic obstructive pulmonary disease associated with worse postoperative outcomes

January 26, 2023
Survival greater in cervical cancer patients undergoing abdominal hysterectomy compared to minimally invasive techniques: the LACC trial
Surgery

Methylprednisolone after hip replacement surgery improves pain and sleep quality

January 24, 2023
Next Post
Remote ischemic preconditioning reduced myocardial injury in CABG patients

Discharge to home decreasing after higher risk CABG

Childhood ADHD associated with increased risk of suicide [Physician Comment]

Antipsychotic users more likely to develop Type 2 Diabetes

Soaring rates of peripheral artery disease, now over 200 million cases worldwide

2 Minute Medicine Rewind August 19 – August 25, 2013

License Our Award-Winning Physician-Written Medical News and Visual Abstracts

2 Minute Medicine is the leading authoritative medical news licensing service, and the only with reports written by practicing doctors.

LICENSE CONTENT

2MM+ Premium Access

No ads & unlimited access to all current reports, over 9000 searchable archived reports, visual abstracts, Weekly Rewinds, and the online edition of The Classics Series™ textbook.

Subscription Options
2 Minute Medicine

2 Minute Medicine® is an award winning, physician-run, expert medical media company. Our content is curated, written and edited by practicing health professionals who have clinical and scientific expertise in their field of reporting. Our editorial management team is comprised of highly-trained MD physicians. Join numerous brands, companies, and hospitals who trust our licensed content.

Recent Reports

  • Faecal haemoglobin concentrations associated with mortality and cause of death in colorectal cancer screening
  • The Scan by 2 Minute Medicine®: Maternity Leave Left Out, Dry January, A Measles Resurgence, Dr. GPT
  • Former professional football players may be at greater risk of chronic disease
License Content
Terms of Use | Disclaimer
Cookie Policy
Privacy Statement (EU)
Disclaimer

© 2021 2 Minute Medicine, Inc. - Physician-written medical news.

  • Specialties
    • Cardiology
    • Chronic Disease
    • Dermatology
    • Emergency
    • Endocrinology
    • Gastroenterology
    • Imaging and Intervention
    • Infectious Disease
    • Nephrology
    • Neurology
    • Obstetrics
    • Oncology
    • Ophthalmology
    • Pediatrics
    • Preclinical
    • Psychiatry
    • Public Health
    • Pulmonology
    • Rheumatology
    • Surgery
  • The Scan
  • Wellness
  • Classics™
    • 2MM+ Online Access
    • Paperback and Ebook
  • Rewinds
  • Visual
  • Partners
    • License Content
    • Submit Press Release
    • Advertise with Us
  • Account
    • Subscribe
    • Sign-in
    • My account

© 2021 2 Minute Medicine, Inc. - Physician-written medical news.

Want more physician-written
medical news?

Join over 10 million yearly readers and numerous companies. For healthcare professionals
and the public.

Subscribe for free today!

Subscription options