Timing of surgery, intestinal ischemia and other real factors of mortality in acute adhesive small bowel obstruction: a multiple-center study

Tyagunov, A E; Tyagunov, A A; Nechay, T V; Vinogradov, V. N.; Kurashinova, L S; Сажин, А. В.

doi:10.17116/hirurgia202103126

Cited by 8 publications

(3 citation statements)

References 23 publications

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“…To address this situation, a transnasally inserted intestinal obstruction catheter was prepared as an alternative in the clinical practice. However, with deeper catheter placement, patients will be at a much higher risk of adverse events such as impaired blood supply to the intestinal wall and wound infection [ 19 ]. Therefore, how to prevent the risk of adverse interventions more effectively in the application of transnasally inserted intestinal obstruction catheters has become a hot and difficult area of modern research.…”

Section: Discussionmentioning

confidence: 99%

Analysis of Placement Priorities and Nursing Countermeasures of Transnasally Inserted Intestinal Obstruction Catheters in Patients with Acute Small Bowel Obstruction

Qian

Yan

2022

Evidence-Based Complementary and Alternative Medicine

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Objective. To explore the placement priorities and analysis of nursing countermeasures of transnasally inserted intestinal obstruction catheters in patients with acute small bowel obstruction (ASBO). Methods. One hundred and three patients with ASBO treated in our hospital from May 2016 to February 2022 were enrolled to this study. Patients who received individual nursing for transnasally inserted intestinal obstruction catheters were considered as the observation group (n = 59) and those who received traditional nursing were regarded as the control group (n = 44). The symptom relief time, daily gastrointestinal decompression, bowel sound recovery time, exhaust, defecation recovery time, and gas-liquid plane disappearance time were compared between both groups. The abdominal pain was evaluated by visual analogue scale (VAS), and the psychology of patients was evaluated by self-rating anxiety scale (SAS) and self-rating depression scale (SDS). Patients’ clinical efficacy and incidence of adverse effects were counted, and quality of life was assessed using the short form 36 (SF-36) health survey questionnaire. Results. In the observation group, the improvement time of clinical symptoms and VAS, SAS, and SDS scores after intubation were lower than those of the control group, while the total clinical treatment efficiency was higher ( P < 0.05 ). As to the adverse effects, the observation group was lower than the control group ( P < 0.05 ). Also, the SF-36 scores were higher than those of the control group in all dimensions ( P < 0.05 ). Conclusion. The individual nursing strategy implemented for the transnasally inserted intestinal obstruction catheter can effectively shorten the recovery of ASBO patients and improve their treatment outcome and prognosis quality of life.

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Section: Discussionmentioning

confidence: 99%

Analysis of Placement Priorities and Nursing Countermeasures of Transnasally Inserted Intestinal Obstruction Catheters in Patients with Acute Small Bowel Obstruction

Qian

Yan

2022

Evidence-Based Complementary and Alternative Medicine

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“…These may include high age, BMI, ASA-score, severe heart, lung or kidney disease, active cancer status. AOI is has a mortality 40% if the intestine gets strangulated and NOM for AIO is only successful in half the cases of small intestinal obstruction [25][26] .…”

Section: Emergency Versus Elective Surgerymentioning

confidence: 99%

“…In Denmark there has been a national project recomending that patients with intestinal obstruction should undergo emergency surgery within 6 hours from admission to hospital unless a NOM strategy is tried. This aggressive approach is due for a re-evaluation however [25].…”

Section: Risk Factors Associated With Ppoimentioning

confidence: 99%

Postoperative paralytic ileus following emergency surgery for bowel obstruction

Axelsen,

Lomholt,

Lauridsen

et al. 2024

Preprint

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Purpose Abdominal surgery is followed by various degrees of postoperative paralytic ileus (POI). If the condition persists for four days after surgery, it is referred to as prolonged POI (PPOI). PPOI significantly increases the risk for severe complications. We wished to access the proportion of PPOI in patients undergoing emergency surgery for acute intestinal obstruction (AIO) and investigate risk factors associated with development of PPOI. Methods Data were retrospectively collected from electronical patient journals from all patients undergoing surgery for AOI from 1st of January 2019 to 31st of December 2022 at the Department of Surgery, Aarhus University Hospital, Denmark. Results 101 (46%) of the patients operated for AIO developed PPOI. The mean LOS for patients with PPOI was 17.6 days versus 8.5 days for patients without PPOI. We identified several risk factors associated with development of PPOI in univariate analyses including age, hyperpotassiamia, high levels of carbamide, laparotomy, adhesiolysis, time in surgery, resection of small intestine, and use of temporary closure for second look. Patients with an active cancer diagnoseis were less likely to experience PPOI assessed in a multivariate analysis. We found no association between PPOI and 30 or 90-day mortality rates. Conclusion Almost half of patients who had emergency surgery for AIO developed PPOI. This is more frequent than reported incidences for elective intestinal surgery. Patients with PPOI had significantly longer LOS than patients without PPOI. Risk factors associated with PPOI included age, adhesiolysis, laparotomy, resection of small intestine, temporary vacuum assisted closure and time in surgery.

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Intestinal fatty acid-binding protein (I-FABP) as biomarker of ischemic damage in experimentally induced 12-h small bowel obstruction

Tyagunov,

Anurov,

Titkova

et al. 2024

Updates Surg

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Timing of surgery, intestinal ischemia and other real factors of mortality in acute adhesive small bowel obstruction: a multiple-center study

Cited by 8 publications

References 23 publications

Analysis of Placement Priorities and Nursing Countermeasures of Transnasally Inserted Intestinal Obstruction Catheters in Patients with Acute Small Bowel Obstruction

Analysis of Placement Priorities and Nursing Countermeasures of Transnasally Inserted Intestinal Obstruction Catheters in Patients with Acute Small Bowel Obstruction

Postoperative paralytic ileus following emergency surgery for bowel obstruction

Intestinal fatty acid-binding protein (I-FABP) as biomarker of ischemic damage in experimentally induced 12-h small bowel obstruction

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