Small Bowel Obstruction, Surgery
Conditions
Brief summary
Small bowel obstruction surgery is frequent and would benefit from enhanced recovery programs. While some studies advocate for their feasibility, it has never been proved and prospective studies are required to confirm the feasibility of such program and the impact on postoperative outcomes.
Interventions
12 items of program (preoperative, peroperative postoperative) according to the enhanced recovery after surgery society
Sponsors
Study design
Eligibility
Inclusion criteria
* Adhesionnal small bowel obstruction requiring surgical management
Exclusion criteria
* No surgery * Patients disagreeing to participate
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| occurence rate of postoperative ileus | within 30 postoperative days |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Postoperative morbidity | within 30 postoperative days | — |
| length of stay | the day of discharge assessed up to 30 days | — |
| Rate of nasogastric tube replacement | within 30 postoperative days | — |
| Feasibility of the enhanced recovery program after small bowel obstruction surgery | within 30 postoperative days | The feasibility of the enhanced recovery program will be assessed by using the ratio: number of items of the programs followed/ number of items in the programs |
| Time to GI function recovery | within 30 postoperative days | — |
| acceptability toward the enhanced recovery program | the day of discharge up to 30 days | The acceptability will be assessed through 2 qualitative questions and a 1-10 satisfaction scale |
| Rate of tolerance to solid food | within 30 postoperative days | — |
Countries
France