{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,29]],"date-time":"2026-09-29T18:46:02Z","timestamp":1790707562948,"version":"4.1.0"},"reference-count":19,"publisher":"Wiley","issue":"3","license":[{"start":{"date-parts":[[2026,3,2]],"date-time":"2026-03-02T00:00:00Z","timestamp":1772409600000},"content-version":"vor","delay-in-days":1,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2026,3,1]],"date-time":"2026-03-01T00:00:00Z","timestamp":1772323200000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Colorectal Disease"],"published-print":{"date-parts":[[2026,3]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Small bowel obstruction (SBO) is a common surgical emergency associated with impaired gastrointestinal (GI) function and prolonged recovery. The PRO\u2010diGI patient\u2010reported outcome measure (PROM) assesses patients' reports on key domains of appetite, nausea, bowel function, well\u2010being and overall GI function. This study evaluated the influence of demographic and treatment factors on GI recovery following SBO and examined whether these associations persisted after balancing for baseline differences using propensity score matching (PSM).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>\n                      An international prospective multicentre cohort study enrolled adult patients undergoing treatment for SBO of any aetiology. GI recovery was assessed using the PRO\u2010diGI tool. Multivariable regression models were used to identify associations between clinical factors and PROM scores. Regression coefficients (\n                      <jats:italic>\u03b2<\/jats:italic>\n                      ) with 95% confidence intervals were calculated. PSM was performed within the adhesional SBO subgroup to minimize confounding from differences in follow\u2010up time and baseline characteristics.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      Of 1734 participants, 644 completed all PROM domains. Among patients contributing PROM data, surgical intervention was associated with improved nausea (\n                      <jats:italic>\u03b2<\/jats:italic>\n                      5.9, 95% confidence interval 1.1\u201311.0) and overall GI function (\n                      <jats:italic>\u03b2<\/jats:italic>\n                      6.8, 95% confidence interval 0.54\u201313.0) scores. Complications were linked to worse nausea (\n                      <jats:italic>\u03b2<\/jats:italic>\n                      \u22129.3, 95% confidence interval \u221217.0 to \u22121.7), well\u2010being (\n                      <jats:italic>\u03b2<\/jats:italic>\n                      \u221217.0, 95% confidence interval \u221229.0 to \u22124.3), and overall function (\n                      <jats:italic>\u03b2<\/jats:italic>\n                      \u221212.0, 95% confidence interval \u221222.0 to \u22121.4). Previous nonoperative SBO episodes were associated with reduced appetite scores (\n                      <jats:italic>\u03b2<\/jats:italic>\n                      \u22127.3, 95% confidence interval \u221213.0 to \u22121.7). In the adhesion PSM cohort, overall GI function remained higher after surgery, and laparoscopic adhesiolysis was associated with superior appetite and overall function scores.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Discussion<\/jats:title>\n                    <jats:p>Surgical treatment without complications was associated with improved patient\u2010reported GI recovery after SBO. Persistence of these associations following matching indicates that patient\u2010reported GI recovery differs across treatment pathways in selected patients, supporting the feasibility and discriminatory value of PRO\u2010diGI as a patient\u2010centred outcome measure.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/codi.70411","type":"journal-article","created":{"date-parts":[[2026,3,9]],"date-time":"2026-03-09T03:20:48Z","timestamp":1773026448000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":3,"title":["Impact of surgery and complications on\n                    <scp>GI<\/scp>\n                    recovery after\n                    <scp>SBO<\/scp>\n                    : Insights from the\n                    <scp>SnapSBO<\/scp>\n                    cohort"],"prefix":"10.1111","volume":"28","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-9971-1635","authenticated-orcid":false,"given":"Matthew J.","family":"Lee","sequence":"first","affiliation":[{"name":"Department for Applied Health Research University of Birmingham  Birmingham UK"},{"name":"Center for Emergency Surgery Outcomes Research University of Pennsylvania  Philadelphia Pennsylvania USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Lewis J.","family":"Kaplan","sequence":"additional","affiliation":[{"name":"Center for Emergency Surgery Outcomes Research University of Pennsylvania  Philadelphia Pennsylvania USA"},{"name":"Section of Surgical Critical Care, Surgical Services Corporal Michael J. Crescenz Veterans' Affairs Medical Center  Philadelphia Pennsylvania USA"},{"name":"Division of Traumatology, Surgical Critical Care, and Emergency Surgery Perelman School of Medicine of the University of Pennsylvania  Philadelphia Pennsylvania USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-7097-487X","authenticated-orcid":false,"given":"Shahin","family":"Mohseni","sequence":"additional","affiliation":[{"name":"Department of Surgery Orebro University Hospital  Orebro Sweden"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Matteo","family":"Cimino","sequence":"additional","affiliation":[{"name":"Department of Emergency Surgery Fondazione IRCCS Ca\u2032 Granda Ospedale Maggiore Policlinico  Milan Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hayato","family":"Kurihara","sequence":"additional","affiliation":[{"name":"Department of Emergency Surgery Fondazione IRCCS Ca\u2032 Granda Ospedale Maggiore Policlinico  Milan Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Isidro","family":"Martinez\u2010Casas","sequence":"additional","affiliation":[{"name":"Unidad de Cirug\u00eda de Urgencias y Trauma del Hospital Universitario Virgen del Rocio  Sevilla Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Gary A.","family":"Bass","sequence":"additional","affiliation":[{"name":"Center for Emergency Surgery Outcomes Research University of Pennsylvania  Philadelphia Pennsylvania USA"},{"name":"Division of Traumatology, Surgical Critical Care, and Emergency Surgery Perelman School of Medicine of the University of Pennsylvania  Philadelphia Pennsylvania USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"name":"SnapSBO Collaborators","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,3,2]]},"reference":[{"key":"e_1_2_12_2_1","doi-asserted-by":"publisher","DOI":"10.1002\/bjs5.50136"},{"key":"e_1_2_12_3_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00384-023-04522-6"},{"key":"e_1_2_12_4_1","doi-asserted-by":"publisher","DOI":"10.1111\/codi.13321"},{"key":"e_1_2_12_5_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jss.2018.03.044"},{"key":"e_1_2_12_6_1","doi-asserted-by":"publisher","DOI":"10.1111\/codi.16158"},{"key":"e_1_2_12_7_1","doi-asserted-by":"publisher","DOI":"10.4137\/HSI.S11093"},{"key":"e_1_2_12_8_1","doi-asserted-by":"publisher","DOI":"10.1093\/bjs\/znaf055"},{"key":"e_1_2_12_9_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00068-022-02045-3"},{"key":"e_1_2_12_10_1","doi-asserted-by":"publisher","DOI":"10.1093\/bjs\/znaf104"},{"key":"e_1_2_12_11_1","doi-asserted-by":"publisher","DOI":"10.1016\/S2468-1253(19)30016-0"},{"key":"e_1_2_12_12_1","doi-asserted-by":"publisher","DOI":"10.1093\/bjs\/znad167"},{"key":"e_1_2_12_13_1","article-title":"Patient 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