Study of the Outcome of Emergency Small Bowel Resections Regarding Morbidity and Mortality
Mohammed, H., Ahmed, M., Kabbash, M., Saleem, A. (2021). Study of the Outcome of Emergency Small Bowel Resections Regarding Morbidity and Mortality. EKB Journal Management System, 83(1), 1456-1461. doi: 10.21608/ejhm.2021.170291
Hamza Hashem Awad Mohammed; Mahmoud S Ahmed; Mansour Mohammed Kabbash; Abd-El Aal Ali Saleem. "Study of the Outcome of Emergency Small Bowel Resections Regarding Morbidity and Mortality". EKB Journal Management System, 83, 1, 2021, 1456-1461. doi: 10.21608/ejhm.2021.170291
Mohammed, H., Ahmed, M., Kabbash, M., Saleem, A. (2021). 'Study of the Outcome of Emergency Small Bowel Resections Regarding Morbidity and Mortality', EKB Journal Management System, 83(1), pp. 1456-1461. doi: 10.21608/ejhm.2021.170291
Mohammed, H., Ahmed, M., Kabbash, M., Saleem, A. Study of the Outcome of Emergency Small Bowel Resections Regarding Morbidity and Mortality. EKB Journal Management System, 2021; 83(1): 1456-1461. doi: 10.21608/ejhm.2021.170291

Study of the Outcome of Emergency Small Bowel Resections Regarding Morbidity and Mortality

The Egyptian Journal of Hospital Medicine
Article 100, Volume 83, Issue 1, April 2021, Page 1456-1461  XML PDF (359.83 K)
Document Type: Original Article
DOI: 10.21608/ejhm.2021.170291
View on SCiNiTO View on SCiNiTO
Authors
Hamza Hashem Awad Mohammed email 1; Mahmoud S Ahmed1; Mansour Mohammed Kabbash1; Abd-El Aal Ali Saleem2
1Department of General Surgery, Faculty of Medicine - Aswan University, Egypt
2Department of General Surgery, Faculty of Medicine - Sohag University, Egypt
Abstract
Background: Management of small intestinal diseases in the emergency setting, imposes a challenge and is associated with incidence of perioperative mortality and morbidity. Many factors may contribute to this adverse outcome, it may be patient-related factors, associated colonic injuries or related to presenting derangement locally or systemically.
Objective: To rate the reported morbidity and mortality after small bowel emergencies with resections and re-anastomosis and the impact of preoperative, operative and postoperative factors on patients’ outcomes.
Patients and Methods: A total of 60 patients who underwent emergent small bowel resection were included in this study. This study was performed using data from patients of both sexes aged above 12 years old who presented with small bowel emergencies that needed emergency resection, which were managed in the General Surgery Department of Aswan University Hospital, during the period from March 2019 until February 2020.
Results: There was a statistically significant difference between them regarding age groups, the prevalence of comorbidities and previous abdominal surgeries. We found that associated injuries were associated with the most added risk of morbidity and time of presentation in the multivariate module, followed by hemodynamic instability. The two independent modifiable variables were the hemodynamic instability after initial resuscitation and the choice of simplest shortest appropriate operative option.
Conclusion: Regarding morbidity, there was significant effect of age and the presence of comorbidities. These results may aid the acute-care surgeons in identifying patients with a high-risk for postoperative complications and fatal outcomes.
 
Keywords
Morbidity and Mortality; Small bowel emergency
Statistics
Article View: 167
PDF Download: 376