ArticleWorld journal of surgery2020
Predicting Intestinal Ischaemia in Patients with Adhesive Small Bowel Obstruction: A Simple Score.
Article in World journal of surgery, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers, 1 of them a synthesis that pooled it.
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Who cites it
17 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Prognostic factors to identify resolution of small bowel obstruction without need for operative management: systematic review.European radiology · 2024Pooled it
- Article
- Development and validation of an explainable machine learning model for predicting surgical intervention in pediatric intestinal obstruction.European journal of pediatrics · 2026Article
- Radiologist-AI Collaboration for Ischemia Diagnosis in Small-Bowel Obstruction: Multicentric Development and External Validation of a Multimodal Deep Learning Model.Journal of imaging informatics in medicine · 2026Article
- Acute small bowel obstruction revealing a rare localization of lymphoma: a case report.International journal of surgery case reports · 2026Article
- Predictive models for intestinal obstruction: from clinical scores to artificial intelligence.Frontiers in surgery · 2026Review
- 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
- Development and validation of a nomogram model to predict the risk of strangulated intestinal obstruction.Scientific reports · 2024Article
- Article
- The target sign: a significant CT sign for predicting small-bowel ischemia and necrosis.La Radiologia medica · 2024Article
- Predictive factors of bowel necrosis in patients with incarcerated femoral hernia.Hernia : the journal of hernias and abdominal wall surgery · 2023Observational
- A new risk scoring system for early prediction of surgical need in patients with adhesive small bowel obstruction: a single-center retrospective clinical study.Annals of surgical treatment and research · 2023Article
- Ischemia prediction score (IsPS) in patients with strangulated small bowel obstruction: a retrospective cohort study.BMC gastroenterology · 2023Article
- The Angers CT Score is a Risk Factor for the Failure of the Conservative Management of Adhesive Small Bowel Obstruction: A Prospective Observational Multicentric Study.World journal of surgery · 2023Observational
- Diagnosis and surgical management strategy for pediatric small bowel obstruction: Experience from a single medical center.Frontiers in surgery · 2023Article
- Small bowel obstruction and intestinal ischemia: emphasizing the role of MDCT in the management decision process.Abdominal radiology (New York) · 2022Review
- Bowel obstruction as a serious complication of patients with femoral hernia.Surgery today · 2021Article
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Authors and funding
10 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
BACKGROUND/
aimsIntestinal ischaemia (II) is the most critical factor to determine in patients with adhesive small bowel obstruction (ASBO) because intestinal ischaemia could be reversible. The aim of this study was to create a clinicoradiological score to predict II in patients with ASBO.
methodsWe conducted a retrospective study including 124 patients with ASBO. Logistic regression analysis was used to identify predictive factors of II. We assigned points for the score according to the regression coefficient. The area under the curve (AUC) was determined using receiver operating characteristic curves.
resultsSix independent predictive factors of II were identified: age, pain duration, body temperature, WBC, reduced wall enhancement and segmental mesenteric fluid at CT scan. According to the regression, coefficient points were assigned to each of the variables associated with II. The estimated rates of II were calculated for the total scores ranging from 0 to 24. The AUC of this clinicoradiological score was 0.92. A cut-off score of 6 was used for the low-probability group (the risk of II was 1.13%). A score ranging from 7 to 15 defined intermediate-probability group (the risk of II was 44%). A score ≥16 defined high-probability group (100% of patients in this group had II).
conclusionsWe performed a score to predict the risk of intestinal II with a good accuracy (the AUC of our score exceeded 0.90). This score is reliable and reproducible, so it can help surgeon to prioritize patients with II for surgery because ischaemia could be reversible, avoiding thus intestinal necrosis.
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