Conservative Versus Operative Management in Adhesive Intestinal Obstruction

NCT06870864 | Completed

• 1 other identifier: Soh-Med--25-1-09MS
• Study Type: observational
• Target: 50
• Locations: 1 country
• Sites: 1

Brief Summary

This study aims to evaluate the role of Conservative management in patients with adhesive Intestinal Obstruction Regarding the selection criteria of the patients, duration of conservative route, success rate, and recurrence of adhesions and avoiding the surgical route complications.

Conditions

Adhesive Intestinal Obstruction

Outcome Measures

Primary Outcomes (5)

• X-Ray Changes

  Daily Chest Abdomen X-ray Erect copies to evaluate the improvement of the Intestinal Obstruction through evaluation of the X-ray findings (Air fluid levels).

  72 Hours

• Passability Status

  Daily history taking records and per rectal examination findings to evaluate the passability status (stool /flatus)

  72 Hours

• Hospital Stay Duration

  The Conservative management in patients with adhesive Intestinal Obstruction will avoid them the surgical route which requires long hospital stay postoperative

  from 3 to 5 days.

• Vomiting

  Frequency and severity of vomiting will be collected to help in prognosis prediction

  72 Hours

• Abdominal Signs

  Data collected about Daily abdominal examination findings (Distention, Intestinal sounds, abdominal pain and Per rectal examination).

  72 Hours

Secondary Outcomes (2)

• Recurrence of Attacks

  two years previous the onset of the current attack. (During the last two years before the admission)

• Past Surgical History

  two years previous the onset of the current attack. (During the last two years before the admission)

Eligibility Criteria

• Age: 6 Years - 70 Years
• Sex: all
• Healthy Volunteers: No
• Age Groups: Child (0-17), Adult (18-64), Older Adult (65+)
• Sampling Method: Probability Sample

Study Population

patients with adhesive Intestinal Obstruction at Department of General Surgery, Oncological and Laparoscopic Surgeries, Sohag University Hospitals, Sohag, Egypt

You may qualify if:

• Age 6-70 years.
• Both sexes.
• Complete \\ Partial adhesive Intestinal Obstruction, with CT Abdomen and pelvis with oral and IV Contrast.

You may not qualify if:

• Patients with signs of Strangulation
• Patients with signs of peritonitis.
• Patients with signs of bowel ischemia
• Failure of Conservative management for more than 72 hours.
• Vitally unstable patients
• Patients with comorbidities which need rapid interventions.

Sponsors & Collaborators

• Sohag University: lead

Study Sites (1)

Faculty of Medicine, Sohag University

Sohag, Egypt

Location

Study Design

• Study Type: observational
• Observational Model: COHORT
• Time Perspective: RETROSPECTIVE
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: Principal investigator

Study Record Dates

• First Submitted: February 24, 2025
• First Posted: March 11, 2025
• Study Start: April 1, 2024
• Primary Completion: September 1, 2024
• Study Completion: January 1, 2025
• Last Updated: March 11, 2025

Record last verified: 2025-03

Locations

EG (1)