Accès ouvert déclaré2025article
Management and outcome variability in hernia-related small bowel obstruction: insights from the SnapSBO study
Matteo Cimino, Gary Alan Bass, Hayato Kurihara, Gabriele Bellio, Matteo Porta, Luigi Cayre, Shahin Mohseni, Matthew J. Lee, Lewis J. Kaplan, Isidro Martínez-Casas, Agron Dogjani, Kastriot Subashi, Klevis Doci, Joana Spaho, Sara Ahmed, Yusuf Al-Ansari, Mariam AlKooheji, Alaa Marzooq, Khaled Nazzal, Emir Ahmetašević, Zlatan Mehmedović, Maja Kovačević, Jasminka Mujkanović, Peter Svenningsen, G Olsen, Abeer Aboalazayem, M. Awad, Mahmoud Elfiky, M. Farouk, Mostafa Gad, Basma Magdy, Peep Talving, Edgar Lipping, Sten Saar, Artjom Bahhir, Maarja Talviste, Vincent Dubuisson, Luca Cigagna, Spyridon Christodoulou, Panagiotis Kokoropoulos, Ioannis Margaris, Maria Papadoliopoulou, Theodoros Sidiropoulos, Pantelis 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, Arnold Hill, T. N. Walsh, Gabriel Orsi, Andrew Keane, David Kearney, Emma de Sousa, Michael Sugrue, Robert Fitzsimmons, Angus Lloyd, Muhammad Qasim, Taylor Jacoby, Michael Kelly, Shafagh Khodadi, Paul McCormick, Éanna J. Ryan, Mohamed Salama, Helen Heneghan, Cian Davis, Odhran K. Ryan, Seán Martin, Miklosh Bala, Michele Altomare, Stefano Piero Bernardo Cioffi, Andrea Spota, Giada Panagini, Laura Benuzzi, Stefania Cimbanassi, Noemi DiFuccia, S Manfroni, Alan Biloslavo, Paola Germani, Nicolò de Manzini, Manuela Mastronardi, A Modica, Serena Scomersi, Gaia Altieri, Pietro Fransvea, Gabriele Sganga, Silvia Tedesco, Francesca Margherita Bunino, Sabrina Caspani, Daniele DelFabbro, Simone Giudici, Giulia Mauri, Paolo Enrico Meneghesso, Enrico Ortolano, Carolina Perali, Antonella D’addiego, Francesca Di Vittorio, Gabriele Bormolini, Michele Carlucci, Alessia Malagnino, Maria Ilaria Ficaccio, Giovanni Pesenti, C. Tintori, Mauro Zago, Martina Zambon, Andrea Mingoli, Giulia Duranti, Gioia Brachini, Pierfrancesco Lapolla, Andrea Alfredo Huerta de León, Pasquale de Jesús Cristiano Nakhal, Jose Alaniz-Ruiz, Edgard Efrén Lozada Hernández, Salvador Carlos-Jiménez, Oscar Reyes-Delgado, Monserrat Martínez-Zamorano, Ademola Adeyeye, Ehis Afeikhena, Akinola Akinmade, Babatunde Mustapha, J Presl, Patrick Rebnegger, Bjoern Rudisch, Gruenfelder Johanna, Rokitte Karin, Jorge A. Pereira, João Luís Alves Pinheiro, Daniel Pinto, Andreia J. Santos, Andreia Silva, Susana Henriques, João Melo, António Miguel Pereira, Bruno Dias Couto, Bárbara Gama, Catarina Santos Rodrigues, Mara Nunes, Beatriz Soares Fagundes e Silva, Daniela Tavares, Toma Mihai, Oprea C Valentin, Srdjan Putnik, Petar Andjic, Marija Djujic, Rastislav Filko, Vanja Kunkin, Andjela Milak, Aleksandar Ognjenovic, Nebojša Mitrović, Dejan Stevanović, Damir Jašarović, Goran Aleksandrić, Nemanja Trifunović, Mihailo Bezmarević, Saša Dragović, Milan Jovanović, Boško Milev, Miroslav Mitrović, Sandra Petković, Valentina Isakovic, Nikola Nikolić, Predrag Radic, Dragan Vasić, Zlatibor Lončar, Dušan Micić, Vladimir Resanović, Pavle D Vladimir, Krstina S Doklestic Vasiljev, Pavle Gregorić, Velibor Ljiljana Milic, V Cuk, Jovan Juloski, Radisav Slavoljub Radulovic, Dragana Arbutina, Jacobo Trébol, Isaac Tapiador-López, Manuel José Torres-Jurado, Andrés E. Valera-Montiel, Francisco Blanco‐Antona, Beatriz De Andrés-Asenjo, M. Ruiz-Soriano, T. Gómez-Sanz, Andrea Vázquez-Fernández, Juan Beltrán de Heredia, Cristina Rey Valcárcel, Monica Ballón-Bordon, María Dolores Pérez-Díaz, María Sánchez‐Rodríguez, Jose David Gonzalez-Esteban, Celia Alegre Nevado, Ricardo Montenegro Romero, Inés Capitán del Río, Andrea Campos-Serra, Raquel Gràcia-Roman, Heura Llaquet Bayo, Anna Muñoz-Campaña, Giulia Vitiello, Lorena Apodaca Murguiondo, Iñigo Augusto Ponce, Aintzane Lizarazu, Elena Sagarra Cebolla, Mónica García Aparicio, Paloma Garaulet González, B Martínez, Miriam