The importance of inflammatory parameters in the management of adhesive small bowel obstructions

Abstract

Aim: In the present study, we aimed to examine the role of the Neutrophil-lymphocyte ratio (NLR) and Platelet-Lymphocyte ratio (PLR), which are cheap and easy-to-calculate markers, in surgical treatment decisions for patients with ASBO. Material and Methods: A total of 103 patients with ileus or similar diagnosis in system records and who underwent bridectomy due to brid ileus, as stated in the surgery notes, were included. The age of patients at the time of application, gender, previous abdominal surgeries, whether they had previous surgery due to ileus, and duration of hospitalization were recorded. NLR and PLR ratios were obtained using a simple calculation model. Results: According to the data obtained, the sensitivity and specificity values of WBC at 11.10 cut-off value were found to be 72.34% and 85.71%, while the sensitivity and specificity values of CRP at 2.13 were found to be 59.57% and 85.71%. The same values were found to be 82.98% and 85.71%, and 61.70% and 100% for NLR and PLR, respectively. The Youden Index was used to compare the accuracy rates, and NLR with a value of 0.68 was found to be the best parameter. Discussion: In conclusion, various studies examining the estimation of the need for surgical treatment in patients with ASBO and emphasizing mostly radiological results have been published. Although the present study was not designed to evaluate all radiological, biochemical, and clinical parameters regarding the decision of surgical treatment for the patients, it provides evidence that NLR can be a critical indicator in this matter.