Abstract
Early and precise diagnosis of bowel strangulation is the main focus of clinicians treating bowel obstructions due to the high morbidity and mortality rate associated with this disease. The objective of this study was to improve the therapeutic prognosis of Small bowel obstruction (SBO) by identifying and assessing predictive factors independently associated with the presence of ischemia. A retrospective study was conducted in two hospitals in TAIF, Saudi Arabia, from January 2015 to January 2020. A total of 151 patients had retrieved from records. Study findings suggest that intestinal ischemia was considerably associated with tachycardia (>100 bpm), signs of peritoneal irritation, White blood cells (WBC) (x10 boolean AND 9/L) > 10.0, CRP (>= 75 mg/l) and CT finding of thickened walled small bowel >= 3mm, Seroperitoneum> 500 ml, and Closed-loop obstruction. The study concluded that the presence of predictors clinically and by investigations in patients with mechanical SBO should alert the clinicians of underlying bowel ischemia and early diagnosis of patients who need surgical intervention, which ensures better therapeutic prognosis and patient outcomes.