Prediction factors for ischemia of closed-loop small intestinal obstruction |
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Authors: | Efstathios Theodoros Pavlidis Theodoros Efstathios Pavlidis |
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Affiliation: | Efstathios Theodoros Pavlidis, Theodoros Efstathios Pavlidis, The Second Propedeutic Department of Surgery, Hippocration Hospital, Aristotle University of Thessaloniki, School of Medicine, Thessaloniki 54642, Greece |
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Abstract: | A closed-loop type of intestinal obstruction leads to ischemic necrosis. There have been indicators that may predict ischemia and its severity, such as biomarkers and computed tomography scans. In addition to the usual inflammation markers, such as white blood count-neutrophil count and c-reactive protein (CRP), the most accurate predictors that have been proposed are the CRP-to-albumin ratio, the neutrophil/lymphocyte ratio and the platelet/lymphocyte ratio. Endothelin 1 is another promising biomarker of ischemia that must be assessed in daily clinical practice. Advanced age and frailty status were assessed as predictors of mortality. A timely operative procedure without any delay ensures a better outcome. |
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Keywords: | Acute abdomen Obstructive ileus Bowel ischemia Closed loop Predictive factors Inflammatory markers |
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