Small Bowel Obstruction
Conditions
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.
Interventions
None listed
Sponsors
Study design
Eligibility
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
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| 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 |
Countries
Finland