Observational studyThe British journal of surgery2025
Small bowel obstruction outcomes according to compliance with the World Society of Emergency Surgery Bologna guidelines.
Observational study in The British journal of surgery, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers.
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Who cites it
15 citing papers in PubMed.
- A Prospective Randomised Pilot Study on the Timing of Contrast Media Administration in Adhesive and Virgin Abdomen Small Bowel Obstruction.Medicina (Kaunas, Lithuania) · 2026Trial
- Adhesive small bowel obstruction in the virgin abdomen: comparable phenotype, divergent management.European journal of trauma and emergency surgery : official publication of the European Trauma Society · 2026Article
- Management of Major Non-mesh Complications After Primary Uterovaginal Prolapse Surgery: A Systematic Review.International urogynecology journal · 2026Review
- Small bowel obstruction in older adults: similar nonoperative success but worse outcomes across management strategies - insights from the ESTES SnapSBO study.European journal of trauma and emergency surgery : official publication of the European Trauma Society · 2026Article
- Early ileal perforation with fecal peritonitis secondary to adhesive small bowel obstruction after repeat cesarean section: a case report.Journal of surgical case reports · 2026Article
- The extended postoperative complication score: A dual-axis reporting plan for general surgery.The journal of trauma and acute care surgery · 2026Article
- Clinical performance of the Antoine Béclère score in predicting operative requirement in adhesive small bowel obstruction.Ulusal travma ve acil cerrahi dergisi = Turkish journal of trauma & emergency surgery : TJTES · 2026Article
- Development and validation of an explainable machine learning model for predicting surgical intervention in pediatric intestinal obstruction.European journal of pediatrics · 2026Article
- Outcomes of small bowel obstruction management in previously unoperated patients with a mid-term follow-up: a retrospective cohort study.BMC surgery · 2026Article
- Acute intestinal obstruction caused by multifocal nodular inflammatory disease of the small intestine: a case report and literature review.BMC surgery · 2026Review
- Dogma, data, and decision-making: a history of treatment for small-bowel obstruction.World journal of emergency surgery : WJES · 2026Review
- Evidence-based, cost-effective management of small bowel obstruction: An algorithm of the Journal of Trauma and Acute Care Surgery emergency general surgery algorithms work group.The journal of trauma and acute care surgery · 2025Article
- Immature granulocyte: an early predictor of strangulated adhesive small bowel obstruction.BMC gastroenterology · 2025Article
- Multimodal predictive model for strangulation risk in adhesive small bowel obstruction using deep learning and electronic health record data.The Journal of international medical research · 2025Observational
- Global burden of paralytic ileus and intestinal obstruction, 1990-2021: a GBD 2021 analysis.Journal of health, population, and nutrition · 2025Article
Corrections and comments
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Authors and funding
8 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundSmall bowel obstruction (SBO) is a common surgical emergency associated with substantial morbidity, hospital length of stay (LOS), and healthcare cost. The World Society of Emergency Surgery (WSES) Bologna guidelines provide evidence-informed recommendations for managing adhesive SBO, promoting timely surgical intervention (or non-operative management (NOM) when ischaemia, strangulation, or peritonitis are absent). However, guideline adoption and its impact on outcomes remain under studied. Compliance with the Bologna guidelines was evaluated to determine the impact of compliance on outcomes.
methodsSnapSBO, a prospective, multicentre, time-bound, observational cohort study, captured data on patients with adhesive SBO across diverse healthcare settings and patient populations. Patient care was categorized into: successful NOM, surgery after an unsuccessful appropriate trial of NOM (NOM-T), and direct to surgery (DTS). Compliance with diagnostic, therapeutic, and postoperative Bologna guideline recommendations was assessed as either complete or partial. Primary outcomes included adherence to the Bologna guidelines, LOS, complications, and the incidence of the composite metric 'optimal outcomes' (LOS ≤5 days, discharge without complications, and no readmission within 30 days).
resultsAmong 982 patients with adhesive SBO, successful NOM occurred in 561 (57.1%), 224 (22.8%) underwent NOM-T, and 197 (20.1%) proceeded DTS. The mean(s.d.) LOS was 5.3(9.0), 12.9(11.4), and 7.7(8.0) days respectively (P < 0.001). Optimal outcomes were achieved in 61.0%, 16.1%, and 37.6% respectively (P < 0.001) and full guideline compliance was observed in 17.2%, 10.1%, and 0.4% respectively.
conclusionPatients with adhesive SBO whose care was aligned with the Bologna guidelines had a shorter LOS and a greater incidence of optimal outcomes. Addressing evidence-to-practice gaps through implementation strategies that consider contextual factors will enhance guideline adoption and patient outcomes.
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