Article
Surgery
Ryan L. Chin, Diego L. Lima, Xavier Pereira, Gustavo Romero-Velez, Patricia Friedmann, Gbalekan Dawodu, Kaitlin Sterbenz, Jaclyn Yamada, Prashanth Sreeramoju, Vance Smith, Flavio Malcher
Summary: Laparoscopic intervention may provide superior outcomes, including shorter return of bowel function and length of stay, compared to open surgery for the management of small bowel obstruction. However, patient selection for laparoscopic intervention is based on surgeon preference rather than patient characteristics.
SURGICAL ENDOSCOPY AND OTHER INTERVENTIONAL TECHNIQUES
(2023)
Article
Surgery
Tara van Veen, Purushotham Ramanathan, Lolita Ramsey, Jonathan Dort, Dina Tabello
Summary: This study evaluated the factors associated with operative management in patients with adhesive small bowel obstruction (SBO). It found that a lack of small bowel feces sign and a history of exploratory laparotomy were significantly associated with operative management. The conservative trial period for adhesive SBO should not exceed 3 days.
SURGICAL ENDOSCOPY AND OTHER INTERVENTIONAL TECHNIQUES
(2023)
Article
Surgery
Tara van Veen, Purushotham Ramanathan, Lolita Ramsey, Jonathan Dort, Dina Tabello
Summary: This study evaluated the factors associated with operative management in patients with adhesive small bowel obstruction (SBO). The results showed that a lack of small bowel feces sign and a history of exploratory laparotomy were significantly associated with operative management. The median resolution of symptoms in the non-operative management group was 2 days, and each day of surgery delay increased the odds of bowel resection by 20%.
SURGICAL ENDOSCOPY AND OTHER INTERVENTIONAL TECHNIQUES
(2023)
Article
Gastroenterology & Hepatology
Zhen Tian, Jun Xu, Yiqi Wang, Puyue Gao
Summary: The study aims to identify risk factors for recurrence in patients operated on for adhesive small bowel obstruction (ASBO) and develop a predictive model to quantify the risk of recurrence, providing a practical tool for individualized patient management.
JOURNAL OF GASTROINTESTINAL SURGERY
(2023)
Article
Surgery
Yusuke Tanaka, Yuji Kaneoka, Atsuyuki Maeda, Yuichi Takayama, Takamasa Takahashi, Muneyasu Kiriyama, Kazuaki Seita
Summary: Adhesive small bowel obstruction is a common postoperative complication, with previous surgery being the main predisposing factor. Conservative treatment has a high success rate but may lead to recurrence, while surgery can remove the obstruction but may result in new adhesions.
INDIAN JOURNAL OF SURGERY
(2023)
Article
Surgery
Yuta Yamamoto, Yusuke Miyagawa, Masato Kitazawa, Hirokazu Tanaka, Masatsugu Kuroiwa, Nao Hondo, Makoto Koyama, Satoshi Nakamura, Shigeo Tokumaru, Futoshi Muranaka, Yuji Soejima
Summary: The study found that the feces sign on abdominal CT is associated with the prognosis of non-emergency adhesive small bowel obstruction, with patients showing better odds of diet resumption and discharge if they have the feces sign. Patients with the feces sign also had shorter time to diet resumption and discharge.
ASIAN JOURNAL OF SURGERY
(2021)
Article
Surgery
Wei-jie Fu, Xia Xiao, Yun-han Gao, Song Hu, Qian Yang
Summary: This study found that a history of emergency abdominal surgery, multiple abdominal surgeries, and diabetes mellitus are high-risk factors for recurrent adhesive small bowel obstruction (ASBO). Patients with recurrence had longer operative times, greater blood loss, and a higher incidence of wound complications.
ASIAN JOURNAL OF SURGERY
(2023)
Article
Pediatrics
Jun Kono, Koichiro Yoshimaru, Takuya Kondo, Yoshiaki Takahashi, Yukihiro Toriigahara, Atsuhisa Fukuta, Satoshi Obata, Naonori Kawakubo, Kouji Nagata, Toshiharu Matsuura, Tatsuro Tajiri
Summary: There is no standard timing for switching to surgical management for children with adhesive small bowel obstruction (ASBO) who initially receive conservative treatment. Increased gastrointestinal drainage volume may indicate the need for surgical intervention.
