Diagnostic Scoring for Small Bowel Obstruction

Diagnostic Scoring for Small Bowel Obstruction

It is difficult to predict which patients with acute small bowel obstruction require operative intervention and which ones can be handled conservatively. Similarly, strangulation remains difficult decision. The rationale for this observative study is to collect prospective cohort of patients with small bowel obstruction to create scoring system to predict early 1) small bowel obstruction resistant to conservative therapy, 2) strangulation.

Inclusion Criteria:

• Computed tomography verified acute small bowel obstruction

Exclusion Criteria:

• < 18 years old
• Pregnant
• Abdominal surgery within 30 days prior recruitment
• Inflammatory bowel disease
• Small bowel tumor causing obstruction
• Peritoneal carcinosis
• Intraluminal obstruction (bile stone, bezoar, etc.)
• Large bowel obstruction
• Small bowel obstruction caused by abdominal wall hernia