Retrospective Study
Copyright ©The Author(s) 2023. Published by Baishideng Publishing Group Inc. All rights reserved.
World J Gastrointest Surg. Jun 27, 2023; 15(6): 1116-1124
Published online Jun 27, 2023. doi: 10.4240/wjgs.v15.i6.1116
Predictors for success of non-operative management of adhesive small bowel obstruction
Zi Qin Ng, Vivien Hsu, William Wei Han Tee, Jih Huei Tan, Ruwan Wijesuriya
Zi Qin Ng, Vivien Hsu, Ruwan Wijesuriya, Department of General Surgery, St John of God Midland Hospital, Midland 6056, Western Australia, Australia
William Wei Han Tee, Department of Radiology, St John of God Midland Hospital, Midland 6056, Western Australia, Australia
Jih Huei Tan, Department of General Surgery, Hospital Sultanah Aminah, Johor Bahru 80000, Johor, Malaysia
Author contributions: Ng ZQ contributed to the data analysis and drafting of manuscript; Hsu V collected the data; Tee WWH collected the radiological data collection, review of manuscript; Tan JH contributed to the statistical data analysis; Hsu V, Tee WWH, and Tan JH involved in the review of the manuscript; Ng ZQ and Wijesuriya R designed the study; Wijesuriya R contributed to critical review of manuscript and supervision of study; and all authors approved the final version of this manuscript for submission and publication.
Institutional review board statement: Ethical approval was obtained from the St John of God Healthcare’s ethics committee (Ref: 1358).
Informed consent statement: The consent was waived from the institute’s ethics committee.
Conflict-of-interest statement: All the authors report no relevant conflicts of interest for this article. Dr Zi Qin Ng received the General Surgeons Australia Junior Doctor Research Grant in 2018 for this study.
Data sharing statement: Data is available upon reasonable request grounds.
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: Zi Qin Ng, MBBS (Hons), FRACS Senior Researcher, Surgeon, Department of General Surgery, St John of God Midland Hospital, 1 Clayton Street, Midland 6056, Western Australia, Australia. kentng@hotmail.co.uk
Received: December 27, 2022
Peer-review started: December 27, 2022
First decision: January 20, 2023
Revised: January 21, 2023
Accepted: April 13, 2023
Article in press: April 13, 2023
Published online: June 27, 2023
Processing time: 170 Days and 4.8 Hours
Core Tip

Core Tip: Adhesive small bowel obstruction (SBO) is a common acute surgical presentation. Majority of the cases can be managed successfully with non-operative management. The findings on computed tomography abdomen/pelvis are useful in predicting patients that are unlikely to resolve with conservative management for adhesive SBO and therefore guide decision-making in early surgical intervention to prevent morbidities associated with it.