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Place of Nasogastric Tube in Uncomplicated Adhesive Small Bowel Obstruction

RecruitingNAAges 18 Years - 85 YearsAllCentre Hospitalier Universitaire, Amiens
NCT06347120 on ClinicalTrials.gov ↗
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In plain words

What the trial is, and whether it could suit you

Acute adhesive Small Bowel Obstruction (ASBO) is a public health issue: this is the 3rd cause of hospitalization in Digestive Surgery Departments, 20-30% of patients will be operated, the mortality rate per episode is 3%, the duration of hospitalization is 8 days (up to 16 if resection), and it is associated with a tremendous health care expenses. The working group on ASBO of the World Society of Emergency Surgery suggested two distinct approaches for the management of acute ASBO: non-operative management (NOM) which concerning around 85% of patients and operative management (OM) : * OM: if there is clinical signs of strangulation, peritonitis, bowel ischemia, or if IV CT Scan shows sign of ischemia, strangulation, peritonitis, or if the occlusion persists for more than 72 hours; * NOM in all other cases, including nasogastric tube (NGT), intravenous administration of fluids, and clini

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📋 Eligibility rules (as published)
Inclusion Criteria: * Presence of an obstruction believed to be secondary to adhesions (abdominal pain and distention, nausea and/or vomiting, no gas and/or stool). * Uncomplicated presentation (no signs of strangulation or peritonitis). * IV CT scan of the abdomen consistent with an uncomplicated ASBO, (performed with a pillow to raise slightly the patient. * Aged 18 or older. * Provision of written, informed consent. * Patient covered by French national health insurance. Exclusion Criteria: * An incarcerated and/or strangulated incisional hernia, colonic obstruction. * No previous abdominal operation. * Obstruction within 4 weeks after a recent operation. * Gastrointestinal neoplasm in progress. * Inflammatory bowel disease in progress. * Abdominal radiotherapy in the last 6 months. * Contraindication to intravenous contrast enhancement for the CT scan, pre-existing risks factors for pneumonitis. * Antecedent of aspiration pneumonia. * Age \> 85 years. * Orientation disturbance. * Bedridden. * Chronic cerebrovascular disease (cerebral infarction sequelae, Parkinson disease etc). * Dementia. * Gastroesophageal disorder (gastroesophageal reflux) * Pregnancy or breastfeeding. * Patient deprived of liberty by administrative or judicial decision or placed under judicial protection (guardianship or supervision). * Patients unable to provide informed consent. * Age \<18 years.
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What it tests

  • nasogastric tube
  • NOM without NGT insertion
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Where

1 site
Amiens Universitary Hospital
Amiens, France
🤝 Taking part is your choice, and you can leave at any time. Only the trial team can confirm you are eligible — always decide together with your own doctor.
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