Assessment of a Predictive Radiologic Score to Predict the Failure of the Non-operative Management of Adhesive Small Bowel Obstruction: a Prospective Cohort Analysis
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 发起方
- 入组人数
- 279
- 试验地点
- 1
- 主要终点
- Angers CT score
研究概览
简要总结
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.
研究设计
- 研究类型
- Observational
- 观察模型
- Cohort
- 时间视角
- Prospective
入排标准
- 年龄范围
- 18 Years 至 —（Adult, Older Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •all the consecutive patients admitted for initial non-surgical management for aSBO
- •during the period of inclusion
排除标准
- •the cause of SBO was functional or other than adhesive
- •patients requiring initial surgical management.
- •absence of computed tomography performed at admission
结局指标
主要结局
Angers CT score
时间窗: immediately after the completion of the CT-scan
The Angers CT score ≥5 was considered to be risk factor for failure of the medical management. Angers CT score was calculated by reading the CT scan as follow: * beak sign (+2), if not (0) * closed loop (+4), if not (0) * focal (+4) or diffuse (+4) intraperitoneal liquid, if not (0) * focal (+2) or diffuse (0) mesenteric haziness, if not (0) * focal (-3) or diffuse (-3) mesenteric liquid, if not (0) * diameter of the most dilated small bowel loop \> 40 mm (-2) (if not (0).
次要结局
未报告次要终点