Euroasian journal of hepato-gastroenterology

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VOLUME 14 , ISSUE 1 ( January-June, 2024 ) > List of Articles

Original Article

Early Postoperative Small Bowel Obstruction after Colorectal Surgery: Incidence and Exploratory Analysis of Potential Risk Factors

Bilal Ahmad, Mohd Fazlulhaq, Mubashir Ah Shah, Fazlul Q Parray, Gowhar Aziz Bhat, Rauf Ah Wani

Keywords : Abdominal surgeries, Acute abdomen, Colorectal surgery, Early postoperative small bowel obstruction, Gut obstruction, Laparotomy

Citation Information : Ahmad B, Fazlulhaq M, Shah MA, Parray FQ, Bhat GA, Wani RA. Early Postoperative Small Bowel Obstruction after Colorectal Surgery: Incidence and Exploratory Analysis of Potential Risk Factors. Euroasian J Hepatogastroenterol 2024; 14 (1):70-74.

DOI: 10.5005/jp-journals-10018-1423

License: CC BY-NC 4.0

Published Online: 12-06-2024

Copyright Statement:  Copyright © 2024; The Author(s).


Background: Early postoperative small bowel obstruction (EPSBO) is a common complication following colorectal surgery, which can significantly impact patient outcomes. This study aimed to investigate the incidence of EPSBO and identify potential risk factors among patients who underwent colorectal surgery. Methods: A descriptive study was conducted on a cohort of 100 patients who underwent colorectal surgery at a tertiary center at SKIMS, Srinagar, Jammu & Kashmir, India. Descriptive, bivariate, and predictive screening analyses were performed to examine patient characteristics, assess association between different relevant variables and EPSBO, and identify significant predictors, respectively. Results: Our study included a total of 100 patients, with a mean age of 50.39 years. Postsurgery, 11% of the individuals in the cohort developed EPSBO. Early postoperative small bowel obstruction developed around 4.30 days after surgery, and radiographic data revealed dilated gut loops in 72.70% of EPSBO cases. Bivariate analysis revealed significant association between EPSBO and variables such as previously operated, medical comorbidities, smoking status, anemia, neoadjuvant chemoradiotherapy (NACRT), bowel preparation, operative procedure, surgery duration, and type of anastomosis (p < 0.05). History of previous bowel habits, previously operated, perioperative bowel preparation, and blood transfusion were identified as the most influential predictors of EPSBO in the predictive screening study. Conclusion: This study provides insights into the incidence of EPSBO and its potential risk factors for postcolorectal surgery among patients. The findings emphasize the need to take the patient's history of past bowel habits and other factors into account when determining the risk of EPSBO. Future studies should go deeper into these correlations and consider treatments to reduce the occurrence of EPSBO in this patient population.

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  1. Mufy TM, Ridgeway B, Abbott S, et al. Small bowel obstruction after hysterectomy to treat benign disease. J Minim Invasive Gynecol 2012;19(5):615–619. DOI: 10.1016/j.jmig.2012.05.011.
  2. Fevang BT, Fevang J, Stangeland L, et al. Complications and death after surgical treatment of small bowel obstruction: A 35-year institutional experience. Ann Surg 2000;231(4):529–537. DOI: 10.1097/00000658-200004000-00012.
  3. Edna TH, Bjerkeset T. Small bowel obstruction in patients previously operated on for colorectal cancer. Eur J Surg Acta Chir 1998;164(8):587–592. DOI: 10.1080/110241598750005688.
  4. Miller G, Baman J, Shrier I, et al. Readmission for small bowl obstruction in the early postoperative period etiology and outcome. Can J Surg 2002;45(4):255–258. PMID: 12174978.
  5. Shin JY, Hong KH. Risk factors for early postoperative small-bowel obstruction after colectomy in colorectal cancer. World J Surg 2008;32(10):2287–2292. DOI: 10.1007/s00268-008-9652-3.
  6. Adhikari S, Hossein MZ, Das A, et al. Etiology and outcome of acute intestinal obstruction: A review of 367 patients in Eastern India. Saudi J Gastroenterol 2010;16(4):285–287. DOI: 10.4103/1319-3767.70617.
  7. Hadi A, Aman Z, Batool I, et al. Causes of mechanical intestinal obstruction in adults. JPMI 2010;24(Suppl. 3):212–216.
  8. Ismail, Khan M, Shah SA, et al. Patterns of dynamic intestinal obstruction in adults. J Postgrad Med Inst 2005;19:157–161.
  9. Alvi AR. Pattern of mechanical bowel obstruction: A review of 111 cases. Pak J Surg 1994;10:121–124.
  10. Adesunkanmi AR, Agbakwuru EA. Changing pattern of acute intestinal obstruction in tropical African population. East Afr Med J 1996;73(11):727–731. PMID: 8997863.
  11. Morimoto Y, Takahashi H, Fujii M, et al. Visceral obesity is a preoperative risk factor for post-operative ileus after surgery for colorectal cancer: Single-institution retrospective analysis. Ann Gastroenterol Surg 2019;3(6):657–666. DOI: 10.1002/ags3.12291.
  12. Zheng H, Liu Y, Chen Z, et al. Novel nomogram for predicting risk of early postoperative small bowel obstruction after right colectomy for cancer. World J Surg Oncol 2022;20(1):19. DOI: 10.1186/s12957-022-02489-2.
  13. Yang S, Zhao H, Yang J, et al. Risk factors of early postoperative bowel obstruction for patients undergoing selective colorectal surgeries. BMC Gastroenterol 2021;21(1):480. DOI: 10.1186/s12876-021-02025-8.
  14. Sheyn D, Bretschneider CE, Mahajan ST, et al. Incidence and risk factors of early postoperative small bowel obstruction in patients undergoing hysterectomy for benign indications. Am J Obstet Gynecol 2019;220(3):251.e1–251.e9. DOI: 10.1016/j.ajog.2018.11. 1095.
  15. Masoomi H, Mills S, Carmichael JC, et al. Predictive factors of early bowel obstruction in colon and rectal surgery: Data from the Nationwide Inpatient Sample (NIS), 2006–2008. J Am College Surg 2012;214(5):831–837. DOI: 10.1016/j.jamcollsurg.2012.01.044.
  16. Kim CH, Joo JK, Kim HR, et al. The incidence and risk of early postoperative small bowel obstruction after laparoscopic resection for colorectal cancer. J Laparoendosc Adv Surg Tech A 2014;24(8): 543–549. DOI: 10.1089/lap.2014.0039.
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