Challenges of Malignant Small Bowel Obstruction – Results of a State Surgical Mortality Dataset
Journal Title: Journal of Advances in Medicine and Medical Research - Year 2016, Vol 15, Issue 12
Abstract
Background: Small bowel obstruction is a common acute surgical pathology. Despite the substantial postoperative mortality associated with small bowel obstruction (SBO), there is limited evidence to support clinical decision-making. The purpose of this study was to identify differences in system, patient and operative features in adults who died following operative treatment of malignant versus nonmalignant small bowel obstruction. Methods: Retrospective analysis of adults with SBO who died in hospital while under the care of a surgeon. Data was collected by the Australian and New Zealand Audit of Surgical Mortality from Queensland hospitals between January 2009 and December 2014. Results: 523 patients died post-operatively following surgical treatment of small bowel obstruction over the six-year study period. The most common etiologies were adhesive (41%), malignancy (25%) and hernia (16%). Compared to those with a nonmalignant etiology, patients with malignant SBO were younger (P < 0.001) but had a longer mean pre-operative inpatient admission (P = 0.007), and were more likely to require an anastomosis at the time of operation (P < 0.001). Conclusion: Despite being younger, patients with malignant small bowel obstruction are challenging to manage. Further studies are needed to help surgeons manage patients with malignant small bowel obstruction.
Authors and Affiliations
Skyle Murphy, Arkadiusz Peter Wysocki, Jennifer Allen, Therese Rey-Conde, John B. North
Clinical Characteristics and Management of Adnexal Torsion
Adnexal torsion is a gynaecologic surgical emergency. Misdiagnosis or delay may lead to loss of the adnexa and may compromise fertility. Aim: To determine the most relevant findings for the diagnosis of adnexal torsion a...
Crown Lengthening Procedures after Orthodontic Treatment and before Placement of Prosthetic Crowns
Background: The need to provide aesthetic as well a functional dental restoration continues to be a challenge for the restorative dentistry. Crown-lengthening procedures can help address those challenges and can also be...
FGF21 maybe have a Protective Role against Obesity in Cases of High-fat Diets, in Adult Mice, Malnourished during Their Embryonic Life
Aims: To investigate if there is a possible protective role of FGF21 in malnourished adult mice which have been exposed to stress during their intrauterine life. Place and Duration of Study: University of Patras, Departm...
Panax ginseng C.A. Meyer Extract Protects Rat Erythrocyte from the Oxidative Damage Induced by the Synergistic Effects of Subchronic Treatment with Aflatoxin B1 and Fumonisin
Aims: The current study aimed to evaluate the protective role of ginseng extract (GE) against the oxidative damage of erythrocytes resulted from the synergistic effects of subchronic (84 days) treatment with aflatoxin B1...
Norovirus Infection in Community Children with Acute Gastroenteritis in Savar Area, Dhaka, Bangladesh
Aims: We sought to investigate norovirus burden in patients with complications of acute gastroenteritis in community level in Bangladesh. Thus, the aim of this study was to detect the incidence of norovirus in stool samp...