JOURNAL OF PEDIATRIC SURGERY
(2023)
Article
Radiology, Nuclear Medicine & Medical Imaging
Jieun Kim, Yedaun Lee, Jung-Hee Yoon, Ho-Joon Lee, Yun-Jung Lim, Jisook Yi, Won Beom Jung
Summary: This study identified that the lack of small bowel feces sign, focal or diffuse mesenteric haziness, and moderate amount of mesenteric fluid are independent CT findings predicting the failure of conservative treatment in patients with non-strangulated adhesive SBO. The combination of these significant CT findings suggests the need for surgical intervention, while the absence of two or all of these findings may indicate a potential for conservative treatment.
EUROPEAN RADIOLOGY
(2021)
Article
Emergency Medicine
Barend A. W. van den Beukel, Masja K. Toneman, Fleur van Veelen, Marjolein Blusse van Oud-Alblas, Koen van Dongen, Martijn W. J. Stommel, Harry van Goor, Richard P. G. ten Broek
Summary: This study found that more than one in four patients treated non-operatively for abdominal pain develop adhesive small bowel obstruction. Surgical treatment reduces the risk of adhesive small bowel obstruction in patients with chronic adhesive symptoms.
WORLD JOURNAL OF EMERGENCY SURGERY
(2023)
Article
Surgery
Pepijn Krielen, Lisa P. A. Kranenburg, Martijn W. J. D. Stommel, Nicole J. Bouvy, Pieter J. Tanis, Jorn Willemsen, Jorne Migchelbrink, Rick de Ree, Esther M. G. Bormans, Harry van Goor, Richard P. G. ten Broek, ASBO Snapshot Study Grp Background
Summary: This study aimed to provide insight into the current management of adhesive small bowel obstruction (ASBO) and its associated outcomes. The findings suggest that oral water-soluble contrast and early surgical intervention can lead to shorter hospital stays and reduced complications. These results may support the standardization of ASBO treatment.
INTERNATIONAL JOURNAL OF SURGERY
(2023)
Article
Surgery
Samuel P. Carmichael, David M. Kline, Nathan T. Mowery, Preston R. Miller, J. Wayne Meredith, Amresh D. Hanchate
Summary: This study retrospectively analyzed a national commercial insurance claims database and found geographic variation in surgical management of adhesive small bowel obstruction (aSBO). Individual-level analysis revealed that age and male sex were negatively associated with operative intervention for aSBO. These findings highlight the critical need for standardized guidelines for emergency general surgery patients.
JOURNAL OF SURGICAL RESEARCH
(2023)
Article
Health Care Sciences & Services
Saif Ghabisha, Faisal Ahmed, Abdulfattah Altam, Fouad Hassan, Mohamed Badheeb
Summary: This study investigated the factors associated with the need for surgical interventions in 67 cases diagnosed with small bowel obstruction in the virgin abdomen (SBO-VA). The predominant etiology was found to be adhesion. While 46.2% of the cases received conservative treatment, 53.8% underwent urgent surgery. Factors associated with the need for surgical management included older age, previous hospital admission, abdominal tenderness, longer abdominal pain duration, increased inflammatory markers, and alarm signs on computed tomography imaging. In the surgical group, there was a higher need for ICU admission and shorter hospital stays compared to the conservative group.
JOURNAL OF MULTIDISCIPLINARY HEALTHCARE
(2023)
Review
Surgery
Kyle D. D. Klingbeil, James X. X. Wu, Antonia Osuna-Garcia, Edward H. H. Livingston
Summary: Water-soluble contrast (WSC) may decrease hospital length of stay in nonoperative adhesive small bowel obstruction (SBO) patients, but the current literature is heterogeneous with varied quality. High-quality randomized controlled trials are needed to determine the full benefit of WSC in SBO management.
Article
Surgery
Yun Song, Daniel Aryeh Metzger, Adrienne N. Bruce, Robert S. Krouse, Robert E. Roses, Douglas L. Fraker, Rachel R. Kelz, Giorgos C. Karakousis
Summary: This study aimed to characterize surgical outcomes for malignant small bowel obstruction (MaSBO) and develop a prediction model for postoperative mortality. The results showed that surgery for MaSBO is associated with higher morbidity and mortality rates, emphasizing the importance of careful patient evaluation before intervention.
