The DOI matches its Crossref record; 21 of the 21 references it cites were found in a registry or an index.
A Prediction Model for Recognizing Strangulated Small Bowel Obstruction
Open accessAbstract
Introduction. Early and accurate diagnosis of strangulated small bowel obstruction (SSBO) is difficult. This study aimed to devise a prediction model for predicting the risk of SSBO.Materials and Methods.A database of 417 patients who had clinical symptoms of intestinal obstruction confirmed by computed tomography (CT) were evaluated for inclusion in this study. Symptoms and laboratory and radiologic findings of these patients were collected after admission. These clinical factors were analyzed using logistic regression. A logistic regression model was applied to identify determinant variables and construct a clinical score that would predict SSBO.Results. Seventy-six patients were confirmed to have SSBO, 169 patients required surgery but had no evidence of intestinal ischemia, and 172 patients were successfully managed conservatively. In multivariate logistic regression analysis, body temperature ≥ 38.0°C, positive peritoneal irritation sign, white blood cell (WBC) count > 10.0 × 10^9/L, thick-walled small bowel ≥3 mm, and ascites were significantly associated with SSBO. A new prediction model with total scores ranging from 0 to 481 was developed with these five variables. The area under the curve (AUC) of the new prediction model was 0.935.Conclusions. Our prediction model is a good predictive model to evaluate the severity of SBO.
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“Scores/combinations of biomarkers were assessed in only 5 studies [23, 35, 42, 85, 94], mainly combining laboratory biomarkers with radiological or clinical markers and thus not permitting any meta-analysis.”
From Diagnostic accuracy of biomarkers to detect acute mesenteric ischaemia in adult patients: a systematic review and meta-analysis (2023) · cites this paper as [42]
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Maung, A. A., Johnson, D. C., Piper, G. L., Barbosa, R. R., Rowell, S. E., Bokhari, F., Collins, J. N., Gordon, J. R., Ra, J. H., & Kerwin, A. J. (2012) · Journal of Trauma and Acute Care Surgery · doi:10.1097/ta.0b013e31827019de · Cited by 288
Review of Small-Bowel Obstruction: The Diagnosis and When to Worry
Paulson, E. K., & Thompson, W. M. (2015) · Radiology · doi:10.1148/radiol.15131519 · Cited by 288
Helical CT Signs in the Diagnosis of Intestinal Ischemia in Small-Bowel Obstruction
Zalcman, M., Sy, M., Donckier, V., Closset, J., & Gansbeke, D. V. (2000) · American Journal of Roentgenology · doi:10.2214/ajr.175.6.1751601 · Cited by 257
Fevang, B. T., Fevang, J., Stangeland, L., Søreide, O., Svanes, K., & Viste, A. (2000) · Annals of Surgery · doi:10.1097/00000658-200004000-00012 · Cited by 237
Small Bowel Obstruction—Who Needs an Operation? A Multivariate Prediction Model
Zielinski, M. D., Eiken, P. W., Bannon, M. P., Heller, S. F., Lohse, C. M., Huebner, M., & Sarr, M. G. (2010) · World Journal of Surgery · doi:10.1007/s00268-010-0479-3 · Cited by 229
Patterns of Surgical Care and Complications in Elderly Adults
Deiner, S., Westlake, B., & Dutton, R. P. (2014) · Journal of the American Geriatrics Society · doi:10.1111/jgs.12794 · Cited by 165
Predicting Strangulated Small Bowel Obstruction: An Old Problem Revisited
Jancelewicz, T., Vu, L., Shawo, A., Yeh, B. C., Gasper, W. J., & Harris, H. W. (2008) · Journal of Gastrointestinal Surgery · doi:10.1007/s11605-008-0610-z · Cited by 144
Mallo, R., Salem, L., Lalani, T. A., et al. (2005) · Journal of Gastrointestinal Surgery · doi:10.1016/j.gassur.2004.10.006 · Cited by 127
Clinicoradiological score for predicting the risk of strangulated small bowel obstruction
Schwenter, F., Poletti, P., Platon, A., et al. (2010) · British journal of surgery · doi:10.1002/bjs.7037 · Cited by 112
Cronk, D. R., Houseworth, T. P., Cuadrado, D. G., Herbert, G. S., McNutt, P. M., & Azarow, K. S. (2006) · Current Surgery · doi:10.1016/j.cursur.2006.05.006 · Cited by 105
Research works printed but not linked: 1
- 1988, The American Surgeon, 54, 565
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Reintam Blaser, A., Starkopf, J., Björck, M., Forbes, A., Kase, K., Kiisk, E., Laisaar, K.-T., Mihnovits, V., Murruste, M., Mändul, M., et al. (2023) · World Journal of Emergency Surgery · doi:10.1186/s13017-023-00512-9 · Cited by 67
“Scores/combinations of biomarkers were assessed in only 5 studies [23, 35, 42, 85, 94], mainly combining laboratory biomarkers with radiological or clinical markers and thus not permitting any meta-analysis.”
Method
Metadata
- Authors
- Huang, X., Fang, G., Lin, J., Xu, K., Shi, H., & Zhuang, L.
- Affiliations
- First Affiliated Hospital of Wenzhou Medical University (CN)
- Department of General Surgery, The First affiliated Hospital of Wenzhou Medical University, Wenzhou, China
- Corresponding author
- Shi, Hongqi
- Zhuang, Lei
- Venue
- Gastroenterology Research and Practice
- Publisher
- Wiley
- Published
- 2018
- Volume
- 2018
- Pages
- 1-7
- ISSN
- 1687-6121 (ISSN-L)
- 1687-630X
- PMC
- PMC5892273
- OpenAlex
- W2789980118
- Cited by
- 45
- References
- 21
- Citations by year
- 2026: 4 · 2025: 4 · 2024: 8 · 2023: 6 · 2022: 8 · 2021: 10 · 2020: 5
- FWCI
- 3.90
- Type
- journal article
- Language
- en
- Open access
- gold
- doi.org
- Locations
- Gastroenterology Research and Practice (publishedVersion, cc-by)
- Europe PMC (PubMed Central) (publishedVersion, cc-by)
- PubMed Central (publishedVersion, cc-by)
- PubMed (publishedVersion)
- DOAJ (DOAJ: Directory of Open Access Journals) (submittedVersion, cc-by-sa)
- Funders
- Science and Technology Planning Project of Wenzhou (Y20160046)
- Topics
- Health Sciences › Medicine › Surgery › Intestinal and Peritoneal Adhesions
- Health Sciences › Medicine › Surgery › Gastrointestinal disorders and treatments
- Health Sciences › Medicine › Surgery › Intestinal Malrotation and Obstruction Disorders
- Keywords
- strangulated small bowel obstruction, prediction model, clinical risk score, intestinal obstruction, peritoneal irritation, ascites, fever, leukocytosis, intestinal ischemia, conservative treatment, surgical management
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- Huang, X., Fang, G., Lin, J., Xu, K., Shi, H., & Zhuang, L. (2018). A Prediction Model for Recognizing Strangulated Small Bowel Obstruction. Gastroenterology Research and Practice. https://doi.org/10.1155/2018/7164648
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Contains information from the Semantic Scholar Academic Graph Datasets, made available under the ODC Attribution License (ODC-BY 1.0).
Semantic Scholar’s data is described in: Kinney, R., et al. (2023). The Semantic Scholar Open Data Platform. arXiv:2301.10140.
