دورية أكاديمية
Contemporary Assessment of Adhesiolysis and Resection for Adhesive Small Bowel Obstruction in the State of New York.
| العنوان: | Contemporary Assessment of Adhesiolysis and Resection for Adhesive Small Bowel Obstruction in the State of New York. |
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| المؤلفون: | Symer MM; Department of Surgery, Division of Colon and Rectal Surgery, NYU Long Island School of Medicine, Mineola, NY, USA., Zheng X; Department of Population Health Sciences, Weill Cornell Medicine, New York, NY, USA., Pua BB; Department of Radiology, Division of Vascular and Interventional Radiology, Weill Cornell Medicine, New York, NY, USA., Sedrakyan A; Department of Population Health Sciences, Weill Cornell Medicine, New York, NY, USA., Milsom JW; Department of Surgery, Division of Colon and Rectal Surgery, NewYork-Presbyterian Hospital/Weill Cornell Medicine, New York, NY, USA. |
| المصدر: | Surgical innovation [Surg Innov] 2024 Jun; Vol. 31 (3), pp. 245-255. Date of Electronic Publication: 2024 Mar 18. |
| نوع المنشور: | Journal Article |
| اللغة: | English |
| بيانات الدورية: | Publisher: Sage Publications Country of Publication: United States NLM ID: 101233809 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1553-3514 (Electronic) Linking ISSN: 15533506 NLM ISO Abbreviation: Surg Innov Subsets: MEDLINE |
| أسماء مطبوعة: | Original Publication: Thousand Oaks, CA : Sage Publications |
| مواضيع طبية MeSH: | Intestinal Obstruction*/surgery , Intestinal Obstruction*/mortality , Intestine, Small*/surgery, Humans ; Retrospective Studies ; Female ; Male ; Middle Aged ; New York/epidemiology ; Tissue Adhesions/surgery ; Aged ; Adult ; Postoperative Complications/epidemiology ; Hospital Mortality ; Aged, 80 and over |
| مستخلص: | Background: Adhesive small bowel obstruction (aSBO) is a common surgical problem, with some advocating for a more aggressive operative approach to avoid recurrence. Contemporary outcomes in a real-world setting were examined. Study Design: A retrospective cohort study was performed using the New York Statewide Planning and Research Cooperative database to identify adults admitted with aSBO, 2016-2020. Patients were stratified by the presence of inflammatory bowel disease (IBD) and cancer history. Diagnoses usually requiring resection were excluded. Patients were categorized into four groups: non-operative, adhesiolysis, resection, and 'other' procedures. In-hospital mortality, major complications, and odds of undergoing resection were compared. Results: 58,976 patients were included. 50,000 (84.8%) underwent non-operative management. Adhesiolysis was the most common procedure performed (n = 4,990, 8.46%), followed by resection (n = 3,078, 5.22%). In-hospital mortality in the lysis and resection groups was 2.2% and 5.9% respectively. Non-IBD patients undergoing operation on the day of admission required intestinal resection 29.9% of the time. Adjusted odds of resection were highest for those with a prior aSBO episode (OR 1.29 95%CI 1.11-1.49), delay to operation ≥3 days (OR1.78 95%CI 1.58-1.99), and non-New York City (NYC) residents being treated at NYC hospitals (OR1.57 95%CI 1.19-2.07). Conclusion: Adhesiolysis is currently the most common surgery for aSBO, however nearly one-third of patients will undergo a more extensive procedure, with an increased risk of mortality. Innovative therapies are needed to reduce the risk of resection. Competing Interests: Declaration of conflicting interestsThe author(s) declared no potential conflicts of interest with respect to the research, authorship, and/or publication of this article. |
| فهرسة مساهمة: | Keywords: hospitals; intestinal obstruction; laparoscopy; operative; postoperative complications; surgical procedures |
| تواريخ الأحداث: | Date Created: 20240318 Date Completed: 20240426 Latest Revision: 20240426 |
| رمز التحديث: | 20240426 |
| DOI: | 10.1177/15533506241240580 |
| PMID: | 38498843 |
| قاعدة البيانات: | MEDLINE |
Full Text Finder | تدمد: | 1553-3514 |
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| DOI: | 10.1177/15533506241240580 |