Gastrointestinal Discontinuity After Emergency Laparotomy Article

Full Text via DOI: 10.1177/00031348231161781 Web of Science: 000943616800001

Cited authors

  • Liao PT, Hoffman K, Broussard A, Fuhrman G


  • During laparotomy, patients requiring intestinal resection may be temporarily left in gastrointestinal discontinuity (GID). We performed this study to determine predictors of futility for patients initially left in GID after emergency bowel resection. We divided the patients into 3 groups: never restored continuity and died (group 1), restored continuity and died (group 2), and restored continuity and survived (group 3). We compared the 3 groups for differences in demographics, acuity at presentation, hospital course, laboratory data, comorbidities, and outcomes. From a total of 120 patients, 58 patients died and 62 survived. We identified 31 patients in group 1, 27 patients in group 2, and 62 patients in group 3. On multivariate logistic regression, only lactate (P = .002) and use of vasopressors (P = .014) remained significant to predict survival. The results of this study can be used to identify futile situations which can direct end-of-life decisions.

Publication date

  • 2023

Published in

International Standard Serial Number (ISSN)

  • 0003-1348

Number of pages

  • 3