The research progress of acute small bowel perforation

Schiessel, R

doi:10.1016/j.joad.2015.04.002

Cited by 6 publications

(2 citation statements)

References 10 publications

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“…Bowel perforation, whether free or contained, poses serious health risks, with diverse clinical presentations. Small bowel perforation (SBP) results from traumatic, iatrogenic, or non-traumatic causes [ 13 , 14 ]. Blunt traumas, especially from motor vehicle accidents, are common, causing SBP with potential seat-belt injuries.…”

Section: Discussionmentioning

confidence: 99%

Prevalence, Pattern, Mortality, and Morbidity of Traumatic Small Bowel Perforation at King Abdulaziz Medical City: A Retrospective Cohort Study

Aljehaiman,

Almalki,

Alhusain

et al. 2024

Cureus

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Introduction Bowel perforation, whether from trauma or other causes, presents with diverse clinical scenarios. Small bowel perforation (SBP), a potentially fatal condition often linked to blunt trauma like motor vehicle accidents, necessitates prompt detection and intervention, crucial for improved outcomes. This study investigated the prevalence, predictors, presentation, diagnostic findings, morbidity, and mortality of traumatic SBP for comprehensive insights. Methodology This was a retrospective cohort study conducted at King Abdulaziz Medical City, Riyadh. A review of 838 cases, which represent all abdominal trauma patients from January 2017 to March 2023, was done. Forty patients who developed SBP and have complete data were included in this study. One case was excluded due to incomplete medical records. Data were collected with the non-probability convenience sampling technique via the BestCare system using a data collection sheet. Data were analyzed with IBM SPSS 29 (IBM Corp., Armonk, NY). Results Out of all abdominal trauma cases (n=838), 40 patients developed SBP (n=40, 4.77%). Males constituted 87.5%, and the most common mechanism was motor vehicle accidents (57.5%). Complications included cardiac arrest, disseminated intravascular coagulation (DIC), and leak (7.5% each). In motor vehicle accidents, SBP primarily affected patients who were in the driver's position (78.3%). Clinical signs at presentation revealed abdominal tenderness (52.5%), abdominal distension (22.5%), and abnormal systolic blood pressure (mean 115.3 mmHg). Linear regression showed gender and age positively associated with morbidity (p=0.474, p=0.543) while BMI exhibited a negative relationship (p=0.314). Logistic regression revealed non-significant predictors of mortality, except for mean initial hematocrit (HCT) (p=0.721, aOR=0.098). Conclusion Our study provides crucial findings on the incidence, patterns, mortality, and morbidity of traumatic bowel perforation, contributing to the existing body of research. The identified prevalence of 4.77% and mortality at 17.5% from the studied population underline the serious impact of this condition, and the 37.5% complication rate observed demonstrates the potential risks involved. The average hospital stay is found to be 14 days, adding further to the disease burden. These findings underscore the importance of specific preventative measures, particularly related to motor vehicle accidents (MVAs), and highlight potential markers for predicting outcomes, such as age, gender, and mean initial HCT. This substantiates the need for further research involving larger cohorts and prospective designs to gain comprehensive insights and establish more robust preventative and treatment strategies.

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Section: Discussionmentioning

confidence: 99%

Prevalence, Pattern, Mortality, and Morbidity of Traumatic Small Bowel Perforation at King Abdulaziz Medical City: A Retrospective Cohort Study

Aljehaiman,

Almalki,

Alhusain

et al. 2024

Cureus

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“…Some of them are removed by a separate operation or through natural excretion (defecation), such as the NiTi ring. In these processes, tissue harm, such as bleeding, leakage, and perforation, occurs frequently (7)(8)(9).…”

Section: Introductionmentioning

confidence: 99%

Tissue fusion technology versus suture and staple in porcine bowel anastomosis: an in vivo study

Pan

Leung

2020

Braz J Med Biol Res

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The aim of this study was to make a comparison between the tissue fusion technique and conventional methods for sealing bowel anastomosis. Eighteen female domestic pigs (Suidae, Sus) were used in our study. Tissue-fused anastomoses (LigaSure groups) were made in 13 animals (5 anastomoses per animal), which were subdivided into 4 groups according to different manufacturing settings: ''LigaSure-L-1'' and ''LigaSure-L-2'', with low energy output level with 1 or 2 device-activated tissue sealing times, and ''LigaSure-M'' and ''LigaSure-H'', with medium or high energy output level. As controls, automatically stapled (GIA group) and hand-sewn (suture group) anastomoses were utilized in 3 and 2 animals, respectively. There was no statistical difference in the overall leakage rate between the GIA group (6.7%) and the LigaSure groups (15%) (P=1.000). There was less proliferating epithelium covering the anastomosis gap in the LigaSure groups compared with the other two groups. The gap between the two extremities of muscular layers of the anastomosis in the LigaSure groups was filled with collagen fibers. More proliferating cell nuclear antigen (PCNA)-positive cells were found in the anastomoses of the LigaSure groups compared with the other two groups (P=0.010). Our results showed that the tissue fusion technology was a feasible and safe method for anastomoses.

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Small Bowel Perforations and Small Bowel Miscellaneous Acute Diseases

Sakakushev

2016

Acute Care Surgery Handbook

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The research progress of acute small bowel perforation

Cited by 6 publications

References 10 publications

Prevalence, Pattern, Mortality, and Morbidity of Traumatic Small Bowel Perforation at King Abdulaziz Medical City: A Retrospective Cohort Study

Prevalence, Pattern, Mortality, and Morbidity of Traumatic Small Bowel Perforation at King Abdulaziz Medical City: A Retrospective Cohort Study

Tissue fusion technology versus suture and staple in porcine bowel anastomosis: an in vivo study

Small Bowel Perforations and Small Bowel Miscellaneous Acute Diseases

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