Digestive System Surgery
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: All adults (>18) admitted with adhesive small bowel obstruction as diagnosed by clinical and/or radiographic criteria: - Abdominal distension - Nausea, vomiting - Abdominal pain - Obstipation or constipation - History of prior abdominopelvic surgery or intraabdominal infection - +/- radiographic findings of dilated small bowel and/or air fluid levels
Exclusion criteria
Exclusion criteria: - Age <18 - Any concern for bowel strangulation including peritonitis, acidosis, marked leukocytosis, worsening abdominal pain, or other concerns of clinical team – patient indicated for immediate operation - Any concern for large bowel obstruction - Current intraabdominal malignancy - History of abdominal radiation - Diagnosis of inflammatory bowel disease
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Completion of urograffin protocol | — |
Secondary
| Measure | Time frame |
|---|---|
| Proportion of patients requiring surgery ;Hospital length of stay ;Cost of hospitalization ;Aspiration pneumonia | — |
Countries
Ethiopia
Contacts
Assistant Professor St. Paul Millennium Medical College