Challenges of Malignant Small Bowel Obstruction – Results of a State Surgical Mortality Dataset

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Murphy, Skyle
Wysocki, Arkadiusz
Allen, Jennifer
Rey-Conde, Therese
North, John
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2016
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https://creativecommons.org/licenses/by/4.0/
Abstract

Background: Small bowel obstruction is a common acute surgical pathology. Despite the substantial postoperative mortality associated with small bowel obstruction (SBO), there is limited evidence to support clinical decision-making. The purpose of this study was to identify differences in system, patient and operative features in adults who died following operative treatment of malignant versus nonmalignant small bowel obstruction.

Methods: Retrospective analysis of adults with SBO who died in hospital while under the care of a surgeon. Data was collected by the Australian and New Zealand Audit of Surgical Mortality from Queensland hospitals between January 2009 and December 2014. Results: 523 patients died post-operatively following surgical treatment of small bowel obstruction over the six-year study period. The most common etiologies were adhesive (41%), malignancy (25%) and hernia (16%). Compared to those with a nonmalignant etiology, patients with malignant SBO were younger (P < 0.001) but had a longer mean pre-operative inpatient admission (P = 0.007), and were more likely to require an anastomosis at the time of operation (P < 0.001). Conclusion: Despite being younger, patients with malignant small bowel obstruction are challenging to manage. Further studies are needed to help surgeons manage patients with malignant small bowel obstruction.

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British Journal of Medicine and Medical Research
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© 2016 Murphy et al.; This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/4.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
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Clinical Sciences
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Murphy, S; Wysocki, A; Allen, J; Rey-Conde, T; North, J, Challenges of Malignant Small Bowel Obstruction – Results of a State Surgical Mortality Dataset, British Journal of Medicine and Medical Research, 15 (12), pp. 1-8
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