Small bowel obstruction outcomes according to compliance with the World Society of Emergency Surgery Bologna guidelines - Summary - MDSpire

Small bowel obstruction outcomes according to compliance with the World Society of Emergency Surgery Bologna guidelines

  • By

  • Lewis J Kaplan

  • Isidro Martinez-Casas

  • Shahin Mohseni

  • Matteo Cimino

  • Hayato Kurihara

  • Matthew J Lee

  • Gary A Bass

  • SnapSBO Collaborators

  • Agron Dogjani

  • Kastriot Subashi

  • Klevis Doci

  • Joana Spaho

  • Ali Abdulla

  • Sara Ahmed

  • Yusuf AlAnsari

  • Mariam AlKooheji

  • Alaa Marzooq

  • Khaled Nazzal

  • Emir Ahmetašević

  • Zlatan Mehmedović

  • Maja Kovačević

  • Jasminka Mujkanović

  • Peter Svenningsen

  • Marie Peter Møller

  • Gitte Emilje Olsen

  • Abeer Aboalazayem

  • Muhammad Ashrad Awad

  • Mahmoud M A Elfiky

  • Moemen Farouk

  • Mostafa Gad

  • Basma Magdy

  • Peep Talving

  • Edgar Lipping

  • Edgar Lipping

  • Sten Saar

  • Artjom Bahhir

  • Maarja Talviste

  • Vincent Dubuisson

  • Luca Cigagna

  • Luigi Cayre

  • Spyridon Christodoulou

  • Panagiotis Kokoropoulos

  • Ioannis Margaris

  • Maria Papadoliopoulou

  • Theodoros A Sidiropoulos

  • Panteleimon Vassiliu

  • Evangelos Barkolias

  • Pavlos Georgalis

  • Theodosios Kantas

  • Vasiliki Nikolaou

  • Aristeidis Papadopoulos

  • Katerina Tata

  • Stergios Arapoglou

  • Ioannis Gkoutziotis

  • Aikaterini Mpratko

  • Elissavet Symeonidou

  • Stylianos Kykalos

  • Nikolaos Machairas

  • Adam Mylonakis

  • Panagiotis Sakarellos

  • Dimitrios Schizas

  • Michail Vailas

  • Iraklis Anastasiadis

  • Parmenion Patias

  • Koumarelas Konstantinos

  • Mourtarakos Saradis

  • Charles Lee

  • Chloe Spillane

  • Dylan Viani Walsh

  • Nadia Walsh

  • Thomas Noel Walsh

  • Gabriel Orsi

  • Andrew Keane

  • David Kearney

  • Emma de Sousa

  • Michael Sugrue

  • Anne Marie Doyle

  • Robert Fitzsimmons

  • Angus J Lloyd

  • Mohammad Saad Qasim

  • Mashood Ahmed

  • Taylor Jacoby

  • Michael E Kelly

  • Shafagh Khodadi

  • Paul McCormick

  • Éanna J Ryan

  • Mahmoud M Salama

  • Helen Heneghan

  • Cian Davis

  • Odhran K Ryan

  • Sean T Martin

  • Miklosh Bala

  • Michele Altomare

  • Stefano P B Cioffi

  • Andrea Spota

  • Giada Panagini

  • Laura Benuzzi

  • Stefania Cimbanassi

  • Noemi DiFuccia

  • Stefano Manfroni

  • Alan Biloslavo

  • Paola Germani

  • Nicolo de Manzini

  • Manuela Mastronardi

  • Anna Modica

  • Serena Scomersi

  • Gabriele Bellio

  • Luigi Cayre

  • Gaia Altieri

  • Pietro Fransvea

  • Gabriele Sganga

  • Silvia Tedesco

  • Francesca Bunino

  • Sabrina Caspani

  • Daniele DelFabbro

  • Simone Giudici

  • Giulia Mauri

  • Paolo Meneghesso

  • Enrico Ortolano

  • Antonella D'addiego

  • Francesca Di Vittorio

  • Gabriele Bormolini

  • Michele Carlucci

  • Giovanni Pesenti

  • Claudia Tintori

  • Mauro Zago

  • Martina Zambon

  • Simona Meneghini

  • Andrea Mingoli

  • Giulia Duranti

