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(Gastrografin Use in Small Bowel Obstruction Caused by Adherences) (GUSBOCA)
This study has been completed.
Study NCT00601809   Information provided by University of Bologna
First Received: January 14, 2008   Last Updated: January 25, 2008   History of Changes
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January 14, 2008
January 25, 2008
September 2003
The operative rate in ASIO patients [ Time Frame: Within 72 hours and during hospital stay ] [ Designated as safety issue: Yes ]
Same as current
Complete list of historical versions of study NCT00601809 on ClinicalTrials.gov Archive Site
  • The incidence of major and minor complications of treatments in the two arm [ Time Frame: 1 year ] [ Designated as safety issue: Yes ]
  • The ASIO recurrences [ Time Frame: 1 year ] [ Designated as safety issue: No ]
  • The time to resolution of obstruction [ Time Frame: Within hospital stay ] [ Designated as safety issue: No ]
  • The length of hospital stay [ Time Frame: Within hospital admission period ] [ Designated as safety issue: No ]
Same as current
 
(Gastrografin Use in Small Bowel Obstruction Caused by Adherences)
Gastrografin Use in Small Bowel Obstruction Caused by Adherences

Adhesive small intestine obstruction (ASIO) is an important cause of hospital admission and a very common disease. Any improvement in this field will benefit many patients by reducing the operative rate. Patients with this disease are difficult to evaluate and to manage and their treatment is controversial. Emergency surgery is mandatory when strangulation is suspected or in the case of total obstruction. On the other hand, conservative non-operative treatment is indicated in the case of partial obstruction. The role of water-soluble contrast medium (Gastrografin®: GG) in ASIO is still debated with regard to the therapeutic value. The aim of our study was to determine the therapeutic role of Gastrografin in patients with small intestine obstruction without strangulation caused by adherences (ASIO).

 
Phase IV
Interventional
Treatment, Randomized, Open Label, Parallel Assignment, Safety/Efficacy Study
Adhesive Small Intestine Obstruction
  • Other: traditional conservative treatment (TT)
  • Drug: Gastrografin®: G
 
Di Saverio S, Catena F, Ansaloni L, Gavioli M, Valentino M, Pinna AD. Water-soluble contrast medium (gastrografin) value in adhesive small intestine obstruction (ASIO): a prospective, randomized, controlled, clinical trial. World J Surg. 2008 Oct;32(10):2293-304.

*   Includes publications given by the data provider as well as publications identified by National Clinical Trials Identifier (NCT ID) in Medline.
 
Completed
76
November 2006
 

Inclusion Criteria:

  • Adult patients (>18 years)
  • History of previous abdominal surgical procedures
  • Clinical and radiological evidence of adhesive small intestine obstruction without signs of strangulation and peritonism
  • ASA I-III patients
  • Informed consent

Exclusion Criteria:

  • Suspicion of strangulation
  • Actual presence or high suspicion of intra-abdominal malignancy
  • Suspicion or history of peritoneal carcinomatosis
  • active inflammatory bowel disease
  • Positive history of radiotherapy on the abdominal region
  • Obstructed hernias
Both
18 Years and older
No
 
Italy
 
 
NCT00601809
Dr. Fausto Catena M.D. PhD, S. Orsola Malpighi University Hospital - University of Bologna
 
University of Bologna
 
Principal Investigator: Fausto Catena, MD, PhD S.Orsola-Malpighi University Hospital - University of Bologna
Principal Investigator: Luca Ansaloni, MD S.Orsola-Malpighi University Hospital - University of Bologna
Principal Investigator: Margherita Gavioli, MD University of Modena
Principal Investigator: Salomone Di Saverio, M.D. S.Orsola-Malpighi University Hospital - University of Bologna
University of Bologna
January 2008

 †    Required WHO trial registration data element.
††   WHO trial registration data element that is required only if it exists.