Operative rates in acute diverticulitis with concurrent small bowel obstruction
Background The prevalence of diverticulitis has steadily increased during the past century. One possible complication of large bowel diverticulitis (LBD) is the concurrent development of a small bowel obstruction (SBO). The literature regarding these joint diagnoses is primarily limited to small cas...
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| Format: | Article |
| Language: | English |
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BMJ Publishing Group
2022-10-01
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| Series: | Trauma Surgery & Acute Care Open |
| Online Access: | https://tsaco.bmj.com/content/7/1/e000925.full |
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| _version_ | 1846148662460153856 |
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| author | Michael Steven Farrell Richard Caplan Jeffrey Glaser Matthew Rubino |
| author_facet | Michael Steven Farrell Richard Caplan Jeffrey Glaser Matthew Rubino |
| author_sort | Michael Steven Farrell |
| collection | DOAJ |
| description | Background The prevalence of diverticulitis has steadily increased during the past century. One possible complication of large bowel diverticulitis (LBD) is the concurrent development of a small bowel obstruction (SBO). The literature regarding these joint diagnoses is primarily limited to small case series from the 1950s. Consequently, no official recommendations or recent literature exists to guide decision making.Methods This is a retrospective case–control study with 5:1 matching by demographics, comorbidities, and Hinchey classification of patients presenting with concomitant LBD and SBO and patients with LBD alone. The primary outcome assessed was the need for same admission surgical intervention.Results Patients with concurrent LBD and SBO were more likely to require surgical intervention (OR 4.2, p<0.001) and more likely to receive an open operation than patients with only LBD (p<0.001). The length of stay (LOS) was longer for LBD with SBO (mean LOS +3.2 days, p=0.003).Discussion Patients with concurrent LBD and SBO are more likely to fail non-operative management. Given this, along with their longer LOS and higher rate of open surgery, earlier surgical intervention may improve outcomes and reduce hospital LOS.Level of evidence 4. |
| format | Article |
| id | doaj-art-3ccb0d3e4d574c8a9c901466a639960f |
| institution | Kabale University |
| issn | 2397-5776 |
| language | English |
| publishDate | 2022-10-01 |
| publisher | BMJ Publishing Group |
| record_format | Article |
| series | Trauma Surgery & Acute Care Open |
| spelling | doaj-art-3ccb0d3e4d574c8a9c901466a639960f2024-11-30T14:15:08ZengBMJ Publishing GroupTrauma Surgery & Acute Care Open2397-57762022-10-017110.1136/tsaco-2022-000925Operative rates in acute diverticulitis with concurrent small bowel obstructionMichael Steven Farrell0Richard Caplan1Jeffrey Glaser2Matthew Rubino3Department of Surgery, Lehigh Valley Health Network, Allentown, Pennsylvania, USASurgery, Christiana Care Health System, Wilmington, Delaware, USASurgery, Lehigh Valley Health Network, Allentown, Pennsylvania, USASurgery, Christiana Care Health System, Wilmington, Delaware, USABackground The prevalence of diverticulitis has steadily increased during the past century. One possible complication of large bowel diverticulitis (LBD) is the concurrent development of a small bowel obstruction (SBO). The literature regarding these joint diagnoses is primarily limited to small case series from the 1950s. Consequently, no official recommendations or recent literature exists to guide decision making.Methods This is a retrospective case–control study with 5:1 matching by demographics, comorbidities, and Hinchey classification of patients presenting with concomitant LBD and SBO and patients with LBD alone. The primary outcome assessed was the need for same admission surgical intervention.Results Patients with concurrent LBD and SBO were more likely to require surgical intervention (OR 4.2, p<0.001) and more likely to receive an open operation than patients with only LBD (p<0.001). The length of stay (LOS) was longer for LBD with SBO (mean LOS +3.2 days, p=0.003).Discussion Patients with concurrent LBD and SBO are more likely to fail non-operative management. Given this, along with their longer LOS and higher rate of open surgery, earlier surgical intervention may improve outcomes and reduce hospital LOS.Level of evidence 4.https://tsaco.bmj.com/content/7/1/e000925.full |
| spellingShingle | Michael Steven Farrell Richard Caplan Jeffrey Glaser Matthew Rubino Operative rates in acute diverticulitis with concurrent small bowel obstruction Trauma Surgery & Acute Care Open |
| title | Operative rates in acute diverticulitis with concurrent small bowel obstruction |
| title_full | Operative rates in acute diverticulitis with concurrent small bowel obstruction |
| title_fullStr | Operative rates in acute diverticulitis with concurrent small bowel obstruction |
| title_full_unstemmed | Operative rates in acute diverticulitis with concurrent small bowel obstruction |
| title_short | Operative rates in acute diverticulitis with concurrent small bowel obstruction |
| title_sort | operative rates in acute diverticulitis with concurrent small bowel obstruction |
| url | https://tsaco.bmj.com/content/7/1/e000925.full |
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