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

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.

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Key information

Conditions

Small Bowel Obstruction Conservative Management Imaging

Age range

18 year and older

Sex eligibility

All sexes

Study type

Observational

Primary location

university hospital of Angers

Angers, France

Who can participate

Only the study team can determine whether someone qualifies for participation.

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

Treatment and study plan

Primary outcomes

Angers CT score

Time frame: 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).

Sponsors and collaborators

Lead sponsor

University Hospital, Angers

Other Gov

Registry information

Official study title

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

Acronym: PREDIFAIL

Important dates

Study start: 2021
Primary completion: 2021
Study completion: 2022
First posted: Aug 26, 2022
Registry last updated: Aug 26, 2022

OpenTrials presents study information sourced from ClinicalTrials.gov. The official registry record should be consulted for the latest information.

View the official ClinicalTrials.gov record (opens in a new tab)

This listing is for discovery and informational purposes only. It is not medical advice, does not guarantee that a study is recruiting, and does not determine eligibility. Contact the study team and a qualified healthcare professional when considering participation.

Published trials that share one or more normalized conditions with this study.

Completed