Letter to the Editor
Copyright ©The Author(s) 2022. Published by Baishideng Publishing Group Inc. All rights reserved.
World J Gastrointest Surg. Sep 27, 2022; 14(9): 1086-1088
Published online Sep 27, 2022. doi: 10.4240/wjgs.v14.i9.1086
Prediction factors for ischemia of closed-loop small intestinal obstruction
Efstathios Theodoros Pavlidis, Theodoros Efstathios Pavlidis
Efstathios Theodoros Pavlidis, Theodoros Efstathios Pavlidis, The Second Propedeutic Department of Surgery, Hippocration Hospital, Aristotle University of Thessaloniki, School of Medicine, Thessaloniki 54642, Greece
Author contributions: Pavlidis TE designed research, analyzed data and revised the paper; Pavlidis ET performed research, analyzed data and wrote the paper.
Conflict-of-interest statement: All the authors report no relevant conflicts of interest for this article.
Open-Access: This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: https://creativecommons.org/Licenses/by-nc/4.0/
Corresponding author: Theodoros Efstathios Pavlidis, Doctor, PhD, Chief Doctor, Full Professor, Surgeon, The Second Propedeutic Department of Surgery, Hippocration Hospital, Aristotle University of Thessaloniki, School of Medicine, Konstantinoupoleos 49, Thessaloniki 54642, Greece. pavlidth@auth.gr
Received: July 21, 2022
Peer-review started: July 21, 2022
First decision: August 7, 2022
Revised: August 8, 2022
Accepted: September 2, 2022
Article in press: September 2, 2022
Published online: September 27, 2022
Processing time: 62 Days and 22.5 Hours
Core Tip

Core Tip: Early recognition of closed loops is important to interrupt ongoing ischemia by prompt surgical intervention, especially for older age patients. In such a case, we achieve avoidance of bowel necrosis and enterectomy as well as septic complications, which ultimately resulted in an improved outcome. Endothelin 1, c-reactive protein and leukocyte-neutrophil count must be more often used in daily practice as a severity marker of small bowel ischemia.