  • Gioia Brachini

  • Pierfrancesco Lapolla

  • Mehdi Hanafi

  • Clara Valdez Cruz

  • Andrea Alfredo Huerta de León

  • Jose García Regalado

  • Pasquale de Jesús Cristiano Nakhal

  • Diego Enrique Rodríguez González

  • Jose Ruiz

  • Salvador Lozada Jimenez

  • Oscar Carlos Delgado

  • Monserrat Reyes Zamorano

  • Anyely Fuertes Muñoz

  • Ademola Adetoyese Adeyeye

  • Ehis Afeikhena

  • Akinola Akinmade

  • Babatunde Mustapha

  • Jaroslav Presl

  • Patrick Rebnegger

  • Bjoern Rudisch

  • Gruenfelder Johanna

  • Rokitte Karin

  • Filipa M CorteReal

  • Jorge A Pereira

  • Joao L Pinheiro

  • Daniela M Pinto

  • Andreia J Santos

  • Andreia M Silva

  • Susana Henriques

  • Joao Melo

  • António Miguel Pereira

  • Antonio Miguel Pereira

  • Ana Margarida Cabral

  • Bruno Dias Couto

  • Barbara Nunes Gama

  • Catarina Santos Rodrigues

  • Mara Nunes

  • Bruno Ribeiro Silva

  • Daniela Tavares

  • Daniela Tavares

  • Toma Mihai

  • Oprea C Valentin

  • Srdjan S Putnik

  • Petar Andjic

  • Marija Djujic

  • Rastislav Filko

  • Vanja Kunkin

  • Andjela Milak

  • Aleksandar Ognjenovic

  • Nebojsa Mitrovic

  • Goran Aleksandric

  • Mihailo Bezmarević

  • Sasa Dragović

  • Milan Jovanović

  • Bosko Milev

  • Miroslav Mitrović

  • Srdjan Petković

  • Valentina Isakovic

  • Nikola Zoran Nikolic

  • Predrag Radic

  • Dragan Luka Vasic

  • Zlatibor M Loncar

  • Dusan D Micic

  • Vladimir R Resanovic

  • Pavle D Vladimir

  • Krstina S Doklestic Vasiljev

  • Ljiljana Velibor Milic

  • Vladica Velibor Cuk

  • Jovan Todor Juloski

  • Radisav Slavoljub Radulovic

  • Dragana Dragan Arbutina

  • Jacobo Trebol

  • Manuel Torres-Jurado

  • Andres J Valera-Montiel

  • Francisco E Blanco-Antona

  • Beatriz de Andrés-Asenjo

  • Maria Ruiz-Soriano

  • Tania Gómez-Sanz

  • Andrea Vázquez-Fernández

  • Juan Beltran de Heredia

  • Cristina Rey-Valcárcel

  • Monica Ballón-Bordon

  • Maria Pérez-Díaz

  • Maria Dolores Sanchez-Rodriguez

  • Jose David Gonzalez-Esteban

  • Celia Alegre Nevado

  • Ricardo Montenegro Romero

  • Andrea Campos-Serra

  • Raquel Gracia-Roman

  • Heura Llaquet-Bayo

  • Anna Muñoz-Campaña

  • Giulia Vitiello

  • Lorena Apodaca Murguiondo

  • Inigo Augusto Ponce

  • Amaia Garcia Dominguez

  • Aintzane Lizarazu Perez

  • Elena Sagarra Cebolla

  • Mónica García Aparicio

  • Paloma Garaulet González

  • Benito Miguel Josa Martínez

  • Miriam Fraile Vasallo

  • Mónica MengualBallester

  • Isabel Andrés Lucas Zamorano

  • Jose Martinez Moreno

  • Manuel Luis Buitrago Ruiz

  • Clara Piñera Morcillo

  • Alberto Díaz García

  • Hanna Hernández Oaknin

  • Maria Pellicer Barreda

  • Jennifer Amparo García Niebla

  • Antonio Pérez Álvarez

  • Diego Cordova

  • Laura Jiménez

  • Fernando Mendoza

  • Cristina Vera

  • Alberto Vilar Tabanera

  • María de los Ángeles Gil-Olarte Márquez

  • José Antonio López-Ruiz

  • Mª Estela Romero-Vargas

  • Julio Reguera-Rosal

  • Alberto García-García

