{"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":1782389782867,"version":"3.54.5"},"reference-count":27,"publisher":"ALUNA","issue":"12","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Wiad Lek"],"published-print":{"date-parts":[[2022,12]]},"abstract":"<jats:p>The aim: The study aimed to evaluate some criteria for preoperative diagnosis of strangulation and significant indicators of the prognosis of short-term outcomes in patients with small bowel obstruction. \nMaterials and methods: The results of the treatment of 123 patients aged 18\u201370 years with SBO were evaluated. \nResults: All of these patients underwent emergency surgery, and 22 patients (17.9%) have died. It has been shown that four lab parameters (blood leukocytes, lactate, intestinal fatty acid-binding protein, and C-reactive protein levels) and one instrumental (involving the mesentery of the small intestine, free fluid in the abdomen during CT) with 80% probability or more were associated with the strangulation type of SBO (\u039b=0.276, p = 0.000). Three lab indicators (WBC count, serum lactate, and intestinal fatty acid-binding protein levels) and two clinical parameters (abdominal perfusion pressure level and the presence of abdominal sepsis) were associated with early mortality after surgery (\u039b=0.626, p = 0.000) with the same probability. Immediate results of the treatment in these patients depended on the development of intra-abdominal complications after surgery (P = 0.024) and the need for early reoperation (P = 0.006) as well as the development of cardiovascular dysfunction (P = 0.000) and respiratory dysfunction (P = 0.000). \nConclusions: There were confirmed parameters that were significantly associated with strangulation before surgery and short-term in-hospital mortality with an 80% probability or more. This made it possible to develop new mathematical models for the diagnosis of strangulated bowel obstruction and early postoperative mortality with an accuracy of 84.5% and 84.2%, respectively.<\/jats:p>","DOI":"10.36740\/wlek202212101","type":"journal-article","created":{"date-parts":[[2023,2,1]],"date-time":"2023-02-01T17:34:16Z","timestamp":1675272856000},"page":"2891-2900","source":"Crossref","is-referenced-by-count":3,"title":["SURGICAL TREATMENT OF ACUTE SMALL BOWEL OBSTRUCTION: CLINICAL AND LABORATORY PARAMETERS ASSOCIATED WITH STRANGULATION AND EARLY MORTALITY AFTER SURGERY"],"prefix":"10.36740","volume":"75","author":[{"given":"Igor A.","family":"Kryvoruchko","sequence":"first","affiliation":[{"name":"KHARKIV NATIONAL MEDICAL UNIVERSITY, KHARKIV, UKRAINE"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Valeriy V.","family":"Boyko","sequence":"additional","affiliation":[{"name":"KHARKIV NATIONAL MEDICAL UNIVERSITY, KHARKIV, UKRAINE"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Massimo","family":"Sartelli","sequence":"additional","affiliation":[{"name":"MACERATA HOSPITAL, MACERATA, ITALY"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Federico","family":"Coccolini","sequence":"additional","affiliation":[{"name":"PISA UNIVERSITY, PISA, ITALY"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Fausto","family":"Catena","sequence":"additional","affiliation":[{"name":"BUFALINI HOSPITAL AUSL ROMAGNA, CESENA, ITALY"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Olexander S.","family":"Olefir","sequence":"additional","affiliation":[{"name":"KHARKIV NATIONAL MEDICAL UNIVERSITY, KHARKIV, UKRAINE"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"22436","published-online":{"date-parts":[[2022]]},"reference":[{"key":"ref0","doi-asserted-by":"publisher","unstructured":"1. 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