Adhesive Small Bowel Obstruction Managed by a Surgical Team (NY)

medscape

Conclusions

This study demonstrates that primary management of patients with adhesive-SBO by medical services is associated with longer LOS, larger cost, and higher readmission rates, as well as a delay in time to surgery and higher mortality rates following surgical intervention. While complex patients with multiple comorbidities may benefit from medical optimization by hospitalists, institutional policies favoring primary management by surgical services may greatly reduce healthcare utilization and improve outcomes for patients admitted with adhesive-SBO.