Radiologic Score and Failure of Conservative Management of Adhesive Small Bowel Obstruction (PREDIFAIL)

University Hospital, Angers

Status: Completed

Conditions: Small Bowel Obstruction; Imaging; Conservative Management

Study type: Observational

Funder types: Other

Identifiers

NCT05517057

2021-099

Details and patient eligibility

About

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.

Enrollment: 279 patients

Sex: All

Ages: 18+ years old

Volunteers: No Healthy Volunteers

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

Trial design

279 participants in 2 patient groups

success of the medical management

Description:

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

failure of the medical management

Description:

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.