An observational study in Adhesive Intestinal Obstruction, sponsored by Sohag University. Completed at 1 site in Egypt. Open to participants aged 6 Years to 70 Years. Per ClinicalTrials.gov, last updated 2025-03-11.
Sponsored by Sohag University · Observational
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.
Adhesive Intestinal Obstruction is very common and represents a serious life threatening condition, which can be caused by congenital band, following abdominal surgeries and other medical conditions like tuberculosis.
The management options for adhesive intestinal obstruction (AIO) could be operative treatment (open-laparoscopy) or non-operative (conservative management) according to many reasons.
Some reports indicate that the operative management for adhesive Intestinal obstruction lead to further adhesions in the future in addition to other possible complications (anaesthetic - iatrogenic injury during adhesolysis - wound site infections - illius-long hospital stay).
The Conservative route is recommended in all patients except those with signs of peritonitis, strangulation, or bowel ischemia which would have been diagnosed during physical examination and imaging.
A few studies compared the advantages, safety, and less complications of Conservative versus operative management. Therefore, this study will be conducted on patients with adhesive Intestinal Obstruction to compare the effectiveness of Conservative versus operative management regarding the selection criteria for the patients, the duration of the Conservative route, things to be done and what need to be observed during the conversation time.
104 studies on the registry are indexed under Intestinal Obstruction; 15 are open to participants now.
This study's enrollment of 50 is below the median of 107 across 40 observational studies indexed under Intestinal Obstruction.
Browse Intestinal Obstruction studies →Sohag University is the lead sponsor of 1,230 studies on the registry; 636 are open to participants now.
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patients with adhesive Intestinal Obstruction at Department of General Surgery, Oncological and Laparoscopic Surgeries, Sohag University Hospitals, Sohag, Egypt
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Exclusion Criteria:
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).
Time frame: 72 Hours
Passability Status
Daily history taking records and per rectal examination findings to evaluate the passability status (stool /flatus)
Time frame: 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
Time frame: from 3 to 5 days.
Vomiting
Frequency and severity of vomiting will be collected to help in prognosis prediction
Time frame: 72 Hours
Abdominal Signs
Data collected about Daily abdominal examination findings (Distention, Intestinal sounds, abdominal pain and Per rectal examination).
Time frame: 72 Hours
Recurrence of Attacks
past history about the previous attacks of the adhesive Intestinal Obstruction
Time frame: two years previous the onset of the current attack. (During the last two years before the admission)
Past Surgical History
Detailed history about the previous operations to determine the relationship between different operations and adhesive Intestinal Obstruction
Time frame: two years previous the onset of the current attack. (During the last two years before the admission)
This study is completed, as verified in Mar 2025. You cannot join it, but the record below documents what was studied.
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