Effectiveness of Small Bowel Decompression Techniques in Patients With Small Bowel Obstruction
- Conditions
- Small-Bowel Obstruction Due to VolvulusSmall Bowel Obstruction AdhesionHernia IncarceratedSmall Bowel Obstruction
- Interventions
- Device: Intraoperative intestinal decompression
- Registration Number
- NCT06175442
- Brief Summary
This study will compare results of different intestinal decompression techniques in patients with small bowel obstruction.
- Detailed 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
Recruitment & Eligibility
- Status
- RECRUITING
- Sex
- All
- Target Recruitment
- 500
- 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.
- with peritonitis and other complicated surgical infection;
- operations with intestinal resection;
- patients after laparostomy
Study & Design
- Study Type
- OBSERVATIONAL
- Study Design
- Not specified
- Arm && Interventions
Group Intervention Description Nasogastric tube only (I) Intraoperative intestinal decompression Nasogastric intubation only will be the only method of intestinal decompression both intra- and postoperatively. Long nasointestinal tube postoperative (IIC) Intraoperative intestinal decompression Total intraoperative intubation of the small intestine with a long tube, which will persist in the postoperative period Short nasointestinal tube (IIA) Intraoperative intestinal decompression 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. Long nasointestinal tube intraoperative (IIB) Intraoperative intestinal decompression Total intraoperative intubation of the small intestine followed by replacement with a nasogastric tube.
- Primary Outcome Measures
Name Time Method 30-day postoperative mortality 30 days after operation Number of patients, died during 30 days after the operation
- Secondary Outcome Measures
Name Time Method Postoperative complications 30 days after operation Postoperative complications, defined according Clavien-Dindo classification
Trial Locations
- Locations (8)
St Petersburg State Budgetary Institution Of Health Care City Mariinskaya Hospital
🇷🇺Saint Petersburg, Russian Federation
Chelyabinsk regional clinical hospital
🇷🇺Chelyabinsk, Russian Federation
City Clinical Hospital â„–4
🇷🇺Perm, Russian Federation
State Healthcare Facility "City Clinical Emergency Hospital No 25"
🇷🇺Volgograd, Russian Federation
City Clinical Hospital No. 40
🇷🇺Ekaterinburg, Russian Federation
North-Western State Medical University named after I. I. Mechnikov
🇷🇺Saint Petersburg, Russian Federation
Saint-Petersburg I.I. Dzhanelidze Research Institute of Emergency Medicine
🇷🇺Saint Petersburg, Russian Federation
The City Hospital of the Holy Martyr Elizabeth
🇷🇺Saint Petersburg, Russian Federation