  • Beatriz Marenco de la Cuadra

  • Eduardo Perea del Pozo

  • Virginia Duran Muñoz

  • Felipe Pareja Ciuró

  • Ainoa Benavides dos Santos

  • Ernest Bombuy

  • Anna G-Monferrer

  • Sandra López Gordo

  • José Guerra

  • Vanessa Sojo

  • Begona De Soto

  • Aaron Roman

  • Ana María González-Castillo

  • Elena Manzo

  • Estela Membrilla-Fernandez

  • Amalia Pelegrina-Manzano

  • Simone Cremona

  • Alexander Forero-Torres

  • Santiago Valderrabano

  • Francisco Reinoso Olmedo

  • Fuad Lopez Fernandez

  • Aitor Landaluce-Olavarria

  • Jon Barrutia- Leonardo

  • Alba Garcia-Trancho

  • Melania Gonzalez-De Miguel

  • Izaskun Markinez-Gordobil

  • Maryam Makki

  • Dana Altamimi

  • Sadhika Vinod

  • Olga Rutka

  • John V Taylor

  • M Denton

  • S Gourgiotis

  • R Ravi

  • A J Ribbits

  • Jared Wohlgemut

  • Shehryar Rangana Khan

  • Christopher Leiberman

  • Sabreen P Elbakri

  • Charlie A Edgar

  • Conor Magee

  • Oluwaseun Oyekan

  • Mehwish Ansar

  • Jeremy Wilson

  • Rahel Rashid

  • Deborah Atwell

  • Joshua Cassedy

  • Brianna Gabriel

  • William Hoff

  • Shyam Murali

  • Anna E Garcia Whitlock

  • Carolyn Susman

  • Sarah Barnett

  • Emily Ertmann

  • Camden DeSanctis

  • Pavel Karasek

  • Nathan Klingensmith

  • Dale F Butler

  • Brandon Bruns

  • Ankeeta Mehta

  • Vanessa Nomellini

  • Keyus Patel

  • Anthony Tannous

  • April 18, 2025

  • 0 min

Share

Objective:

To evaluate the impact of compliance with the Bologna guidelines on outcomes in patients with adhesive small bowel obstruction (SBO), highlighting the significance of these guidelines in clinical practice.

Key Findings:
  • Successful NOM occurred in 57.1% of patients, NOM-T in 22.8%, and DTS in 20.1%. (P < 0.001 indicates statistical significance.)
  • Mean LOS was significantly different: 5.3 days for successful NOM, 12.9 days for NOM-T, and 7.7 days for DTS (P < 0.001).
  • Optimal outcomes were achieved in 61.0% of successful NOM, 16.1% of NOM-T, and 37.6% of DTS (P < 0.001).
  • Full guideline compliance was observed in 17.2% of successful NOM, 10.1% of NOM-T, and 0.4% of DTS.
Interpretation:

Patients with adhesive SBO whose care adhered to the Bologna guidelines experienced shorter LOS and higher rates of optimal outcomes, indicating the importance of guideline compliance in improving patient care and suggesting implications for clinical practice.

Limitations:
  • Resource limitations and regional healthcare delivery differences may hinder guideline adoption, potentially affecting the generalizability of the findings.
  • The study focused only on adhesive SBO, limiting generalizability to other causes of SBO.
Conclusion:

Enhancing adherence to the Bologna guidelines through targeted implementation strategies, such as training and resource allocation, could improve patient outcomes in adhesive SBO.

Original Source(s)

Small bowel obstruction outcomes according to compliance with the World Society of Emergency Surgery Bologna guidelines

