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Open Access

Operative rates in acute diverticulitis with concurrent small bowel obstruction

Jeffrey Glaser, Michael Steven Farrell, Richard Caplan, Matthew Rubino
DOI: 10.1136/tsaco-2022-000925 Published 6 July 2022
Jeffrey Glaser
1Surgery, Lehigh Valley Health Network, Allentown, Pennsylvania, USA
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Michael Steven Farrell
1Surgery, Lehigh Valley Health Network, Allentown, Pennsylvania, USA
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Richard Caplan
2Surgery, Christiana Care Health System, Wilmington, Delaware, USA
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Matthew Rubino
2Surgery, Christiana Care Health System, Wilmington, Delaware, USA
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    Figure 1

    Median length of stay of patients who required surgical intervention, relative to starting surgery. “Before surgery” indicates time from admission to entering the operating room. “After surgery” indicates time from completion of surgery to discharge.

Tables

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  • Table 1

    Demographic and comorbidity comparison between the LBD group and the LBD+SBO group

    Demographic/comorbidityLBD (n=170)LBD+SBO (n=34)P value
    Mean age (years) (SD)65.0 (15.5)67.1 (17.0)0.5
    Race, n (%)Black31 (18)7 (21)0.94
    White133 (78)26 (76)
    Other6 (4)1 (3)
    Sex, n (%)Male79 (46)17 (50)0.71
    Female91 (54)17 (50)
    Prior abdominal surgery, n (%)No149 (88)31 (91)0.56
    Yes21 (12)3 (9)
    Diabetes, n (%)No154 (91)31 (91)0.91
    Yes16 (9)3 (9)
    Hinchey class, n (%)1 or 2152 (90)28 (82)0.2
    3 or 414 (10)6 (18)
    Immunosuppression, n (%)No156 (92)33 (97)0.28
    Yes14 (8)1 (3)
    Congestive heart failure, n (%)No156 (92)33 (97)0.28
    Yes14 (8)1 (3)
    Coronary artery disease, n (%)No140 (82)30 (88)0.4
    Yes30 (18)4 (12)
    Chronic lung disease, n (%)No145 (85)31 (91)0.36
    Yes25 (15)3 (9)
    Obesity, n (%)No134 (79)30 (88)0.21
    Yes36 (21)4 (12)
    Renal failure, n (%)No155 (91)32 (94)0.57
    Yes15 (9)2 (6)
    Hypertension, n (%)No160 (94)31 (91)0.52
    Yes10 (6)3 (9)
    Tachycardia, n (%)No166 (98)33 (97)0.84
    Yes4 (2)1 (3)
    • LBD, large bowel diverticulitis; SBO, small bowel obstruction.

  • Table 2

    Univariate analysis assessing the requirement for a particular intervention between patients with LBD and with concurrent LBD and SBO

    Intervention/outcomeLBDLBD+SBOOR (95% CI)P value
    Overall, procedure required36 (21.18)18 (52.94)4.2 (1.51 to 11.58)<0.001
    Laparoscopic procedure9 (5.29)1 (2.94)0.93 (0.11 to 7.83)0.95
    Open procedure27 (15.88)17 (50.00)5.3 (2.37 to 11.71)<0.001
    Ostomy21 (12.35)14 (41.18)2.3 (0.69 to 7.89)0.176
    • LBD, large bowel diverticulitis; SBO, small bowel obstruction.

  • Table 3

    Univariate analysis assessing rates of postoperative infection and overall mortality between patients with LBD and with concurrent LBD and SBO

    LBD, n (%)LBD+SBO, n (%)P value
    Postoperative infection10 (5.88)3 (8.82)0.536
    Mortality4 (2.35)1 (2.94)0.997
    • LBD, large bowel diverticulitis; SBO, small bowel obstruction.

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Operative rates in acute diverticulitis with concurrent small bowel obstruction
Jeffrey Glaser, Michael Steven Farrell, Richard Caplan, Matthew Rubino
Trauma Surg Acute Care Open Jul 2022, 7 (1) e000925; DOI: 10.1136/tsaco-2022-000925

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Operative rates in acute diverticulitis with concurrent small bowel obstruction
Jeffrey Glaser, Michael Steven Farrell, Richard Caplan, Matthew Rubino
Trauma Surg Acute Care Open Jul 2022, 7 (1) e000925; DOI: 10.1136/tsaco-2022-000925
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Operative rates in acute diverticulitis with concurrent small bowel obstruction
Jeffrey Glaser, Michael Steven Farrell, Richard Caplan, Matthew Rubino
Trauma Surgery & Acute Care Open Jul 2022, 7 (1) e000925; DOI: 10.1136/tsaco-2022-000925
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