Radiologic Score and Failure of Conservative Management of Adhesive Small Bowel Obstruction

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

COMPLETED

Total Enrollment

279 participants

Study Classification

OBSERVATIONAL

Study Start Date

2021-09-15

Study Completion Date

2022-01-15

Brief Summary

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The management of acute adhesive small bowel obstruction remains challenging for the digestive surgeon. The Bologna guidelines recommend that conservative management of aSBO. The literature reports that this form of management has a failure rate between 10 and 40%.

A radiological score has been proposed and was associated with an increased risk of failure of conservative management.

This tool is promising to select patients further requiring surgery but it has to be assessed in a multi centric prospective cohort.

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Detailed Description

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Conditions

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Small Bowel Obstruction Conservative Management Imaging

Study Design

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Observational Model Type

COHORT

Study Time Perspective

PROSPECTIVE

Study Groups

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success of the medical management

Patients that recovered flatus and stools, and that tolerated solid food within the 3 days after the admission

No interventions assigned to this group

failure of the medical management

Patients that did not recover flatus and stools, and that did not tolerate solid food within the 3 days after the admission. These patients had an indication for surgery.

No interventions assigned to this group

Eligibility Criteria

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Inclusion Criteria

* all the consecutive patients admitted for initial non-surgical management for aSBO
* during the period of inclusion

Exclusion Criteria

* the cause of SBO was functional or other than adhesive
* patients requiring initial surgical management.
* absence of computed tomography performed at admission

Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No