SnapSBO - Small Bowel Obstruction Snapshot Audit

Prospective audit of consecutive patients admitted in Emergency Department for mechanical small bowel obstruction over a 3-month period. The audit shall include unscheduled patient admissions from November 2023 until May 2024 as outlined in 'Key Study Dates'. As this is an observational cohort audit, no change to normal patient management is required. Primary Objective To explore differences in patients, management and outcomes across the entire cohort to identify areas of practice variability resulting in apparent differences in outcome warranting further study. The outcomes that the study will examine are: * Incidence of small bowel obstruction by etiology. * Differences in clinical presentation. * Diagnostic work-up. * Non-operative management strategies. * Time to surgery and outcomes. * Complications related to disease and/or therapies within 60 post-operative days. * Length of Emergency Department and Hospital stay. * Re-admission within 6 months for related conditions. Methods for identifying patients Multiple methods may be used according to local circumstances/staffing: 1. Daily review of emergency department (non-operative) and operating room lists. 2. Daily review of team handover sheets / emergency admission lists / ward lists. 3. Review of operating room logbooks. 4. Use of electronic systems to flag any readmissions of patients identified and treated.