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

Completed

• Conditions: Imaging; Small Bowel Obstruction; Conservative Management

• Registration Number: NCT05517057
• Lead Sponsor: University Hospital, Angers

Brief Summary

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.

Detailed Description

Not available

Study Timeline

• Study Start: 2021-09-15
• Primary Completion: 2021-12-15
• Study Completion: 2022-01-15
• Status Verified: 2022-08
• Study First Submitted: 2022-08-20
• Study First Submitted QC: 2022-08-24
• Last Update Submitted: 2022-08-24
• Study First Posted: 2022-08-26
• Last Update Posted: 2022-08-26

Recruitment & Eligibility

• Status: COMPLETED
• Sex: All
• Target Recruitment: 279

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

Study & Design

• Study Type: OBSERVATIONAL
• Study Design: Not specified

Primary Outcome Measures

Name	Time	Method
Angers CT score	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).

Trial Locations

Locations (1)

university hospital of Angers; 🇫🇷 Angers, France