{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,16]],"date-time":"2026-10-16T03:30:08Z","timestamp":1792121408233,"version":"4.4.0"},"reference-count":25,"publisher":"Wiley","issue":"5","license":[{"start":{"date-parts":[[2020,1,10]],"date-time":"2020-01-10T00:00:00Z","timestamp":1578614400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2020,1,10]],"date-time":"2020-01-10T00:00:00Z","timestamp":1578614400000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/www.springer.com\/tdm"},{"start":{"date-parts":[[2020,1,10]],"date-time":"2020-01-10T00:00:00Z","timestamp":1578614400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/www.springer.com\/tdm"}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["World j. surg."],"published-print":{"date-parts":[[2020,5]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Background\/aims<\/jats:title><jats:p>Intestinal ischaemia (II) is the most critical factor to determine in patients with adhesive small bowel obstruction (ASBO) because intestinal ischaemia could be reversible. The aim of this study was to create a clinicoradiological score to predict II in patients with ASBO.\n<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>We conducted a retrospective study including 124 patients with ASBO. Logistic regression analysis was used to identify predictive factors of II. We assigned points for the score according to the regression coefficient. The area under the curve (AUC) was determined using receiver operating characteristic curves.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Six independent predictive factors of II were identified: age, pain duration, body temperature, WBC, reduced wall enhancement and segmental mesenteric fluid at CT scan. According to the regression, coefficient points were assigned to each of the variables associated with II. The estimated rates of II were calculated for the total scores ranging from 0 to 24. The AUC of this clinicoradiological score was 0.92. A cut\u2010off score of 6 was used for the low\u2010probability group (the risk of II was 1.13%). A score ranging from 7 to 15 defined intermediate\u2010probability group (the risk of II was 44%). A score \u226516 defined high\u2010probability group (100% of patients in this group had II).<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>We performed a score to predict the risk of intestinal II with a good accuracy (the AUC of our score exceeded 0.90). This score is reliable and reproducible, so it can help surgeon to prioritize patients with II for surgery because ischaemia could be reversible, avoiding thus intestinal necrosis.<\/jats:p><\/jats:sec>","DOI":"10.1007\/s00268-020-05377-6","type":"journal-article","created":{"date-parts":[[2020,1,10]],"date-time":"2020-01-10T14:02:34Z","timestamp":1578664954000},"page":"1444-1449","update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":29,"title":["Predicting Intestinal Ischaemia in Patients with Adhesive Small Bowel Obstruction: A Simple Score"],"prefix":"10.1002","volume":"44","author":[{"given":"Mahdi","family":"Bouassida","sequence":"first","affiliation":[{"name":"Department of Surgery Mohamed Tahar Maamouri Hospital Nabeul Tunisia"},{"name":"Faculty of Medicine of Tunis Tunis El Manar University Tunis 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Mongi","family":"Mighri","sequence":"additional","affiliation":[{"name":"Department of Surgery Mohamed Tahar Maamouri Hospital Nabeul Tunisia"},{"name":"Faculty of Medicine of Tunis Tunis El Manar University Tunis Tunisia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Khaled","family":"Bouzeidi","sequence":"additional","affiliation":[{"name":"Faculty of Medicine of Tunis Tunis El Manar University Tunis Tunisia"},{"name":"Department of Radiology Mohamed Tahar Maamouri Hospital Nabeul Tunisia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hassen","family":"Touinsi","sequence":"additional","affiliation":[{"name":"Department of Surgery Mohamed Tahar Maamouri Hospital Nabeul Tunisia"},{"name":"Faculty of Medicine of Tunis Tunis El Manar University Tunis Tunisia"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2020,1,10]]},"reference":[{"key":"e_1_2_8_2_1","doi-asserted-by":"publisher","DOI":"10.1186\/1749\u20107922\u20108\u201042"},{"key":"e_1_2_8_3_1","first-page":"329","article-title":"Recurrence after operative treatment of adhesive small\u2010bowel obstruction","volume":"13","author":"Lorentzen L","year":"2017","journal-title":"J Gastrointest Surg"},{"key":"e_1_2_8_4_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jamcollsurg.2015.03.054"},{"key":"e_1_2_8_5_1","doi-asserted-by":"publisher","DOI":"10.1111\/codi.14627"},{"key":"e_1_2_8_6_1","doi-asserted-by":"publisher","DOI":"10.1002\/bjs.7037"},{"key":"e_1_2_8_7_1","doi-asserted-by":"publisher","DOI":"10.1007\/BF02234701"},{"issue":"1","key":"e_1_2_8_8_1","first-page":"9","article-title":"The magnitude of adhesion related problems","volume":"87","author":"Ellis H","year":"1998","journal-title":"Ann Chir 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January 2020","order":1,"name":"first_online","label":"First Online","group":{"name":"ArticleHistory","label":"Article History"}},{"order":1,"name":"Ethics","group":{"name":"EthicsHeading","label":"Compliance with ethical standards"}},{"value":"No conflict of interest to declare.","order":2,"name":"Ethics","group":{"name":"EthicsHeading","label":"Conflict of interest"}},{"value":"The study was approved by the institutional research and ethics board of Mohamed Tahar Maamouri Hospital.","order":3,"name":"Ethics","group":{"name":"EthicsHeading","label":"Ethical approval"}},{"value":"Informed consent was obtained from all individual participants included in the study.","order":4,"name":"Ethics","group":{"name":"EthicsHeading","label":"Informed consent"}}]}}