Radiologic Score and Failure of Conservative Management of Adhesive Small Bowel Obstruction

Assessment of a Predictive Radiologic Score to Predict the Failure of the Non-operative Management of Adhesive Small Bowel Obstruction: a Prospective Cohort Analysis

Status

Completed

Phases

Unknown

Study type

Observational

Source

ClinicalTrials.gov

Registry ID

NCT05517057

Acronym

PREDIFAIL

Enrollment

279

Registered

2022-08-26

Start date

2021-09-15

Completion date

2022-01-15

Last updated

2022-08-26

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

Conservative Management, Imaging, Small Bowel Obstruction

Brief summary

The management of acute adhesive small bowel obstruction remains challenging for the digestive surgeon. The Bologna guidelines recommend that conservative management of aSBO. The literature reports that this form of management has a failure rate between 10 and 40%. A radiological score has been proposed and was associated with an increased risk of failure of conservative management. This tool is promising to select patients further requiring surgery but it has to be assessed in a multi centric prospective cohort.

Interventions

None listed

Study design

Observational model

COHORT

Time perspective

PROSPECTIVE

Eligibility

Sex/Gender

ALL

Age

18 Years to No maximum

Inclusion criteria

* all the consecutive patients admitted for initial non-surgical management for aSBO * during the period of inclusion

Exclusion criteria

* the cause of SBO was functional or other than adhesive * patients requiring initial surgical management. * absence of computed tomography performed at admission

Design outcomes

Primary

Measure	Time frame	Description
Angers CT score	immediately after the completion of the CT-scan	The Angers CT score ≥5 was considered to be risk factor for failure of the medical management. Angers CT score was calculated by reading the CT scan as follow: * beak sign (+2), if not (0) * closed loop (+4), if not (0) * focal (+4) or diffuse (+4) intraperitoneal liquid, if not (0) * focal (+2) or diffuse (0) mesenteric haziness, if not (0) * focal (-3) or diffuse (-3) mesenteric liquid, if not (0) * diameter of the most dilated small bowel loop \> 40 mm (-2) (if not (0).

Countries

France

Outcome results