Large-bowel disease presenting as small-bowel obstruction is associated with a poor prognosis

The American Journal of Emergency Medicine
Jessica L WeaverWilliam G Cheadle

Abstract

Small-bowel obstruction (SBO) is a common cause of admission to the surgical service. On rare occasions, a diagnosed SBO is actually due to large-bowel pathology combined with an incompetent ileocecal valve. The purpose of this study was to investigate this phenomenon. We performed a retrospective medical record review of patients that were admitted with a diagnosis of SBO at University of Louisville hospital and the Veterans Affairs hospitals in Louisville, KY, from 2006 until 2014. A total of 498 patients were admitted with SBO during this time period. Forty-one patients were found to have an underlying large-bowel disease. The most common large-bowel pathologies included malignancy (51%), inflammation (15%), and infection (15%). Fifteen (43%) of these patients died during admission; 93% of these were due to either their bowel obstruction or the underlying disease state. This was significantly higher than the general population (9.4% mortality, 6% due to underlying disease). Patients that present with SBO due to a large-bowel source have a much higher mortality rate than those that present with other causes. Rapid identification of these patients will allow for more timely and appropriate treatment.

References

Jul 1, 1985·Annals of Surgery·G H BallantyneD M Ilstrup
Dec 17, 2002·Gastroenterology Clinics of North America·David Frager
May 4, 2004·The British Journal of Surgery·C S McArdle, D J Hole
Jun 12, 2008·The Journal of Trauma·Jose J DiazRebecca Jerome
Mar 11, 2010·World Journal of Surgery·Martin D ZielinskiMichael G Sarr
Oct 13, 2012·Current Problems in Surgery·Merril T DaytonAlan R Posner
Nov 28, 2012·Radiologic Clinics of North America·Cynthia S Santillan
Jun 14, 2013·Academic Emergency Medicine : Official Journal of the Society for Academic Emergency Medicine·Mark R Taylor, Nadim Lalani
Oct 16, 2013·American Journal of Surgery·Ricardo FragoSebastiano Biondo
Mar 13, 2014·World Journal of Gastroenterology : WJG·Thijs R van OudheusdenMisha Dp Luyer
Feb 5, 2015·Journal of Surgical Case Reports·Nabil S El-Masry, Ruben Geevarghese
Jul 3, 2015·Annals of Surgery·Richard P G ten BroekHarry van Goor

❮ Previous
Next ❯

Citations


❮ Previous
Next ❯

Related Concepts

Related Feeds

Cancer Imaging

Imaging techniques, including CT and MR, have become essential to tumor detection, diagnosis, and monitoring. Here is the latest research on cancer imaging.

Related Papers

Journal of the American College of Surgeons
N A Diettrich
American Journal of Surgery
Marc ZereyB Todd Heniford
Canadian Journal of Surgery. Journal Canadien De Chirurgie
Jeremy E SpringerPaul M Johnson
© 2022 Meta ULC. All rights reserved