Small Bowel Obstruction and Surgery

University Hospital, Angers

Status: Completed

Conditions: Acute Small Intestine Obstruction

Treatments: Procedure: Nasogastric tube removal

Study type: Observational

Funder types: Other

Identifiers

NCT03826251

UH Angers 2018/75

Details and patient eligibility

About

Postoperative management after small bowel obstruction (SBO) surgery is not consensual and better knowledge of risk factors for postoperative morbidity could help to add evidence of the feasibility of enhanced recovery programs (ERPs).

In elective surgery, ERPs have shown a significant benefit for the patient but this is not performed routinely in emergency surgery due to the difficulty to avoid postoperative nasogastric tube.

The aim was to identify risk factors for postoperative morbidity and for nasogastric tube (NGT) replacement after SBO surgery.

Sex: All

Ages: 18 to 99 years old

Volunteers: No Healthy Volunteers

Inclusion criteria

• Surgical management of Small bowel obstruction due to adhesions

Exclusion criteria

• obstruction not caused by single band adhesion
• matted adhesions, or if they were less than 18 years old

Trial design

190 participants in 2 patient groups

systematic nasogastric tube

Description:

NGT was left systematically after surgery and removed after the first flattus

Non systematic nasogastric tube

Description:

Nasogastric tube was removed immediately after surgery and was replaced in case of vomiting

Treatment:

Procedure: Nasogastric tube removal