  • by Lewis J Kaplan, Isidro Martinez-Casas, Shahin Mohseni, Matteo Cimino, Hayato Kurihara, Matthew J Lee, Gary A Bass, SnapSBO Collaborators, Agron Dogjani, Kastriot Subashi, Klevis Doci, Joana Spaho, Ali Abdulla, Sara Ahmed, Yusuf AlAnsari, Mariam AlKooheji, Alaa Marzooq, Khaled Nazzal, Emir Ahmetašević, Zlatan Mehmedović, Maja Kovačević, Jasminka Mujkanović, Peter Svenningsen, Marie Peter Møller, Gitte Emilje Olsen, Abeer Aboalazayem, Muhammad Ashrad Awad, Mahmoud M A Elfiky, Moemen Farouk, Mostafa Gad, Basma Magdy, Peep Talving, Edgar Lipping, Edgar Lipping, Sten Saar, Artjom Bahhir, Maarja Talviste, Vincent Dubuisson, Luca Cigagna, Luigi Cayre, Spyridon Christodoulou, Panagiotis Kokoropoulos, Ioannis Margaris, Maria Papadoliopoulou, Theodoros A Sidiropoulos, Panteleimon Vassiliu, Evangelos Barkolias, Pavlos Georgalis, Theodosios Kantas, Vasiliki Nikolaou, Aristeidis Papadopoulos, Katerina Tata, Stergios Arapoglou, Ioannis Gkoutziotis, Aikaterini Mpratko, Elissavet Symeonidou, Stylianos Kykalos, Nikolaos Machairas, Adam Mylonakis, Panagiotis Sakarellos, Dimitrios Schizas, Michail Vailas, Iraklis Anastasiadis, Parmenion Patias, Koumarelas Konstantinos, Mourtarakos Saradis, Charles Lee, Chloe Spillane, Dylan Viani Walsh, Nadia Walsh, Thomas Noel Walsh, Gabriel Orsi, Andrew Keane, David Kearney, Emma de Sousa, Michael Sugrue, Anne Marie Doyle, Robert Fitzsimmons, Angus J Lloyd, Mohammad Saad Qasim, Mashood Ahmed, Taylor Jacoby, Michael E Kelly, Shafagh Khodadi, Paul McCormick, Éanna J Ryan, Mahmoud M Salama, Helen Heneghan, Cian Davis, Odhran K Ryan, Sean T Martin, Miklosh Bala, Michele Altomare, Stefano P B Cioffi, Andrea Spota, Giada Panagini, Laura Benuzzi, Stefania Cimbanassi, Noemi DiFuccia, Stefano Manfroni, Alan Biloslavo, Paola Germani, Nicolo de Manzini, Manuela Mastronardi, Anna Modica, Serena Scomersi, Gabriele Bellio, Luigi Cayre, Gaia Altieri, Pietro Fransvea, Gabriele Sganga, Silvia Tedesco, Francesca Bunino, Sabrina Caspani, Daniele DelFabbro, Simone Giudici, Giulia Mauri, Paolo Meneghesso, Enrico Ortolano, Antonella D'addiego, Francesca Di Vittorio, Gabriele Bormolini, Michele Carlucci, Giovanni Pesenti, Claudia Tintori, Mauro Zago, Martina Zambon, Simona Meneghini, Andrea Mingoli, Giulia Duranti, Gioia Brachini, Pierfrancesco Lapolla, Mehdi Hanafi, Clara Valdez Cruz, Andrea Alfredo Huerta de León, Jose García Regalado, Pasquale de Jesús Cristiano Nakhal, Diego Enrique Rodríguez González, Jose Ruiz, Salvador Lozada Jimenez, Oscar Carlos Delgado, Monserrat Reyes Zamorano, Anyely Fuertes Muñoz, Ademola Adetoyese Adeyeye, Ehis Afeikhena, Akinola Akinmade, Babatunde Mustapha, Jaroslav Presl, Patrick Rebnegger, Bjoern Rudisch, Gruenfelder Johanna, Rokitte Karin, Filipa M CorteReal, Jorge A Pereira, Joao L Pinheiro, Daniela M Pinto, Andreia J Santos, Andreia M Silva, Susana Henriques, Joao Melo, António Miguel Pereira, Antonio Miguel Pereira, Ana Margarida Cabral, Bruno Dias Couto, Barbara Nunes Gama, Catarina Santos Rodrigues, Mara Nunes, Bruno Ribeiro Silva, Daniela Tavares, Daniela Tavares, Toma Mihai, Oprea C Valentin, Srdjan S Putnik, Petar Andjic, Marija Djujic, Rastislav Filko, Vanja Kunkin, Andjela Milak, Aleksandar Ognjenovic, Nebojsa Mitrovic, Goran Aleksandric, Mihailo