{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,25]],"date-time":"2026-06-25T12:16:22Z","timestamp":1782389782661,"version":"3.54.5"},"reference-count":14,"publisher":"Wiley","issue":"9","license":[{"start":{"date-parts":[[2020,8,4]],"date-time":"2020-08-04T00:00:00Z","timestamp":1596499200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["ANZ Journal of Surgery"],"published-print":{"date-parts":[[2020,9]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Background<\/jats:title><jats:p>Analyse admissions to Royal Perth Hospital (RPH) with acute small bowel obstruction (SBO), and identify trends between outcomes and management.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>Retrospective, single\u2010centre review of patients admitted to RPH with acute SBO, between May 2017 and May 2018.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>A total of 251 admissions met inclusion criteria. Increasing age correlated with increasing total length of stay (LOS) (<jats:italic>r<\/jats:italic> = 0.134, <jats:italic>P<\/jats:italic> =\u20090.033) and post\u2010operative LOS (<jats:italic>r<\/jats:italic> = 0.349, <jats:italic>P<\/jats:italic> &lt;\u20090.0001). Increasing age led to poorer outcomes (<jats:italic>P<\/jats:italic> &lt;\u20090.0001). Diagnoses were most commonly adhesions (167\/251 = 66.5%), hernias (47\/251 = 18.7%) and inflammatory bowel diseases (11\/251 = 4.4%).<\/jats:p><jats:p>Operation rate for adhesional SBO was 24.6% (41\/167) and non\u2010adhesional SBO 54.8% (46\/84). Median total LOS for operative versus conservative management was 9\u2009days (interquartile range (IQR) 8) versus 3\u2009days (IQR 3) (<jats:italic>P<\/jats:italic> &lt;\u20090.0001). Median time to surgery was 1\u2009day (IQR 2). Increased time from admission to theatre led to increasing post\u2010operative LOS (<jats:italic>r<\/jats:italic> = 0.398, <jats:italic>P<\/jats:italic> =\u20090.0013). Median post\u2010operative LOS for bowel resection versus no resection was 9\u2009days (IQR 4.5) versus 6\u2009days (IQR 4) (<jats:italic>P<\/jats:italic> =\u20090.0128).<\/jats:p><jats:p>Of 101, 81 (80.2%) adhesional SBO resolved non\u2010operatively after receiving Gastrografin, compared to 45 of 66 (68.2%) of those who did not (<jats:italic>P<\/jats:italic> =\u20090.07). It did not significantly alter total or post\u2010operative LOS (<jats:italic>P<\/jats:italic> =\u20090.65 and <jats:italic>P<\/jats:italic> =\u20090.96), patient outcome (<jats:italic>P<\/jats:italic> =\u20090.26), or need for bowel resection (<jats:italic>P<\/jats:italic> =\u20090.63).<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>Operative management, bowel resection, older age and increasing time from admission to surgery increase LOS. Trial of Gastrografin in non\u2010operative management of adhesion type small bowel obstructions does not significantly affect outcomes but tends to reduce operative rates.<\/jats:p><\/jats:sec>","DOI":"10.1111\/ans.16177","type":"journal-article","created":{"date-parts":[[2020,8,5]],"date-time":"2020-08-05T05:39:51Z","timestamp":1596605991000},"page":"1689-1693","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":3,"title":["Acute small bowel obstruction: one\u2010year retrospective study of admissions to inner city Royal Perth Hospital"],"prefix":"10.1111","volume":"90","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-7359-4052","authenticated-orcid":false,"given":"Alessandro","family":"Cengarle","sequence":"first","affiliation":[{"name":"Department of General Surgery Royal Perth Hospital  Perth Western Australia Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Dieter G.","family":"Weber","sequence":"additional","affiliation":[{"name":"Department of General Surgery Royal Perth Hospital  Perth Western Australia Australia"},{"name":"Faculty of Health and Medical Sciences, Surgery University of Western Australia  Perth Western Australia Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Adnan G.","family":"Taib","sequence":"additional","affiliation":[{"name":"Department of General Surgery, Furness General Hospital University Hospitals of Morecambe Bay NHS Foundation Trust  Barrow\u2010in\u2010Furness UK"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2020,8,4]]},"reference":[{"key":"e_1_2_8_2_1","doi-asserted-by":"publisher","DOI":"10.1097\/TA.0b013e31816f709e"},{"key":"e_1_2_8_3_1","doi-asserted-by":"publisher","DOI":"10.1016\/S1072-7515(97)00127-0"},{"key":"e_1_2_8_4_1","doi-asserted-by":"publisher","DOI":"10.3748\/wjg.v19.i43.7489"},{"key":"e_1_2_8_5_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1445-2197.2010.05632.x"},{"key":"e_1_2_8_6_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.rcl.2012.09.002"},{"key":"e_1_2_8_7_1","doi-asserted-by":"crossref","first-page":"641","DOI":"10.1177\/000313481307900628","article-title":"Accuracy of computed tomography in small bowel obstruction","volume":"79","author":"Barnett RE","year":"2013","journal-title":"Am. 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