Diagnostic Scoring for Small Bowel Obstruction

Completed

• Conditions: Small Bowel Obstruction

• Registration Number: NCT03461744
• Lead Sponsor: Helsinki University Central Hospital

Brief Summary

It is difficult to predict which patients with acute small bowel obstruction require operative intervention and which ones can be handled conservatively. Similarly, strangulation remains difficult decision. The rationale for this observative study is to collect prospective cohort of patients with small bowel obstruction to create scoring system to predict early 1) small bowel obstruction resistant to conservative therapy, 2) strangulation.

Detailed Description

Not available

Study Timeline

• Study Start: 2014-06-01
• Study First Submitted: 2018-02-23
• Study First Submitted QC: 2018-03-05
• Study First Posted: 2018-03-12
• Primary Completion: 2023-04-30
• Study Completion: 2023-04-30
• Status Verified: 2024-01
• Last Update Submitted: 2024-01-08
• Last Update Posted: 2024-01-09

Recruitment & Eligibility

• Status: COMPLETED
• Sex: All
• Target Recruitment: 482

Inclusion Criteria

• Computed tomography verified acute small bowel obstruction

Exclusion Criteria

• < 18 years old
• Pregnant
• Abdominal surgery within 30 days prior recruitment
• Inflammatory bowel disease
• Small bowel tumor causing obstruction
• Peritoneal carcinosis
• Intraluminal obstruction (bile stone, bezoar, etc.)
• Large bowel obstruction
• Small bowel obstruction caused by abdominal wall hernia

Study & Design

• Study Type: OBSERVATIONAL
• Study Design: Not specified

Primary Outcome Measures

Name	Time	Method
Strangulation	Within hospital stay / 30 days from recruitment	Number of patients with strangulated bowel (reversible or irreversible ischemic bowel)
Need for surgery due to nonresolving small bowel obstruction	Within hospital stay / 30 days from recruitment	Number of patients needing surgery due to nonresolving small bowel obstruction

Trial Locations

Locations (3)

Helsinki University Hospital, Meilahti hospital; 🇫🇮 Helsinki, Finland

Hyvinkää Hospital; 🇫🇮 Hyvinkää, Finland

Helsinki University Hospital, Jorvi hospital; 🇫🇮 Espoo, Finland