Early Surgery Versus 3 Days Non-surgical Management in Acute Small Bowel Obstruction (SURGI-BOW)

Launched by UNIVERSITY HOSPITAL, ANGERS · Sep 26, 2023

Keywords

ClinConnect Summary

The SURGI-BOW clinical trial is studying the best way to treat patients with uncomplicated acute small bowel obstruction (aSBO). Currently, guidelines suggest trying non-surgical treatments for 72 hours before considering surgery. However, this approach only works for 60 to 70% of patients, meaning some still need surgery after a few days. This trial is exploring whether performing surgery earlier, within 24 hours, could lead to better outcomes by reducing complications and hospital time. Researchers believe that advancements in surgical techniques, especially laparoscopic surgery (a less invasive method), may make early surgery safer and more effective.

To participate in this trial, you must be an adult admitted for small bowel obstruction confirmed by a CT scan, and you need to provide informed consent. Unfortunately, those with urgent surgery needs, such as ischemia (lack of blood flow), or certain other conditions, are not eligible. If you join the trial, you can expect to be part of a study that may help determine the best treatment approach for aSBO, potentially improving care for future patients.

Gender

ALL

Eligibility criteria

• Inclusion Criteria:
• • Admission for acute intestinal obstruction of the small intestine on adhesion or bridle
• • Confirmation of the aSBO by a scanner
• • Adult patient
• • Beneficiary of a social security scheme
• • Having signed an informed consent
• Exclusion Criteria:
• • Indication for urgent surgery (small intestine ischemia, intestinal pain, defence, hemodynamic shock, etc.)
• • Pregnancy or breastfeeding
• • Poor understanding of the French language
• • Person deprived of liberty by judicial or administrative decision
• • Person undergoing psychiatric treatment under duress
• • Person subject to a legal protection measure
• • Person unable to express consent