Adhesive small bowel obstruction
Conditions
Interventions
Conservative treatment group:Drugs, nasal bowel decompression tube
Surgical treatment group:Laparotomy or laparoscopic surgery
Sponsors
Union Hospital Affiliated to Fujian Medical University
Eligibility
Sex/Gender
All
Age
18 Years to 75 Years
Inclusion criteria
Inclusion criteria: 1. Subjects aged 18 - 75 years; 2. Patients with previous history of abdominal and pelvic surgery and radiotherapy; 3. Patients with obvious obstruction symptoms, including 'pain, vomiting, distension, closure', etc.; 4. Complete abdominal CT (or enhanced CT) imaging examination after admission, and diagnose the patients with small intestinal obstruction; 5. Patients with ECoG score 0 / 1 before operation; 6. Patients with preoperative ASA score I-III; 7. Patients and family members who can understand the study protocol and are willing to participate in the study shall provide written informed consent.
Exclusion criteria
Exclusion criteria: 1. Pregnant or lactating women; 2. Patients with severe mental illness; 3. Patients with extensive abdominal metastasis confirmed by imaging or pathology; 4. After admission, the whole abdominal CT (or enhanced CT) imaging examination was completed, and the patients diagnosed with large bowel obstruction (cases; 2; Colorectal cancer, fecal calculus, long bowel and / or volvulus, etc.); 5. Patients with small intestinal obstruction not caused by abdominal adhesion confirmed by intraoperative exploration or pathology are caused by other causes, such as incarcerated hernia, obstructive lesions (malignant and benign), and some rare causes of intestinal obstruction, such as calculus, inflammatory bowel disease and volvulus; 6. Patients with unstable angina or myocardial infarction within 6 months; 7. Patients with history of cerebral infarction or cerebral hemorrhage within 6 months; 8. Patients with a history of continuous systemic corticosteroid therapy within 1 month.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| 3-year bowel obstruction recurrence rate; | — |
Secondary
| Measure | Time frame |
|---|---|
| Morbidity and mortality rates;3-year overall survival rate;Length of bowel resection;Pattern of adhesive small bowel obstruction;Postoperative recovery course;Intraoperative situation;Postoperative nutritional status and quality of life;Inflammatory and immune response; | — |
Countries
China
Contacts
Public ContactLin Bingqiang
Union Hospital Affiliated to Fujian Medical University
Outcome results
None listed