Intestinal Obstruction Clinical Trial
Official title:
Prospective Multicenter Validation of a Clinicoradiological Score for Predicting the Severity of Strangulated Small Bowel Occlusion
The purpose of this study is to apply and validate a clinicoradiological score for the
prediction of severity of strangulated small bowel occlusion (SBO). This score was
elaborated by analyzing clinical, biological and radiological parameters of patients
admitted in an emergency center for acute strangulated SBO. Two clinical, two biological and
two radiological parameters were shown to significantly predict the surgical outcome of SBO
patients.
Since any delay in the management of SBO may result in devastating consequences, a score
predicting the severity of the SBO episode is an essential tool for helping in the
management of SBO patients. A prospective multicenter validation of the score is mandatory
for its extended use.
Status | Not yet recruiting |
Enrollment | 300 |
Est. completion date | July 2013 |
Est. primary completion date | July 2013 |
Accepts healthy volunteers | No |
Gender | Both |
Age group | 16 Years and older |
Eligibility |
Inclusion Criteria: - Strangulated small bowel occlusion - Diagnosis confirmation by CT-scan with iv contrast - Blood analysis comprising: leucocyte count and repartition, CRP, lactates Exclusion Criteria: - Large bowel occlusion - Strangulated hernia - Tumor occlusion - Post-Radiotherapy occlusion - Paralytic ileus (neurological diseases, diabetes, etc) - Inflammatory bowel diseases - Any condition able to modify the clinical or biological parameters without any relation with the SBO episode (inflammatory, infectious diseases, etc) |
Allocation: Non-Randomized, Endpoint Classification: Efficacy Study, Intervention Model: Single Group Assignment, Masking: Open Label, Primary Purpose: Treatment
Country | Name | City | State |
---|---|---|---|
Switzerland | Division of visceral and transplantation surgery, Department of surgery, Geneva University Hospital | Geneva |
Lead Sponsor | Collaborator |
---|---|
University Hospital, Geneva | Centre Hospitalier Universitaire Vaudois |
Switzerland,
Type | Measure | Description | Time frame | Safety issue |
---|---|---|---|---|
Primary | Proportion of patients with a score of 0-2 with successful conservative treatment | According to the score, patients will be managed either conservatively or surgically. Patients with a score of 0-2 will be treated conservatively. The success of the decision and the treatment will be evaluated after 3 days since admission. Indeed, patients with conservative treatment who do not retrieve a gastrointestinal transit after 3 days will be operated on. | 3 days | No |
Secondary | Proportion of patients with a score =3 needing small bowel resection | Patients with a score =3 will be emergently operated on with a surgical delay below 12 hours since admission. During surgery, segmental small bowel resection will be performed in case of ischemia or necrosis. The need of small bowel resection will be related to the pre-operative score. | 1 day | No |
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