Objective:

To identify risk factors for conversion to laparotomy in adult patients with adhesive small bowel obstruction (ASBO) who initially received conservative management.

Approach:

• Data Analysis: Demographic and clinical variables were compared between the two groups using univariable analysis, followed by multivariable logistic regression to identify independent risk factors.

Key Findings:

• A total of 510 patients were included, with 456 in group A and 54 in group B.
• Significant differences in age, previous operations, CRP level, body temperature, and maximum diameter of the dilated small bowel were found.
• Independent risk factors for failure of conservative management included older age, higher CRP level, elevated body temperature, and larger MDSB.

Interpretation:

Limitations:

• The study is retrospective and conducted at a single institution, which may limit generalizability.
• The requirement for informed consent was waived, which may raise ethical considerations.

Conclusion: