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Factors Predicting Surgical Treatment in Patients with Adhesive Small Bowel Obstruction: Retrospective Single-centre Study

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dc.contributor.authorUPRAK, TEVFİK KIVILCIM
dc.contributor.authorAKIN, MUHAMMED İKBAL
dc.contributor.authorCOŞKUN, MÜMİN
dc.contributor.authorYEGEN, ŞEVKET CUMHUR
dc.contributor.authorsUPRAK T. K. , AKIN M. İ. , COŞKUN M., Yegen C.
dc.date.accessioned2022-10-26T17:33:55Z
dc.date.available2022-10-26T17:33:55Z
dc.date.issued2022-09-01
dc.description.abstractObjective: To investigate the factors which predict treatment strategy in patients with adhesive small bowel obstruction.Study Design: Descriptive study.Place and Duration of Study: General Surgery Clinic, Marmara University Medical Faculty, Istanbul, Turkey, between January 2016 and December 2020. Methodology: Data of the patients with adhesive small bowel obstruction (ASBO) was retrospectively collected. The demo-graphic characteristics and laboratory findings were evaluated. Patients, who underwent conservative treatment and surgical intervention, were compared. Differences between the two groups in terms of demographic characteristics, prognostic nutri-tional index (PNI) scores, and neutrophil (NEU)-to-lymphocyte (LYM) ratio (NLR), were evaluated.Results: One-hundred thirty-seven patients were included in the study. Seventy-four (54%) of the patients had conservative treatment. There was no statistically significant difference between the surgical and conservative treatment groups according to the age, gender, and ASA score (p=0.77, 0.21 and 0.95 respectively). The patients with congenital aetiology and low PNI scores were in significantly higher numbers among the surgical treatment group (p <0.001 and p=0.004, respectively). In patients, who underwent surgery, the resection rate was found significantly higher in older age (63 vs. 52, p=0.01).Conclusion: Patients with low PNI scores and congenital adhesive small bowel obstruction undergo operative treatment more frequently than conservative treatment. Future studies focusing on diagnostic scores to predict early surgery in ASBO patients may include these variables.
dc.identifier.citationUPRAK T. K. , AKIN M. İ. , COŞKUN M., Yegen C., "Factors Predicting Surgical Treatment in Patients with Adhesive Small Bowel Obstruction: Retrospective Single-centre Study", JCPSP-JOURNAL OF THE COLLEGE OF PHYSICIANS AND SURGEONS PAKISTAN, cilt.32, sa.9, ss.1127-1131, 2022
dc.identifier.doi10.29271/jcpsp.2022.09.1127
dc.identifier.endpage1131
dc.identifier.issn1022-386X
dc.identifier.issue9
dc.identifier.startpage1127
dc.identifier.urihttps://avesis.marmara.edu.tr/api/publication/2f36938a-9beb-4cb4-a769-031d0e0840a4/file
dc.identifier.urihttps://hdl.handle.net/11424/282653
dc.identifier.volume32
dc.language.isoeng
dc.relation.ispartofJCPSP-JOURNAL OF THE COLLEGE OF PHYSICIANS AND SURGEONS PAKISTAN
dc.rightsinfo:eu-repo/semantics/openAccess
dc.subjectTıp
dc.subjectSağlık Bilimleri
dc.subjectTemel Tıp Bilimleri
dc.subjectMedicine
dc.subjectHealth Sciences
dc.subjectFundamental Medical Sciences
dc.subjectTIP, GENEL & DAHİLİ
dc.subjectKlinik Tıp
dc.subjectKlinik Tıp (MED)
dc.subjectMEDICINE, GENERAL & INTERNAL
dc.subjectCLINICAL MEDICINE
dc.subjectClinical Medicine (MED)
dc.subjectGenel Sağlık Meslekleri
dc.subjectPatofizyoloji
dc.subjectTemel Bilgi ve Beceriler
dc.subjectDeğerlendirme ve Teşhis
dc.subjectDahiliye
dc.subjectAile Sağlığı
dc.subjectTıp (çeşitli)
dc.subjectGenel Tıp
dc.subjectGeneral Health Professions
dc.subjectPathophysiology
dc.subjectFundamentals and Skills
dc.subjectAssessment and Diagnosis
dc.subjectInternal Medicine
dc.subjectFamily Practice
dc.subjectMedicine (miscellaneous)
dc.subjectGeneral Medicine
dc.subjectAdhesive small bowel obstruction
dc.subjectPNI
dc.subjectTreatment strategy
dc.subjectSurgery
dc.subjectPROGNOSTIC NUTRITIONAL INDEX
dc.subjectSURGERY
dc.subjectCANCER
dc.subjectAdhesive small bowel obstruction
dc.subjectPNI
dc.subjectTreatment strategy
dc.subjectSurgery
dc.titleFactors Predicting Surgical Treatment in Patients with Adhesive Small Bowel Obstruction: Retrospective Single-centre Study
dc.typearticle
dspace.entity.typePublication
local.avesis.id2f36938a-9beb-4cb4-a769-031d0e0840a4
local.indexed.atWOS
local.indexed.atPUBMED
local.indexed.atSCOPUS
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