Actively Recruiting

Phase 3
Age: 18Years +
All Genders
NCT06182319

Optimizing Treatment of Adhesive Small Bowel Obstruction

Led by University of California, Los Angeles · Updated on 2024-05-08

40

Participants Needed

1

Research Sites

102 weeks

Total Duration

On this page

AI-Summary

What this Trial Is About

Small bowel obstruction (SBO) is one of the most common causes of serious gastrointestinal disease in the US. Adhesion-related SBO (aSBO) is usually treated by the placement of a nasogastric tube (NGT) to decompress the stomach, administration of intravenous (IV) fluids and observation by a surgical team. The purpose of this feasibility study is to determine the potential for implementation of treatment protocols for aSBO and determine the feasibility of randomizing patients with aSBO to receive or not receive NGTs or water-soluble contrast (WSC). The investigators will also determine the ability to measure HRQOL as a main outcome for the treatment of aSBO. The studies outlined in this research program intend to address gaps in knowledge about how to determine who benefits from NGT placement, who can be managed without them, how to objectively determine when a bowel obstruction has resolved, how to reintroduce feeding to patients with aSBO, what criteria should be used for hospital discharge and what role cathartics such as WSC contrast have in the management of aSBO. This feasibility study will enroll a limited number of patients (n=40) who will be followed for up to 30 days.

CONDITIONS

Official Title

Optimizing Treatment of Adhesive Small Bowel Obstruction

Who Can Participate

Age: 18Years +
All Genders

Eligibility Criteria

Eligible

You may qualify if you...

  • Male or female 18 years of age or older
  • Diagnosis of adhesive small bowel obstruction confirmed by symptoms such as nausea, vomiting, abdominal pain, distended abdomen, or CT evidence
Not Eligible

You will not qualify if you...

  • Pregnant, breastfeeding, or unwilling to use birth control during the study
  • Any condition or abnormality deemed by the investigator to compromise patient safety or data quality
  • Unstable angina or recent myocardial infarction or stroke within 6 months
  • Nonadhesive small bowel obstruction including paralytic ileus, incarcerated hernia, fecal impaction, intra-abdominal malignancy, or early adhesive SBO within 4 weeks of prior abdominal surgery

AI-Screening

AI-Powered Screening

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Trial Site Locations

Total: 1 location

1

University of California, Los Angeles, David Geffen School of Medicine

Los Angeles, California, United States, 90024

Actively Recruiting

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Research Team

S

Steven Stokes

CONTACT

E

Edward H Livingston, MD

CONTACT

How is the study designed?

Study Type

INTERVENTIONAL

Masking

NONE

Allocation

RANDOMIZED

Model

PARALLEL

Primary Purpose

TREATMENT

Number of Arms

3

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