TY - JOUR T1 - Operative rates in acute diverticulitis with concurrent small bowel obstruction JF - Trauma Surgery & Acute Care Open JO - Trauma Surg Acute Care Open DO - 10.1136/tsaco-2022-000925 VL - 7 IS - 1 SP - e000925 AU - Jeffrey Glaser AU - Michael Steven Farrell AU - Richard Caplan AU - Matthew Rubino Y1 - 2022/07/01 UR - http://tsaco.bmj.com/content/7/1/e000925.abstract N2 - Background The prevalence of diverticulitis has steadily increased during the past century. One possible complication of large bowel diverticulitis (LBD) is the concurrent development of a small bowel obstruction (SBO). The literature regarding these joint diagnoses is primarily limited to small case series from the 1950s. Consequently, no official recommendations or recent literature exists to guide decision making.Methods This is a retrospective case–control study with 5:1 matching by demographics, comorbidities, and Hinchey classification of patients presenting with concomitant LBD and SBO and patients with LBD alone. The primary outcome assessed was the need for same admission surgical intervention.Results Patients with concurrent LBD and SBO were more likely to require surgical intervention (OR 4.2, p<0.001) and more likely to receive an open operation than patients with only LBD (p<0.001). The length of stay (LOS) was longer for LBD with SBO (mean LOS +3.2 days, p=0.003).Discussion Patients with concurrent LBD and SBO are more likely to fail non-operative management. Given this, along with their longer LOS and higher rate of open surgery, earlier surgical intervention may improve outcomes and reduce hospital LOS.Level of evidence 4. ER -