Wang F, Liu C, Wang H. Value analysis of ultrasound classification in disease judgment and treatment plan formulation of patients with adhesive intestinal obstruction. World J Gastrointest Surg 2025; 17(7): 104777 [DOI: 10.4240/wjgs.v17.i7.104777]
Corresponding Author of This Article
Hua Wang, PhD, Department of Ultrasound Medicine, Taihe Hospital Affiliated to Hubei Medical College, No. 32 Renmin South Road, Maojian District, Shiyan 442000, Hubei Province, China. wangh413687952@yeah.net
Research Domain of This Article
Gastroenterology & Hepatology
Article-Type of This Article
Retrospective Study
Open-Access Policy of This Article
This article is an open-access article which was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/
World J Gastrointest Surg. Jul 27, 2025; 17(7): 104777 Published online Jul 27, 2025. doi: 10.4240/wjgs.v17.i7.104777
Value analysis of ultrasound classification in disease judgment and treatment plan formulation of patients with adhesive intestinal obstruction
Fang Wang, Cui Liu, Hua Wang
Fang Wang, Hua Wang, Department of Ultrasound Medicine, Taihe Hospital Affiliated to Hubei Medical College, Shiyan 442000, Hubei Province, China
Cui Liu, Clinical Skills Teaching and Training Center, Hubei Medical University, Shiyan 442000, Hubei Province, China
Author contributions: Wang F performed the research; Wang F, Liu C, and Wang H contributed new reagents and analytical tools; Wang F and Liu C analyzed the data and wrote the manuscript; and all authors have read and approved the final manuscript.
Institutional review board statement: This study was approved by the Medical Ethics Committee of Taihe Hospital Affiliated to Hubei Medical College, approval No. TH24 (1543).
Informed consent statement: All study participants or their legal guardians provided written informed consent before enrollment.
Conflict-of-interest statement: All the authors report no relevant conflicts of interest for this article.
Data sharing statement: There is no additional data available.
Open Access: This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: https://creativecommons.org/Licenses/by-nc/4.0/
Corresponding author: Hua Wang, PhD, Department of Ultrasound Medicine, Taihe Hospital Affiliated to Hubei Medical College, No. 32 Renmin South Road, Maojian District, Shiyan 442000, Hubei Province, China. wangh413687952@yeah.net
Received: March 28, 2025 Revised: April 21, 2025 Accepted: June 6, 2025 Published online: July 27, 2025 Processing time: 117 Days and 3.3 Hours
Abstract
BACKGROUND
Ultrasound classification can be used to determine the severity of adhesive intestinal obstruction and to guide the formulation of treatment plans.
AIM
To explore the value of ultrasound classification in disease judgment and treatment plan formulation for patients with adhesive intestinal obstruction.
METHODS
The medical records of 120 patients with adhesive intestinal obstruction presenting at Taihe Hospital Affiliated with Hubei Medical College were retrospectively analyzed from January 2022 to January 2024 according to the severity of ultrasound images, divided into simple (mild), complex (moderate), and critical (severe), analyzing the imaging characteristics of patients with different ultrasound classifications, and developing the corresponding treatment plan according to the ultrasound typing results, that is, conservative treatment and surgical treatment, contrast the ultrasound signs of patients in the conservative vs surgical treatment groups, and the value of ultrasound classification in the treatment of adhesive ileus.
RESULTS
Among the 120 patients, P > 0.05, compared with the general data (sex, age, body quality index, time to onset, and history of onset), the proportion of bowel distension and abdominal effusion (P > 0.05), and the proportion of adhesion mass and cross-cross in the conservative treatment group, P < 0.05.
CONCLUSION
Ultrasound typing can aid in the clinical evaluation of the severity of adhesive intestinal obstruction and provide an imaging reference for clinicians to develop targeted treatment plans.
Core Tip: This study highlights the clinical value of ultrasound classification in assessing the severity of adhesive intestinal obstruction. By categorizing cases into simple, complex, and critical types based on ultrasound findings, clinicians can more accurately determine the appropriate treatment approach - conservative or surgical. The results support ultrasound as a non-invasive, practical tool to guide personalized treatment plans and improve clinical decision-making in managing adhesive ileus.
