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Langenbeck's Archives of Surgery

01-03-2007 | Original Article

Early outcomes of surgery for small bowel obstruction: analysis of risk factors

Authors: Oswens Siu Hung Lo, Wai Lun Law, Hok Kwok Choi, Yee Man Lee, Judy Wai Chu Ho, Chi Leung Seto

Published in: Langenbeck's Archives of Surgery | Issue 2/2007

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Abstract

Objectives

The study aimed to review the etiologies of patients who underwent surgery for small bowel obstruction (SBO) and to evaluate the risk factors affecting the early postoperative outcomes.

Materials and methods

A case series of 430 patients (252 men) with a mean age of 64.5 years, who underwent 437 operations for SBO, were retrospectively reviewed.

Results

Peritoneal adhesions and hernia were the most common causes of SBO, contributing 42.3 and 26.8% of all cases, respectively. Strangulation occurred in 27.7% and caused nonviable bowel in 13.0% of obstructing episodes. Old age (age ≥ 70 years), female patient, nonadhesive obstruction, and hernia were the independent significant factors associated with bowel strangulation. The 30-day mortality was 6.5%, and the median postoperative hospital stay was 8 days. Old age, the presence of premorbid pulmonary disease, and malignant obstruction were the independent factors associated with operative mortality. The overall complication rate was 35.5%, and old age was the only significant factor associated with postoperative complications.

Conclusions

Surgery for SBO is still associated with significant mortality and morbidity. As old age is significantly associated with an increased incidence of strangulation, operative mortality, and complications, this group of patients should be managed with extra cautions to avoid unfavorable outcome of surgery.
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Metadata
Title
Early outcomes of surgery for small bowel obstruction: analysis of risk factors
Authors
Oswens Siu Hung Lo
Wai Lun Law
Hok Kwok Choi
Yee Man Lee
Judy Wai Chu Ho
Chi Leung Seto
Publication date
01-03-2007
Publisher
Springer-Verlag
Published in
Langenbeck's Archives of Surgery / Issue 2/2007
Print ISSN: 1435-2443
Electronic ISSN: 1435-2451
DOI
https://doi.org/10.1007/s00423-006-0127-4