bowel obstruction. Obstruction of duodenum
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: Inclusion: Therefore inclusion criteria are: -age older than 18 years old -previous laparotomy (>4 weeks) -adhesive small bowel obstruction symptoms such as abdominal pain, vomiting, abdominal distention. -plain and upright abdominal radiography will taken from the patient which showed dilated loops in small intestine and rectum and air fluid levels in the colon. Exclusion: -clinical evidence of bowel strangulation including interactable pain, fever, leukocytosis -clinical evidence of peritonitis -pervious abdominal and pelvic radiation -inflammatory bowel disease -past medical history of cancer(GI cancer, pancreas cancer) -patient who were under operation within first 24 hours after admission -patient who refused use of nasogastric tube decompression -strangulated hernia -non cooperative patients such as mental retardation -immune compromise patient, diabetic patient, history of familial hypertrigliciremia -unconscious patient that cannot evaluated perfectly.
Exclusion criteria
Exclusion criteria:
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Time to bowel obstruction. Timepoint: Every 6 hours. Method of measurement: The patient reported. | — |
Secondary
| Measure | Time frame |
|---|---|
| Low Abdominal pain and distention. Timepoint: Every 6 hours. Method of measurement: Physical Examination. | — |
Countries
Iran (Islamic Republic of)
Contacts
Colorectal Research Center, Shiraz university of medical sciences