%0 Journal Article
%T Validation of peritoneal adhesion index as a standardized classification to universalize peritoneal adhesions definition
							| Journal of Peritoneum (and other serosal surfaces)
%A Abdulrasheed R.K. Adesunkanmi
%A Aless
%A Andrea Celotti
%A Arda Isik
%A Ari Leppaniemi
%A Boonying Siribumrungwong
%A Boris Sakakushev
%A Bruno Monteiro Tavares Pereira
%A Carlos Augusto Gomes
%A Damien Massalou
%A Dario Piazzalunga
%A Davide Corbella
%A Elia Poiasina
%A Eugeene Moore
%A Eugenio Poletti de Chaur
%A Fausto Catena
%A Federico Coccolini
%A Gabriela E. Nita
%A Gianluca Baiocchi
%A Gianluca Guercioni
%A Giulia Montori
%A Gustavo Pereira Fraga
%A Igor Gerych
%A Karateke Faruk
%A Kuo-Ching Yuan
%A Leonardo Solaini
%A Luca Ansaloni
%A Mario Paulo Jr. Faro
%A Massimo Sartelli
%A Matteo Tomasoni
%A Michele Colledan
%A Michele Pisano
%A Nereo Vettoretto
%A Nicolas Cheynel
%A Noel Naidoo
%A Paola Fugazzola
%A Patrick Rat
%A Roberto Manfredi
%A Salomone Di Saverio
%A Victor Kong
%A Vladimir Khokha
%A Walter Biffl
%A Yoram Kluger
%A Yunfeng Cui
%A ro Aluffi
%J Journal of Peritoneum (and other serosal surfaces)
%D 2017
%R https://doi.org/10.4081/joper.2017.61
%X Peritoneal adhesion index (PAI) is a score based on appearance and distribution of peritoneal adhesions. The study aims to assess the validity of PAI in order to standardize the definition of peritoneal adhesions. The study includes an expert survey to assess the feasibility of the score and a prospective observational and multicenter trial to assess its validity. 96% of surgeons of the survey consider PAI a useful tool. From January 2013 to March 2015, 205 patients were enrolled to undergo a surgical intervention for bowel obstruction caused by peritoneal adhesions in 21 centers. PAI was significantly higher in the population with previous surgery (P=0.043) and in patients who underwent two previous surgical interventions, if compared to those with only one previous intervention (P=0.012). Length of surgery was significantly longer in patients with higher PAI (P<0.001). Patients with a higher PAI showed a clinically higher risk for early bowel re-obstruction and for early re-intervention. The AUC of the ROC curve for early re-occlusion is 0.8. PAI can be considered a feasible and useful score
%K Peritoneal adhesion index
%K PAI
%K peritoneal adhesions
%K Peritoneal Adhesion Index
%K intestinal occlusion
%K peritoneal adhesion
%K bowel obstruction
%U http://www.jperitoneum.org/index.php/joper/article/view/61