Article
Critical Care Medicine
James P. Byrne, Michael L. Nance, Dane R. Scantling, Daniel N. Holena, Elinore J. Kaufman, Avery B. Nathens, Patrick M. Reilly, Mark J. Seamon
Summary: Access to pediatric trauma care varies significantly across the United States. This study found significant disparities in access to pediatric trauma care, with most pediatric trauma centers located in urban counties and 28% of children living in counties without trauma centers. Counties with pediatric trauma centers had significantly lower rates of pediatric motor vehicle crash (MVC) mortality, while adult level 1/2 trauma centers in counties without pediatric trauma centers were associated with comparable risk reduction.
JOURNAL OF TRAUMA AND ACUTE CARE SURGERY
(2021)
Article
Surgery
James P. Byrne, Christopher D. Witiw, James M. Schuster, Jose L. Pascual, Jeremy W. Cannon, Niels D. Martin, Patrick M. Reilly, Avery B. Nathens, Mark J. Seamon
Summary: This study demonstrates that early initiation of pharmacologic VTE prophylaxis after urgent neurosurgical interventions for TBI can reduce the risk of thromboembolism. However, earlier initiation of prophylaxis is associated with an increased risk of repeated neurosurgery. Therefore, caution should be exercised particularly during the first 3 days after the index procedure.
Article
Surgery
Joshua P. Hazelton, Anna E. Ssentongo, John S. Oh, Paddy Ssentongo, Mark J. Seamon, James P. Byrne, Isabella G. Armento, Donald H. Jenkins, Maxwell A. Braverman, Caleb Mentzer, Guy C. Leonard, Lindsey L. Perea, Courtney K. Docherty, Julie A. Dunn, Brittany Smoot, Matthew J. Martin, Jayraan Badiee, Alejandro J. Luis, Julie L. Murray, Matthew R. Noorbakhsh, James E. Babowice, Charles Mains, Robert M. Madayag, Haytham M. A. Kaafarani, Ava K. Mokhtari, Sarah A. Moore, Kathleen Madden, Allen Tanner, Diane Redmond, David J. Millia, Amber Brandolino, Uyen Nguyen, Vernon Chinchilli, Scott B. Armen, John M. Porter
Summary: This study aimed to investigate the use of whole blood in the resuscitation of bleeding trauma patients. The results showed that compared to blood component therapy, the use of whole blood was associated with a reduction in mortality and bleeding complications.
Article
Surgery
Dane R. Scantling, Daniel N. Holena, Elinore J. Kaufman, Allyson M. Hynes, Justin Hatchimonji, James P. Byrne, Douglas Wiebe, Mark J. Seamon
Summary: This study aims to identify modifiable factors related to firearm homicide. The study found that certain types of socioeconomic support and firearm restrictive legislation are associated with reduced firearm death rates.
Meeting Abstract
Surgery
Kirsten E. Gimbel, Anna E. Ssentongo, John S. Oh, Paddy Ssentongo, Mark J. Seamon, James P. Byrne, Scott B. Armen, John M. Porter, Joshua P. Hazelton
JOURNAL OF THE AMERICAN COLLEGE OF SURGEONS
(2022)
Article
Clinical Neurology
Tej D. Azad, Divyaansh Raj, Kowsar Ahmed, Kathleen Ran, Joshua Materi, Joseph Dardick, Joshua Olexa, Farah Musharbash, Daniel Lubelski, Timothy Witham, Ali Bydon, Nicholas Theodore, James P. Byrne, Elliott Haut
Summary: This study aimed to identify significant predictors of blunt cerebrovascular injury (BCVI) and its sequelae in patients with known cervical spine injury. The study found that BCVI, although rare, is a significant predictor of stroke and mortality.
WORLD NEUROSURGERY
(2023)
Article
Surgery
James P. Byrne, Elinore Kaufman, Dane Scantling, Vicky Tam, Niels Martin, Shariq Raza, Jeremy W. Cannon, C. William Schwab, Patrick M. Reilly, Mark J. Seamon
Summary: The study indicates that geospatial access to care may be an important trauma system measure, and improving access could lead to a reduction in gun violence deaths in US cities.
Article
Critical Care Medicine
Elliott R. Haut, James P. Byrne, Michelle A. Price, Pamela Bixby, Eileen M. Bulger, Leslie Lake, Todd Costantini
Summary: A multidisciplinary conference was held in Chicago in May 2022 to review the scientific evidence on VTE prevention after trauma and establish consensus on future research priorities. The conference gathered over 40 in-person and 80 virtual attendees, including trauma surgeons, physicians, thrombosis experts, nurses, pharmacists, researchers, and patient advocates. The conference resulted in the identification of research priorities and plans of action for future studies.
