Diagnostic Scoring for Small Bowel Obstruction

Helsinki University Central Hospital482 enrolled

Overview

It is difficult to predict which patients with acute small bowel obstruction require operative intervention and which ones can be handled conservatively. Similarly, strangulation remains difficult decision. The rationale for this observative study is to collect prospective cohort of patients with small bowel obstruction to create scoring system to predict early 1) small bowel obstruction resistant to conservative therapy, 2) strangulation.

Study Type

OBSERVATIONAL

Enrollment

482

Conditions

Small Bowel Obstruction

Eligibility

Sex: ALLMin age: 18 YearsMax age: 120 Years

Medical Language ↔ Plain English

Inclusion Criteria: * Computed tomography verified acute small bowel obstruction Exclusion Criteria: * \< 18 years old * Pregnant * Abdominal surgery within 30 days prior recruitment * Inflammatory bowel disease * Small bowel tumor causing obstruction * Peritoneal carcinosis * Intraluminal obstruction (bile stone, bezoar, etc.) * Large bowel obstruction * Small bowel obstruction caused by abdominal wall hernia

Locations (3)

Helsinki University Hospital, Jorvi hospital

Espoo, Finland

Helsinki University Hospital, Meilahti hospital

Helsinki, Finland

Hyvinkää Hospital

Hyvinkää, Finland

Outcomes

Primary Outcomes

Strangulation

Number of patients with strangulated bowel (reversible or irreversible ischemic bowel)

Time frame: Within hospital stay / 30 days from recruitment

Need for surgery due to nonresolving small bowel obstruction

Number of patients needing surgery due to nonresolving small bowel obstruction

Time frame: Within hospital stay / 30 days from recruitment

Data from ClinicalTrials.gov

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