Wang C, Ling ZB, Sun PP, Dong M, Cao T, Ma X, Lu LJ, Li Y. Optimization of nursing care for patients with acute intestinal obstruction using dedicated multidisciplinary team. World J Gastrointest Surg 2026; 18(2): 111845 [DOI: 10.4240/wjgs.v18.i2.111845]
Corresponding Author of This Article
Chao Wang, Associate Chief Nurse, Department of Emergency Medicine, The First Affiliated Hospital of Wannan Medical College, No. 2 Zheshan West Road, Wuhu 241000, Anhui Province, China. w18755382889@163.com
Research Domain of This Article
Gastroenterology & Hepatology
Article-Type of This Article
Retrospective Study
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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/
Feb 27, 2026 (publication date) through Feb 26, 2026
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Journal Information of This Article
Publication Name
World Journal of Gastrointestinal Surgery
ISSN
1948-9366
Publisher of This Article
Baishideng Publishing Group Inc, 7041 Koll Center Parkway, Suite 160, Pleasanton, CA 94566, USA
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Wang C, Ling ZB, Sun PP, Dong M, Cao T, Ma X, Lu LJ, Li Y. Optimization of nursing care for patients with acute intestinal obstruction using dedicated multidisciplinary team. World J Gastrointest Surg 2026; 18(2): 111845 [DOI: 10.4240/wjgs.v18.i2.111845]
World J Gastrointest Surg. Feb 27, 2026; 18(2): 111845 Published online Feb 27, 2026. doi: 10.4240/wjgs.v18.i2.111845
Optimization of nursing care for patients with acute intestinal obstruction using dedicated multidisciplinary team
Chao Wang, Zhang-Bin Ling, Pan-Pan Sun, Ming Dong, Ting Cao, Xiang Ma, Lan-Jun Lu, Yang Li
Chao Wang, Zhang-Bin Ling, Pan-Pan Sun, Ming Dong, Ting Cao, Xiang Ma, Lan-Jun Lu, Department of Emergency Medicine, The First Affiliated Hospital of Wannan Medical College, Wuhu 241000, Anhui Province, China
Yang Li, Department of Gastrointestinal Surgery, The First Affiliated Hospital of Wannan Medical College, Wuhu 241000, Anhui Province, China
Author contributions: Wang C designed the study and was involved in data collection and manuscript preparation; Ling ZB, Sun PP, Dong M, Cao T, Ma X, Lu LJ, and Li Y contributed to the review of the manuscript; all authors have read the manuscript and approved submission of the final version.
Institutional review board statement: This study was approved by the Medical Ethics Committee of the First Affiliated Hospital of Wannan Medical College.
Informed consent statement: Written informed consent was obtained from all participants and their legal guardians before enrollment.
Conflict-of-interest statement: The authors declare no relevant conflicts of interest in relation to this article.
Data sharing statement: No additional data are available.
Corresponding author: Chao Wang, Associate Chief Nurse, Department of Emergency Medicine, The First Affiliated Hospital of Wannan Medical College, No. 2 Zheshan West Road, Wuhu 241000, Anhui Province, China. w18755382889@163.com
Received: August 8, 2025 Revised: September 9, 2025 Accepted: December 10, 2025 Published online: February 27, 2026 Processing time: 201 Days and 22.9 Hours
Abstract
BACKGROUND
Acute intestinal obstruction is a common surgical emergency with high mortality, requiring efficient multidisciplinary collaboration to improve outcomes.
AIM
To explore the optimization of nursing pathways for patients with acute intestinal obstruction using the multidisciplinary team (MDT) model.
METHODS
A total of 176 patients with acute intestinal obstruction admitted to the Emergency Department of our hospital between December 2023 and February 2025 were randomly divided into a control group (n = 88) and an intervention group (n = 88) using a random number table. The control group received routine emergency nursing interventions, whereas the intervention group received emergency nursing pathway interventions under the MDT model. The groups were compared in terms of emergency treatment efficiency, improvement of clinical symptoms, 36-Item Short Form Health Survey (SF-36) scores, nursing satisfaction, and early (within 72 hours) intestinal obstruction–related complications-specifically, electrolyte disturbance, strangulated obstruction, and intestinal necrosis/perforation.
RESULTS
The intervention group had significantly shorter triage, condition assessment, and emergency treatment times (all P < 0.001), faster relief of abdominal pain and vomiting, and earlier return of bowel function (all P < 0.001). The rate of early complications was lower in the intervention group (2.27% vs 10.23%, P = 0.029). Nursing satisfaction was higher (96.59% vs 81.82%, P = 0.002), and post-intervention SF-36 scores were significantly higher (P < 0.05).
CONCLUSION
The MDT-based emergency nursing pathway improves emergency efficiency, relieves clinical symptoms, enhances quality of life and satisfaction, and reduces early intestinal obstruction–related complications in patients with acute intestinal obstruction.
Core Tip: This study demonstrates that implementing a multidisciplinary team (MDT) model in the emergency nursing pathway for patients with acute intestinal obstruction significantly improves emergency response efficiency, accelerates symptom relief, enhances patients’ quality of life, and increases nursing satisfaction. A 15-minute MDT huddle involving emergency, nursing, radiology, surgery, and laboratory departments shortens key process times and reduces early complications such as electrolyte disturbance, strangulation, or necrosis within 72 hours.
