Skip to main content
OpenTrials
Completed

NCT Number: NCT06912581

Small Bowel Obstruction in Virgin Abdomen

A retrospective study conductet at Estonia's two regional hospitals. The data of patients hospitalised for SBO (small bowel obstruction) between 2015-2019 is retrospectively analysed. All other patients are excluded- except for previously unoperated ones (virgin abdomen). Study group analyses whether patients were operated on or was conservative management initiated. It will be studied, if any further medical studies have been done within 2 years of hospitalisation.

Completed

Looking for future studies?

Notify Me

Key information

Conditions

Small Bowel Obstruction Adhesion

Age range

18 year and older

Sex eligibility

All sexes

Study type

Observational

Primary location

Tartu univeristy clinic

Tartu, 51008, Estonia

About this study

Background: The surgical dogma of mandatory operative management of small bowel obstruction (SBO) in patients without prior abdominal operations was re-evaluated by the World Society of Emergency Surgery (WSES) in 2021. A few publications exist on this topic, with a modest number of patients included. The purpose of this study was to analyze the causes and management of small bowel obstruction (SBO) in patients without prior abdominal surgeries.

Methods: Study group retrospectively examined the data of patients hospitalized with SBO from 2015 to 2019. Patients without previous abdominal surgeries-virgin abdomen (VA) were included. Eligible patients' data was evaluated. It was noted whether surgery was performed or conservative management was initiated. In the latter case, information about radiological or endoscopic studies, hospitalizations, or surgeries performed within 2 years after the primary hospitalization was extracted

Who can participate

Healthy volunteers accepted: No

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

Inclusion criteria

Patients diagnosed with SBO Have not been operated previously

Exclusion criteria

Age less than 18 years History of previous operatsions Large bowel obstruction Dynamic ileus

-

Treatment and study plan

Primary outcomes

  1. SBO resolution at admission

    Time frame: within hospitalisation

    Patients who have been admitted. The primary outcome measure is SBO resolution within hospitalisation. Usually the conservative treatment is safe and feasible if no alarming symptoms (suggesting bowel ischaemia) are present (but can be prolonged op to 120 hours). Guidelines suggest conservative management up to 72 hours, but no clear guideline is present.

    The resolution will be assessed clinically- return of bowel movement and passing of gas or radiologically- CM in the large bowel in the follow-through.

Sponsors and collaborators

Lead sponsor

University of Tartu

Other

Collaborators

  • North Estonia Regional Hospital

Registry information

Official study title

Management of Virgin Abdomen SBO With a 2-year Follow-up

Important dates

Study start
2023
Primary completion
2023
Study completion
2023
First posted
Apr 4, 2025
Registry last updated
Apr 4, 2025

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.

Related clinical trials

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