Volume 24, Issue 105, September - October, 2020

Recognizing Predictors of Ischemic Bowel in Patients with Mechanical Acute Small Bowel Obstruction - A Retrospective Study

Tamer M Abdelrahman^1,2♦, Alaa E Younes¹

¹Surgery Department, College of Medicine, Taif University, Saudi Arabia
²Surgery Department, Benha Teaching Hospital, General Organization Of Teaching Hospital and Institutes, Egypt

^♦Corresponding author
Tamer M. Abdelrahman Assistant professor of Surgery College of Medicine, Taif University, Saudi Arabia E. mail: drtamer17@gmail.com Mobile: 0096655048180

ABSTRACT

Early and precise diagnosis of bowel strangulation is the main focus of clinicians treating bowel obstructions due to the high morbidity and mortality rate associated with this disease. The objective of this study was to improve the therapeutic prognosis of Small bowel obstruction (SBO) by identifying and assessing predictive factors independently associated with the presence of ischemia. A retrospective study was conducted in two hospitals in TAIF, Saudi Arabia, from January 2015 to January 2020.A total of 151 patients had retrieved from records. Study findings suggest that intestinal ischemia was considerably associated with tachycardia (>100 bpm), signs of peritoneal irritation, White blood cells (WBC) (×10^9/L) > 10.0, CRP (≥75 mg/l) and CT finding of thickened walled small bowel ≥3mm, Seroperitoneum> 500 ml, and Closed-loop obstruction. The study concluded that the presence of predictors clinically and by investigations in patients with mechanical SBO should alert the clinicians of underlying bowel ischemia and early diagnosis of patients who need surgical intervention, which ensures better therapeutic prognosis and patient outcomes.

Keywords: Predictors, Bowel, Intestinal, Ischemia, Strangulation, Obstruction

Medical Science, 2020, 24(105), 3527-3536

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