Effectiveness of Small Bowel Decompression Techniques in Patients With Small Bowel Obstruction

North-Western State Medical University (NWSMU)

Status: Enrolling

Conditions: Small Bowel Obstruction; Small Bowel Obstruction Adhesion; Hernia Incarcerated; Small-Bowel Obstruction Due to Volvulus

Treatments: Device: Intraoperative intestinal decompression

Study type: Observational

Funder types: Other

Identifiers

NCT06175442

17011993

Details and patient eligibility

About

This study will compare results of different intestinal decompression techniques in patients with small bowel obstruction.

Full description

Taking into account the large number of different variations of intestinal decompression methods, a comparative analysis will be carried out based on one comparison group (I) and three main ones (IA-B). The comparison criterion will be a group of patients with nasogastric drainage as the only method of the gastrointestinal tract decompression during surgery and in the postoperative period. In the main groups more active methods of intestinal decompression will be performed, including drainage of the initial parts of the small intestine or total intubation, both single-stage intraoperative and its extended version

Enrollment: 500 estimated patients

Sex: All

Ages: 18+ years old

Volunteers: No Healthy Volunteers

Inclusion criteria

• acute adhesive intestinal obstruction, including strangulation forms;
• incarcerated ventral hernias, accompanied by impaired intestinal passage;
• acute adhesive intestinal obstruction in the hernial sac;
• obstruction of the small intestine lumen with gallstones and other foreign bodies.

Exclusion criteria

• with peritonitis and other complicated surgical infection;
• operations with intestinal resection;
• patients after laparostomy

Trial design

500 participants in 4 patient groups

Nasogastric tube only (I)

Description:

Nasogastric intubation only will be the only method of intestinal decompression both intra- and postoperatively.

Treatment:

Device: Intraoperative intestinal decompression

Short nasointestinal tube (IIA)

Description:

Intraoperative intestinal decompression will be performed by placing the tube behind the ligament of Treitz and expressing the contents in the proximal direction or by total nasointestinal intubation with subsequent intraopertional tube withdrawal. Postoperative decompression will consist of the tube behind the ligament of Treitz.

Treatment:

Device: Intraoperative intestinal decompression

Long nasointestinal tube intraoperative (IIB)

Description:

Total intraoperative intubation of the small intestine followed by replacement with a nasogastric tube.

Treatment:

Device: Intraoperative intestinal decompression

Long nasointestinal tube postoperative (IIC)

Description:

Total intraoperative intubation of the small intestine with a long tube, which will persist in the postoperative period

Treatment:

Device: Intraoperative intestinal decompression