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Article: Early outcomes of surgery for small bowel obstruction: Analysis of risk factors

TitleEarly outcomes of surgery for small bowel obstruction: Analysis of risk factors
Authors
KeywordsOutcomes
Small bowel obstruction
Surgery
Issue Date2007
PublisherSpringer Verlag. The Journal's web site is located at http://link.springer.de/link/service/journals/00423/
Citation
Langenbeck's Archives Of Surgery, 2007, v. 392 n. 2, p. 173-178 How to Cite?
AbstractObjectives: The study aimed to review the etiologies of patients who underwent surgery for small bowel obstruction (SBO) and to evaluate the risk factors affecting the early postoperative outcomes. Materials and methods: A case series of 430 patients (252 men) with a mean age of 64.5 years, who underwent 437 operations for SBO, were retrospectively reviewed. Results: Peritoneal adhesions and hernia were the most common causes of SBO, contributing 42.3 and 26.8% of all cases, respectively. Strangulation occurred in 27.7% and caused nonviable bowel in 13.0% of obstructing episodes. Old age (age ≥ 70 years), female patient, nonadhesive obstruction, and hernia were the independent significant factors associated with bowel strangulation. The 30-day mortality was 6.5%, and the median postoperative hospital stay was 8 days. Old age, the presence of premorbid pulmonary disease, and malignant obstruction were the independent factors associated with operative mortality. The overall complication rate was 35.5%, and old age was the only significant factor associated with postoperative complications. Conclusions: Surgery for SBO is still associated with significant mortality and morbidity. As old age is significantly associated with an increased incidence of strangulation, operative mortality, and complications, this group of patients should be managed with extra cautions to avoid unfavorable outcome of surgery. © 2007 Springer-Verlag.
Persistent Identifierhttp://hdl.handle.net/10722/84433
ISSN
2015 Impact Factor: 2.149
2015 SCImago Journal Rankings: 1.080
ISI Accession Number ID
References

 

DC FieldValueLanguage
dc.contributor.authorLo, OSHen_HK
dc.contributor.authorLaw, WLen_HK
dc.contributor.authorChoi, HKen_HK
dc.contributor.authorLee, YMen_HK
dc.contributor.authorHo, JWCen_HK
dc.contributor.authorSeto, CLen_HK
dc.date.accessioned2010-09-06T08:52:54Z-
dc.date.available2010-09-06T08:52:54Z-
dc.date.issued2007en_HK
dc.identifier.citationLangenbeck's Archives Of Surgery, 2007, v. 392 n. 2, p. 173-178en_HK
dc.identifier.issn1435-2443en_HK
dc.identifier.urihttp://hdl.handle.net/10722/84433-
dc.description.abstractObjectives: The study aimed to review the etiologies of patients who underwent surgery for small bowel obstruction (SBO) and to evaluate the risk factors affecting the early postoperative outcomes. Materials and methods: A case series of 430 patients (252 men) with a mean age of 64.5 years, who underwent 437 operations for SBO, were retrospectively reviewed. Results: Peritoneal adhesions and hernia were the most common causes of SBO, contributing 42.3 and 26.8% of all cases, respectively. Strangulation occurred in 27.7% and caused nonviable bowel in 13.0% of obstructing episodes. Old age (age ≥ 70 years), female patient, nonadhesive obstruction, and hernia were the independent significant factors associated with bowel strangulation. The 30-day mortality was 6.5%, and the median postoperative hospital stay was 8 days. Old age, the presence of premorbid pulmonary disease, and malignant obstruction were the independent factors associated with operative mortality. The overall complication rate was 35.5%, and old age was the only significant factor associated with postoperative complications. Conclusions: Surgery for SBO is still associated with significant mortality and morbidity. As old age is significantly associated with an increased incidence of strangulation, operative mortality, and complications, this group of patients should be managed with extra cautions to avoid unfavorable outcome of surgery. © 2007 Springer-Verlag.en_HK
dc.languageengen_HK
dc.publisherSpringer Verlag. The Journal's web site is located at http://link.springer.de/link/service/journals/00423/en_HK
dc.relation.ispartofLangenbeck's Archives of Surgeryen_HK
dc.subjectOutcomesen_HK
dc.subjectSmall bowel obstructionen_HK
dc.subjectSurgeryen_HK
dc.titleEarly outcomes of surgery for small bowel obstruction: Analysis of risk factorsen_HK
dc.typeArticleen_HK
dc.identifier.openurlhttp://library.hku.hk:4550/resserv?sid=HKU:IR&issn=1435-2443&volume=392&issue=2&spage=173&epage=178&date=2007&atitle=Early+outcomes+of+surgery+for+small+bowel+obstruction:+analysis+of+risk+factorsen_HK
dc.identifier.emailLaw, WL: lawwl@hkucc.hku.hken_HK
dc.identifier.authorityLaw, WL=rp00436en_HK
dc.description.naturelink_to_subscribed_fulltext-
dc.identifier.doi10.1007/s00423-006-0127-4en_HK
dc.identifier.pmid17235588-
dc.identifier.scopuseid_2-s2.0-33847267257en_HK
dc.identifier.hkuros126186en_HK
dc.relation.referenceshttp://www.scopus.com/mlt/select.url?eid=2-s2.0-33847267257&selection=ref&src=s&origin=recordpageen_HK
dc.identifier.volume392en_HK
dc.identifier.issue2en_HK
dc.identifier.spage173en_HK
dc.identifier.epage178en_HK
dc.identifier.isiWOS:000244485700010-
dc.publisher.placeGermanyen_HK
dc.identifier.scopusauthoridLo, OSH=6508168045en_HK
dc.identifier.scopusauthoridLaw, WL=7103147867en_HK
dc.identifier.scopusauthoridChoi, HK=7404339913en_HK
dc.identifier.scopusauthoridLee, YM=8521465600en_HK
dc.identifier.scopusauthoridHo, JWC=7402649983en_HK
dc.identifier.scopusauthoridSeto, CL=7004637406en_HK
dc.identifier.citeulike1186730-

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