Current management of small bowel obstruction in the UK: results from the National Audit of Small Bowel Obstruction clinical practice survey

2018 ◽  
Vol 20 (7) ◽  
pp. 623-630 ◽  
Author(s):  
M. J. Lee ◽  
A. E. Sayers ◽  
T. R. Wilson ◽  
A. G. Acheson ◽  
I. D. Anderson ◽  
...  
Keyword(s):  
Clinical Practice ◽  
Small Bowel ◽  
Small Bowel Obstruction ◽  
Bowel Obstruction ◽  
National Audit ◽  
Current Management ◽  
Practice Survey ◽  
The Uk

scholarly journals UK-based, multisite, prospective cohort study of small bowel obstruction in acute surgical services: National Audit of Small Bowel Obstruction (NASBO) protocol

BMJ Open ◽  
2017 ◽  
Vol 7 (10) ◽  
pp. e016796 ◽  
Author(s):  
Matthew J Lee ◽  
Adele E Sayers ◽  
Thomas M Drake ◽  
Marianne Hollyman ◽  
Mike Bradburn ◽  
...  
Keyword(s):  
Cohort Study ◽  
Small Bowel ◽  
Small Bowel Obstruction ◽  
Prospective Cohort Study ◽  
Bowel Obstruction ◽  
Prospective Cohort ◽  
Emergency Laparotomy ◽  
National Audit ◽  
Nutritional Interventions ◽  
The Uk

IntroductionSmall bowel obstruction (SBO) is a common indication for emergency laparotomy in the UK, which is associated with a 90-day mortality rate of 13%. There are currently no UK clinical guidelines for the management of this condition. The aim of this multicentre prospective cohort study is to describe the burden, variation in management and associated outcomes of SBO in the UK adult population.Methods and analysisUK hospitals providing emergency general surgery are eligible to participate. This study has three components: (1) a clinical preference questionnaire to be completed by consultants providing emergency general surgical care to assesses preferences in diagnostics and therapeutic approaches, including laparoscopy and nutritional interventions; (2) site resource profile questionnaire to indicate ease of access to diagnostic services, operating theatres, nutritional support teams and postoperative support including intensive care; (3) prospective cohort study of all cases of SBO admitted during an 8-week period at participating trusts. Data on diagnostics, operative and nutritional interventions, and in-hospital mortality and morbidity will be captured, followed by data validation.Ethics and disseminationThis will be conducted as a national audit of practice in conjunction with trainee research collaboratives, with support from patient representatives, surgeons, anaesthetists, gastroenterologists and a clinical trials unit. Site-specific reports will be provided to each participant site as well as an overall report to be disseminated through specialist societies. Results will be published in a formal project report endorsed by stakeholders, and in peer-reviewed scientific reports. Key findings will be debated at a focused national meeting with a view to quality improvement initiatives.

scholarly journals Outcomes following small bowel obstruction due to malignancy in the national audit of small bowel obstruction

2019 ◽  
Vol 45 (12) ◽  
pp. 2319-2324
Author(s):  
Thomas M. Drake ◽  
Matthew J. Lee ◽  
Adele E. Sayers ◽  
John Abercrombie ◽  
Austin Acheson ◽  
...  
Keyword(s):  
Small Bowel ◽  
Small Bowel Obstruction ◽  
Bowel Obstruction ◽  
National Audit

Current Management of Small Bowel Obstruction

2011 ◽  
Vol 45 (1) ◽  
pp. 1-29 ◽  
Author(s):  
Martin Donald Zielinski ◽  
Michael Patrick Bannon
Keyword(s):  
Small Bowel ◽  
Small Bowel Obstruction ◽  
Bowel Obstruction ◽  
Current Management

scholarly journals Survey on Management of Small Bowel Obstruction in the UK

2017 ◽  
Vol 47 ◽  
pp. S4
Author(s):  
M. Lee ◽  
A. Sayers ◽  
N. Fearnhead ◽  
T. Wilson
Keyword(s):  
Small Bowel ◽  
Small Bowel Obstruction ◽  
Bowel Obstruction ◽  
The Uk

scholarly journals Outcomes of obstructed abdominal wall hernia: results from the UK national small bowel obstruction audit

BJS Open ◽  
2020 ◽  
Vol 4 (5) ◽  
pp. 924-934
Author(s):  
◽  
Matthew J Lee ◽  
Thomas M Drake ◽  
Adele E Sayers ◽  
Ciaran J Walsh ◽  
...  
Keyword(s):  
Small Bowel ◽  
Small Bowel Obstruction ◽  
Abdominal Wall ◽  
Bowel Obstruction ◽  
Abdominal Wall Hernia ◽  
The Uk

Current Management of Small-Bowel Obstruction

2005 ◽  
Vol 39 ◽  
pp. 1-33 ◽  
Author(s):  
Awori J. Hayanga ◽  
Kirsten Bass-Wilkins ◽  
Gregory B. Bulkley
Keyword(s):  
Small Bowel ◽  
Small Bowel Obstruction ◽  
Bowel Obstruction ◽  
Current Management

Current management of adhesive small bowel obstruction

2018 ◽  
Vol 88 (11) ◽  
pp. 1117-1122 ◽  
Author(s):  
Jakob Köstenbauer ◽  
Philip G. Truskett
Keyword(s):  
Small Bowel ◽  
Small Bowel Obstruction ◽  
Bowel Obstruction ◽  
Adhesive Small Bowel Obstruction ◽  
Current Management

scholarly journals Strongyloides, HTLV-1 and small bowel obstruction

2019 ◽  
Vol 12 (12) ◽  
pp. e232461 ◽  
Author(s):  
Emily Martyn ◽  
Betty Gration ◽  
Chitra Subbiah Somasundaram ◽  
Peter L Chiodini
Keyword(s):  
Small Bowel ◽  
Small Bowel Obstruction ◽  
Bowel Obstruction ◽  
Abdominal Distension ◽  
Strongyloides Stercoralis ◽  
Life Cycle Stages ◽  
Human T Cell ◽  
Duodenal Stricture ◽  
History Of ◽  
The Uk

An 81-year-old Jamaican man who has been resident in the UK for many years presented with one week history of generalised abdominal pain, postprandial vomiting, anorexia, weight loss and abdominal distension. He was managed conservatively for acute small bowel obstruction. Investigations revealed a duodenal stricture. Live Strongyloides stercoralis larvae were observed in stool samples and duodenal biopsy confirmed the presence of the parasite at multiple life cycle stages within the lamina propria. He was diagnosed with Strongyloides hyperinfection with underlying human T-cell lymphotropic virus type 1 and treated with a prolonged course of ivermectin with ongoing monitoring for relapse. This case demonstrates a rare but potentially fatal cause of small bowel obstruction.

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