Volume 36, Issue 257 (5-2026)
J Mazandaran Univ Med Sci 2026, 36(257): 141-147 |
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Salmanpour F, Ashrafi A, Arabi M, Ghaedamini H. Identifying the Risk Factors for Adhesive Small Bowel Obstruction in Selected Educational Hospitals in Ahvaz. J Mazandaran Univ Med Sci 2026; 36 (257) :141-147
URL: http://jmums.mazums.ac.ir/article-1-21100-en.html
URL: http://jmums.mazums.ac.ir/article-1-21100-en.html
Abstract: (189 Views)
Background and purpose: Adhesive small bowel obstruction and its recurrence represent a significant clinical challenge in general surgery. The identification of associated risk factors is essential for improving patient outcomes and reducing recurrence rates. This study aimed to determine the risk factors for recurrence in patients with adhesive small bowel obstruction admitted to selected educational hospitals in Ahvaz.
Materials and methods: This was a retrospective descriptive-analytical study. The study population included patients admitted to the surgical emergency departments of Golestan and Imam Khomeini hospitals between 2018 and 2023 (n = 250). Medical records were reviewed, and relevant clinical and demographic data were extracted using a structured data collection form. Data were analysed using SPSS version 27 software . Independent t-tests, chi-square tests, and logistic regression analysis were performed.
Results: The results showed that the frequency of emergency abdominal surgery (P= 0.001) and a history of multiple abdominal surgeries (P= 0.004) were significantly higher in the recurrence group compared with the non-recurrence group. In addition, statistically significant differences were observed between the two groups in recovery time (P= 0.003), infection rate (P= 0.002), blood loss (P= 0.001), intestinal condition (P= 0.015), and number of adhesion bands (P= 0.019). However, multivariate logistic regression analysis indicated that only a history of emergency abdominal surgery and a history of multiple abdominal surgeries were independent predictors of recurrence (P< 0.05).
Conclusion: A history of emergency abdominal surgery and multiple prior abdominal operations are independent predictors of recurrence in adhesive small bowel obstruction. Patients with recurrent adhesive small bowel obstruction also experienced higher rates of postoperative complications. These findings highlight the importance of identifying high-risk patients to improve surveillance and preventive strategies.
Materials and methods: This was a retrospective descriptive-analytical study. The study population included patients admitted to the surgical emergency departments of Golestan and Imam Khomeini hospitals between 2018 and 2023 (n = 250). Medical records were reviewed, and relevant clinical and demographic data were extracted using a structured data collection form. Data were analysed using SPSS version 27 software . Independent t-tests, chi-square tests, and logistic regression analysis were performed.
Results: The results showed that the frequency of emergency abdominal surgery (P= 0.001) and a history of multiple abdominal surgeries (P= 0.004) were significantly higher in the recurrence group compared with the non-recurrence group. In addition, statistically significant differences were observed between the two groups in recovery time (P= 0.003), infection rate (P= 0.002), blood loss (P= 0.001), intestinal condition (P= 0.015), and number of adhesion bands (P= 0.019). However, multivariate logistic regression analysis indicated that only a history of emergency abdominal surgery and a history of multiple abdominal surgeries were independent predictors of recurrence (P< 0.05).
Conclusion: A history of emergency abdominal surgery and multiple prior abdominal operations are independent predictors of recurrence in adhesive small bowel obstruction. Patients with recurrent adhesive small bowel obstruction also experienced higher rates of postoperative complications. These findings highlight the importance of identifying high-risk patients to improve surveillance and preventive strategies.
Type of Study: Brief Report |
Subject:
General surgery
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