Observational studyBJS open2019
National prospective cohort study of the burden of acute small bowel obstruction.
Observational study in BJS open, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 39 papers, 4 of them syntheses that pooled it.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
39 citing papers in PubMed, 4 syntheses or guidelines pooled it.
- Small bowel obstruction and frailty: a systematic review.European geriatric medicine · 2026Pooled it
- Water-soluble contrast agents in adhesional small bowel obstruction: meta-analysis and PRECIS-2 assessment of trials.BJS open · 2025Pooled it
- One-Year Outcomes Following Emergency Laparotomy: A Systematic Review.World journal of surgery · 2022Pooled it
- A mapping review of sacrococcygeal pilonidal sinus disease.Techniques in coloproctology · 2021Pooled it
- A conceptual roadmap towards precision emergency surgery in adhesional small bowel obstruction.The British journal of surgery · 2026Article
- Impact of surgery and complications on GI recovery after SBO: Insights from the SnapSBO cohort.Colorectal disease : the official journal of the Association of Coloproctology of Great Britain and Ireland · 2026Article
- Water-soluble contrast agent use in adhesional small bowel obstruction: a survey of surgical practices and clinical trial considerations.Annals of the Royal College of Surgeons of England · 2026Article
- Early surgery for strangulated and non-strangulated small bowel obstruction has no advantages over delayed procedure, especially in elderly patients: results of a multicenter retrospective cohort study.Arquivos brasileiros de cirurgia digestiva : ABCD = Brazilian archives of digestive surgery · 2026Article
- Acute abdomen during chemotherapy: is surgery worthwhile? Insights from a single-center experience.Updates in surgery · 2025Article
- Management and outcome variability in hernia-related small bowel obstruction: insights from the SnapSBO study.BJS open · 2025Observational
- Reducing Inappropriate Abdominal X-ray Requests in a Surgical Admissions Unit: A Quality Improvement Project.Cureus · 2025Article
- Attenuation of intestinal peristalsis with age is attributed to decreased sensitivity of receptors in the enteric nervous system.Cell and tissue research · 2025Article
- SBO ACTION: conservative Small Bowel Obstruction management in the Absence of standard ConTrast agents ON outcomes.The British journal of surgery · 2025Article
- What influences emergency general surgeons' treatment preferences for patients requiring nutritional support? A discrete choice experiment.Colorectal disease : the official journal of the Association of Coloproctology of Great Britain and Ireland · 2025Article
- Development and external validation of prediction risk scores (STRISK and NOFA) to predict immediate surgical need in adhesive small bowel obstruction: an observational prospective multicentre study.The British journal of surgery · 2025Observational
- Machine Learning-Based Prediction of Early Complications Following Surgery for Intestinal Obstruction: Multicenter Retrospective Study.Journal of medical Internet research · 2025Article
- A novel scoring system for better management of small bowel obstruction.European journal of trauma and emergency surgery : official publication of the European Trauma Society · 2025Article
- Management of acute colonic pseudo-obstruction: opportunities to improve care?Annals of the Royal College of Surgeons of England · 2025Article
- Ileal obstruction caused by an intact "Shine Muscat" grape: a case report.Frontiers in medicine · 2025Article
- Outcomes of patients admitted with malignant small bowel obstruction: a subgroup multicentre observational cohort analysis.Langenbeck's archives of surgery · 2024Observational
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
11 authors.
Funding
Abstract
Background: Small bowel obstruction is a common surgical emergency, and is associated with high levels of morbidity and mortality across the world. The literature provides little information on the conservatively managed group. The aim of this study was to describe the burden of small bowel obstruction in the UK. Methods: This prospective cohort study was conducted in 131 acute hospitals in the UK between January and April 2017, delivered by trainee research collaboratives. Adult patients with a diagnosis of mechanical small bowel obstruction were included. The primary outcome was in-hospital mortality. Secondary outcomes included complications, unplanned intensive care admission and readmission within 30 days of discharge. Practice measures, including use of radiological investigations, water soluble contrast, operative and nutritional interventions, were collected. Results: Of 2341 patients identified, 693 (29·6 per cent) underwent immediate surgery (within 24 h of admission), 500 (21·4 per cent) had delayed surgery after initial conservative management, and 1148 (49·0 per cent) were managed non-operatively. The mortality rate was 6·6 per cent (6·4 per cent for non-operative management, 6·8 per cent for immediate surgery, 6·8 per cent for delayed surgery; Conclusion: Small bowel obstruction represents a significant healthcare burden. Patient-level factors such as timing of surgery, acute kidney injury and nutritional status are factors that might be modified to improve outcomes.
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.