Langenbecks Arch Surg (2017) 402:1233–1239 DOI 10.1007/s00423-017-1605-6 ORIGINAL ARTICLE 1 2 3 3 Anna Weiss & Divya Sood & Scott E. Greenway & Marco Tomassi Received: 9 March 2017 /Accepted: 14 July 2017 /Published online: 2 August 2017 Springer-Verlag GmbH Germany 2017 Abstract (2.8 vs 4.88 days, p = 0.03), and the LOS of operated patients Background Small bowel obstruction (SBO) from adhesive (9.51 vs 15.78 days, p =0.02). disease presents great burden for the healthcare system. Conclusions A standardized SBO protocol using WSCA sig- Some groups have reported water soluble contrast agents nificantly decreased time to operation and hospital LOS. This (WSCA) protocols, but published studies are underpowered. approach improves utilization of resources and may improve This study introduces a WSCA protocol to improve outcomes outcomes. More work should be done to investigate the pos- and streamline patient care. itive effects of WSCA protocol for patients with SBO. Study design The study ran July 1, 2013–June 30, 2015, at Kaiser Permanente San Diego; protocol started July 1, 2014. Keywords Water-soluble contrast use in small bowel . . Data was collected prospectively, on an intention to treat basis. obstruction Prospective study Treatment of small bowel We excluded patients whose
Langenbeck's Archives of Surgery – Springer Journals
Published: Aug 2, 2017
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