JOURNAL OF TRAUMA AND ACUTE CARE SURGERY
(2023)
Article
Critical Care Medicine
Amanda L. Teichman, Bryan A. Cotton, James Byrne, Navpreet K. Dhillon, Allison E. Berndtson, Michelle A. Price, Tracy J. Johns, Eric J. Ley, Todd Costantini, Elliott R. Haut
Summary: Venous thromboembolism is a major concern in trauma patients, and novel approaches are needed to reduce its occurrence. The risk for VTE extends beyond hospitalization, and there is currently no clear ideal approach for outpatient prevention.
JOURNAL OF TRAUMA AND ACUTE CARE SURGERY
(2023)
Article
Surgery
Louis Kester, Daniel N. Holena, Allyson M. Hynes, Elinore J. Kaufman, Tejal Brahmbhatt, Sabrina Sanchez, James P. Byrne, Tracey Dechert, Mark Seamon, Dane R. Scantling
Summary: More than 20,000 firearm suicides occur every year in America. This study evaluated the correlation between firearm laws, firearm access, demographics, behavior, access to care, and socioeconomic metrics and firearm suicide rates. The results showed that heavy drinking was associated with an increase in firearm suicide rates, suggesting an opportunity for interventions in the healthcare setting.
Article
Surgery
David P. Stonko, Jennine H. Weller, Andres J. Gonzalez Salazar, Hossam Abdou, Joseph Edwards, Jeremiah Hinson, Scott Levin, James P. Byrne, Joseph V. Sakran, Caitlin W. Hicks, Elliott R. Haut, Jonathan J. Morrison, Alistair J. Kent
Summary: This study aimed to predict prolonged hospital length of stay in trauma patients using machine learning. It was found that by utilizing only physiological and demographic data available at admission, a deep neural network can accurately predict patients with exceptionally long stays.
SURGICAL INNOVATION
(2023)
Article
Surgery
Lindsey L. Perea, Kate Moore, Courtney Docherty, Uyen Nguyen, Mark J. Seamon, James P. Byrne, Donald H. Jenkins, Maxwell A. Braverman, John M. Porter, Isabella G. Armento, Caleb Mentzer, Guy C. Leonard, Alejandro J. Luis, Matthew R. Noorbakhsh, James E. Babowice, Haytham M. A. Kaafarani, Ava Mokhtari, Matthew J. Martin, Jayraan Badiee, Charles Mains, Robert M. Madayag, Sarah A. Moore, Kathleen Madden, Joshua P. Hazelton
Summary: This study suggests that WB resuscitation is safe compared to BCT resuscitation in the care of critically injured pediatric trauma patients.
Letter
Surgery
James P. Byrne, Mark J. Seamon
Article
Critical Care Medicine
Nathaniel R. McLauchlan, Noah M. Igra, Lydia T. Fisher, James P. Byrne, Carl A. Beyer, Zhi Geng, Daniela Schmulevich, Martha M. Brinson, Ryan P. Dumas, Daniel N. Holena, Allyson M. Hynes, Claire B. Rosen, Amit N. Shah, Michael A. Vella, Jeremy W. Cannon
Summary: This study conducted a simulation trial to compare the performance parameters of thoracic lavage and percutaneous thoracostomy in treating traumatic hemothorax. The results showed that lavage can reduce retained hemothorax, while percutaneous thoracostomy, although less painful, resulted in more retained hemothorax. Lavage was particularly effective for small-diameter tubes and added little procedural time.
TRAUMA SURGERY & ACUTE CARE OPEN
(2023)
Article
Critical Care Medicine
Eric Winter, James P. Byrne, Allyson M. Hynes, Zhi Geng, Mark J. Seamon, Daniel N. Holena, Neil R. Malhotra, Jeremy W. Cannon
Summary: Results of the study show that patients transported by police had more severe injuries, shorter prehospital times, and higher rates of unexpected survival. The study also emphasizes the importance of patient physiology and injury severity in determining mortality and the need for optimizing in-hospital care.
JOURNAL OF TRAUMA AND ACUTE CARE SURGERY
(2022)