About this trial
Patients hospitalized with adhesive small bowel obstruction (SBO) are randomized to 2 study groups at admission after signing an informed consent form. Water-soluble contrast media (CM) will be administered after 4 or after 24 hours of nasogastric- tube decompression.
Eligibility criteria
This trial does not accept healthy volunteersQualifiers
Patients 18 years or older
Adhesive small bowel obstruction diagnosed (clinical, laboratory and radiologic evaluation
No peritonitis present, no need for an emergent surgery
Patients sign an informed consent
Disqualifiers
Patients younger than 18 yeas
Patients with mechanical small bowel obstruction caused by incarcerated hernias
Patients with mechanical small bowel obstruction caused by carcinomatosis
Patients with paralytic small bowel obstruction
Trial design
Parallel
Treatments tested in this trial
Effect on contrast media depending on the time of its administratsion
Other interventionCM is a common practice when it comes to the management of small bowel obstruction. However there is no consensus as when it should be administered
Treatment groups
Trial outcomes
Primary outcomes
SBO resolution
SBO resolution with conservative measures * passing gas * bowel movement * CM in the colon on the X-ray
Sponsors and contacts
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University of Tartu
Lead sponsor
North Estonia Medical Centre
Collaborator