Bezmarević, Sasa Dragović, Milan Jovanović, Bosko Milev, Miroslav Mitrović, Srdjan Petković, Valentina Isakovic, Nikola Zoran Nikolic, Predrag Radic, Dragan Luka Vasic, Zlatibor M Loncar, Dusan D Micic, Vladimir R Resanovic, Pavle D Vladimir, Krstina S Doklestic Vasiljev, Ljiljana Velibor Milic, Vladica Velibor Cuk, Jovan Todor Juloski, Radisav Slavoljub Radulovic, Dragana Dragan Arbutina, Jacobo Trebol, Manuel Torres-Jurado, Andres J Valera-Montiel, Francisco E Blanco-Antona, Beatriz de Andrés-Asenjo, Maria Ruiz-Soriano, Tania Gómez-Sanz, Andrea Vázquez-Fernández, Juan Beltran de Heredia, Cristina Rey-Valcárcel, Monica Ballón-Bordon, Maria Pérez-Díaz, Maria Dolores Sanchez-Rodriguez, Jose David Gonzalez-Esteban, Celia Alegre Nevado, Ricardo Montenegro Romero, Andrea Campos-Serra, Raquel Gracia-Roman, Heura Llaquet-Bayo, Anna Muñoz-Campaña, Giulia Vitiello, Lorena Apodaca Murguiondo, Inigo Augusto Ponce, Amaia Garcia Dominguez, Aintzane Lizarazu Perez, Elena Sagarra Cebolla, Mónica García Aparicio, Paloma Garaulet González, Benito Miguel Josa Martínez, Miriam Fraile Vasallo, Mónica MengualBallester, Isabel Andrés Lucas Zamorano, Jose Martinez Moreno, Manuel Luis Buitrago Ruiz, Clara Piñera Morcillo, Alberto Díaz García, Hanna Hernández Oaknin, Maria Pellicer Barreda, Jennifer Amparo García Niebla, Antonio Pérez Álvarez, Diego Cordova, Laura Jiménez, Fernando Mendoza, Cristina Vera, Alberto Vilar Tabanera, María de los Ángeles Gil-Olarte Márquez, José Antonio López-Ruiz, Mª Estela Romero-Vargas, Julio Reguera-Rosal, Alberto García-García, Beatriz Marenco de la Cuadra, Eduardo Perea del Pozo, Virginia Duran Muñoz, Felipe Pareja Ciuró, Ainoa Benavides dos Santos, Ernest Bombuy, Anna G-Monferrer, Sandra López Gordo, José Guerra, Vanessa Sojo, Begona De Soto, Aaron Roman, Ana María González-Castillo, Elena Manzo, Estela Membrilla-Fernandez, Amalia Pelegrina-Manzano, Simone Cremona, Alexander Forero-Torres, Santiago Valderrabano, Francisco Reinoso Olmedo, Fuad Lopez Fernandez, Aitor Landaluce-Olavarria, Jon Barrutia- Leonardo, Alba Garcia-Trancho, Melania Gonzalez-De Miguel, Izaskun Markinez-Gordobil, Maryam Makki, Dana Altamimi, Sadhika Vinod, Olga Rutka, John V Taylor, M Denton, S Gourgiotis, R Ravi, A J Ribbits, Jared Wohlgemut, Shehryar Rangana Khan, Christopher Leiberman, Sabreen P Elbakri, Charlie A Edgar, Conor Magee, Oluwaseun Oyekan, Mehwish Ansar, Jeremy Wilson, Rahel Rashid, Deborah Atwell, Joshua Cassedy, Brianna Gabriel, William Hoff, Shyam Murali, Anna E Garcia Whitlock, Carolyn Susman, Sarah Barnett, Emily Ertmann, Camden DeSanctis, Pavel Karasek, Nathan Klingensmith, Dale F Butler, Brandon Bruns, Ankeeta Mehta, Vanessa Nomellini, Keyus Patel, Anthony Tannous

  • April 18, 2025

Related Content

Aneurysmal Hemorrhage Triggers Systemic Effects

Researchers examine physiologic responses following rupture and link them to outcomes.

AI Scribes Lag Clinicians on Note Quality

A VHA study across 11 vendors finds AI-generated primary care notes score lower than clinician-written notes, with the largest deficits in thoroughness, organization, and usefulness

Investigation of risk factors and predictive model development for the progression of incarcerated inguinal hernia to strangulation