Predictors for success of non-operative management of adhesive small bowel obstruction
Zi Qin Ng, Vivien Hsu, William Wei Han Tee, Jih Huei Tan, Ruwan Wijesuriya
Abstract
BACKGROUND: Majority of adhesive small bowel obstruction (SBO) cases can be managed non-operatively. However, a proportion of patients failed non-operative management. AIM: To evaluate the predictors of successful non-operative management in adhesive SBO. METHODS: A retrospective study was performed for all consecutive cases of adhesive SBO from November 2015 to May 2018. Data collated included basic demographics, clinical presentation, biochemistry and imaging results and management outcomes. The imaging studies were independently analyzed by a radiologist who was blinded to the clinical outcomes. The patients were divided into group A operative (including those that failed initial non-operative management) and group B non-operative for analysis. RESULTS: = 0.001). CONCLUSION: The computed tomography findings can assist clinicians in deciding early surgical intervention in adhesive SBO cases that are unlikely to be successful with non-operative management to prevent associated morbidity and mortality.