ArticleBMC surgery2022
Prediction model for irreversible intestinal ischemia in strangulated bowel obstruction.
Article in BMC surgery, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers, 1 of them a synthesis that pooled it.
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10 citing papers in PubMed, 1 synthesis or guideline pooled it, 12 citations in OpenAlex.
- Radiological diagnosis of acute mesenteric ischemia in adult patients: a systematic review and meta-analysis.Scientific reports · 2025Pooled it
- Predicting strangulated small bowel obstruction: how the combination of CT findings with clinical and laboratory parameters improves diagnostic accuracy.Emergency radiology · 2026Article
- Predictive models for intestinal obstruction: from clinical scores to artificial intelligence.Frontiers in surgery · 2026Review
- An easily acquirable predictive model for strangulated bowel obstruction: the BAR-N.BMC surgery · 2025Article
- External validation of a CT score for predicting ischaemia in adhesive small-bowel obstruction.European radiology · 2025Article
- Diagnosis of necrotic and non-necrotic small bowel strangulation: The importance of intestinal congestion.Annals of gastroenterological surgery · 2025Article
- Development and validation of a CT-based radiomic nomogram for predicting surgical resection risk in patients with adhesive small bowel obstruction.BMC medical imaging · 2025Article
- The target sign: a significant CT sign for predicting small-bowel ischemia and necrosis.La Radiologia medica · 2024Article
- Article
- Diagnosis and surgical management strategy for pediatric small bowel obstruction: Experience from a single medical center.Frontiers in surgery · 2023Article
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Authors and funding
12 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundPreoperatively diagnosing irreversible intestinal ischemia in patients with strangulated bowel obstruction is difficult. Therefore, this study aimed to establish a prediction model for irreversible intestinal ischemia in strangulated bowel obstruction.
methodsWe included 83 patients who underwent emergency surgery for strangulated bowel obstruction between January 2014 and March 2022. The predictors of irreversible intestinal ischemia in strangulated bowel obstruction were identified using logistic regression analysis, and a prediction model for irreversible intestinal ischemia in strangulated bowel obstruction was established using the regression coefficients. Receiver operating characteristic analysis and fivefold cross-validation was used to assess the model.
resultsThe prediction model (range, 0-4) was established using a white blood cell count of ≥ 12,000/µL and the computed tomography value of peritoneal fluid that was ≥ 20 Hounsfield units. The areas of the receiver operating characteristic curve of the new prediction model were 0.814 and 0.807 after fivefold cross-validation. A score of ≥ 2 was strongly suggestive of irreversible intestinal ischemia in strangulated bowel obstruction and necessitated bowel resection (odds ratio = 15.938). The bowel resection rates for the prediction scores of 0, 2, and 4 were 15.2%, 66.7%, and 85.0%, respectively.
conclusionOur model may help predict irreversible intestinal ischemia that necessitates bowel resection for strangulated bowel obstruction cases and thus enable surgeons to recognize the severity of the situation, prepare for deterioration of patients with progression of intestinal ischemia, and select the appropriate surgical procedure for treatment.
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