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Research Paper | Surgery | India | Volume 12 Issue 6, June 2023 | Rating: 5.2 / 10
AGESS - SBO Score: A Novel Scoring System in Predicting the Prognosis, Morbidity and Mortality in Small Bowel Obstruction at a Tertiary Care Centre in Western Rajasthan
Dr. Aishwarya Avinash Tinaikar | Dr. S. S. Rathore [2] | Dr. R. K. Saran | Dr. Kishan Kumawat
Abstract: Background: Acute small bowel obstruction (SBO) accounts for about 20 % of all surgical emergencies in Western societies. Small bowel obstruction is caused mainly by postoperative adhesions (>75 % cases).The goal of treatment is to recognize both promptly and precisely the presence of intestinal ischemia to establish an appropriate clinical plan.AGESS?SBO is a scoring system available to help us towards making an accurate diagnosis to estimate prognosis and outcome of SBO and ability to predict the hospital complications. In this study, we would like to validate this scoring system in our patients for prognosis, severity and outcome of Small Bowel Obstruction. Method: An institutional based prospective observational study including 55 subjects was performed in the Department of General Surgery at Dr S. N. Medical college, Jodhpur. All patients >18yrs of age with symptoms of SBO were included in the study after obtaining approval from the institutional ethical committee. A detailed history was taken, the AGESS-SBO score was calculated. A hypothesis regarding the management was put forward which was then further compared to the actual line of management of the patient for validation. Results: It was concluded that, out of 55 patients, 35 i.e. 63,64% underwent operative management out of which 93.10% had an AGESS-SBO score >2. A higher score of >2 was largely seen among patients >60 years of age. The most common cause of SBO was found to be adhesions (27.27%). 8 patients developed post-op complications, 7 of which had a score of >2. 9 patients died during our study all of whom had a score of >2. Conclusion: It was concluded from our study that patients with a score of ?2, can be given a trial of non-operative management whereas patients with a score of >2 required surgical intervention. A statistically significant correlation was found between the AGESS-SBO scoring and complications, mortality and length of hospital stay.
Keywords: Small bowel obstruction, AGESS-SBO
Edition: Volume 12 Issue 6, June 2023,
Pages: 1058 - 1062