Fraile Vasallo, Mónica Mengual Ballester, Isabel Andrés Lucas Zamorano, Manuel Ríos Ruiz, C. Morcillo, Alberto Díaz García, Hanna Hernández Oaknin, Jennifer Amparo García Niebla, Antonio Pérez Álvarez, Diego Cordova, Laura Jiménez, Cristina Vera, Alberto Vilar Tabanera, M.D.L.A. Gil-Olarte Marquez, José Antonio López-Ruiz, Ma Estela Romero-Vargas, Julio Reguera-Rosal, Alberto Luis García García, B Marenco de la Cuadra, Eduardo Perea del Pozo, Vilma E. Muñoz, Felipe Pareja-Ciuró, Ainoa Benavides dos Santos, Ernest Bombuy, Anna G-Monferrer, Sandra López Gordo, José Guerra, Vanessa Sojo, Ana María González-Castillo, Elena Manzo, Estela Membrilla-Fernández, Amalia Pelegrina-Manzano, Simone Cremona, Alexander Forero-Torres, Santiago Valderrábano, Francisco Reinoso Olmedo, Fuad López Fernández, Aitor Landaluce-Olavarria, Jon Barrutia- Leonardo, Alba Garcia-Trancho, Melania Gonzalez-De Miguel, Izaskun Markinez‐Gordobil, Maryam Makki, Dana Altamimi, Olga Rutka, John V. Taylor, Mark Denton, Stavros Gourgiotis, Alexander Ribbits, Jared M. Wohlgemut, Niroshini Hemadasa, Christopher Leiberman, Sabreen Elbakri, Conor Magee, Kamalesh Inteti, Oluwaseun Oyekan, Mehwish Ansar, Jeremy Wilson, Rahel Rashid, Daisy Atwell, Joshua Cassedy, William S. Hoff, Shyam Murali, Anna E. Garcia Whitlock, Carolyn Susman, Sarah Barnett, Emily Ertmann, C Desanctis, Nathan J. Klingensmith, Dale Butler, Brandon Bruns, Ankeeta Mehta, Vanessa Nomellini, Keyur Patel, Anthony Tannous
1Citations signalées
6Institutions associées
5Pays d’affiliation
Résumé fourni par la source
BACKGROUND: Small bowel obstruction (SBO) due to hernia remains a prevalent surgical emergency disproportionately affecting elderly and co-morbid populations. Limited high-quality data exist to guide evidence-informed interventions for hernia-related SBO. This study explored the management and outcomes of hernia-related SBO (hSBO) for patients captured in European Society for Trauma and Emergency Surgery (ESTES) SnapSBO database. METHODS: SnapSBO is a prospective multicentre time-bound study that accrued consecutive inpatient admissions between November 2023 and May 2024. The present analysis was restricted to patients with abdominal wall hernias. Management pathways were categorized as direct to surgery (DTS), successful non-operative management (NOM), or surgery after trial of NOM (NOM-T). Outcomes of interest included complications, 30-day in-hospital mortality, length of hospital stay (LOS), and functional recovery assessed through patient-reported outcome measures (PROMs) using the PRO-diGI tool. RESULTS: Among 1737 patients, SBO due to abdominal wall hernia was noted in 386. The median patient age was 73 (range 16-98) years, with 64.8% of patients aged > 65 years. Primary inguinal/abdominal wall hernias were the most common (62.2%). Of the patients, 51.6% were categorized as DTS, where 17.1% required surgery after NOM-T. NOM was successful in 31.2% of patients. Parastomal hernia management led to the highest complication rate (57.1%) and prolonged postoperative LOS (mean(standard deviation) 9.1(4.8) days; P = 0.030) compared with other hernia types. Functional recovery measured in 218 patients was significantly worse in those with parastomal hernia than in those with incisional or primary inguinal hernias (mean(standard deviation) bowel function scores 68.6(22.5) versus 83.6(17.6) and 82.0(20.3), respectively; P = 0.009). CONCLUSION: There is significant variability in practice and outcomes for hSBO management. Patients with parastomal hernias represent a high-risk subgroup. Future research should focus on PROMs and in developing evidence-based, context-specific guidelines for hSBO management.
Sujets associés
Stoma care and complicationsIntestinal and Peritoneal AdhesionsColorectal Cancer Surgical Treatments