Clinical trial Recruiting at 1 site Interventional Ages 18 and up

Evaluating the timing of contrast media administration for small bowel obstruction

Official title: Multicentre Randomized Trial on the Timing and Effect of Contrast Media on Patients with Adhesive Small Bowel Obstruction

Run by University of Tartu · NCT05678023 · Data updated 2026-11-12

This study is testing if giving a special type of liquid sooner or later after a tube is placed in the stomach can help people with a small bowel blockage feel better faster.

Quick facts

Study typeInterventional
Ages18 Years and up
SexAll
Enrollment120 (estimated)
SponsorUniversity of Tartu
Academic / other
Locations1 site (Tartu, Tartu)
StatusRecruiting
StartedSeptember 1, 2023
Main results expectedMarch 30, 2025
Study endsAugust 1, 2025
Registry record updatedMarch 30, 2025
Trial IDNCT05678023 on ClinicalTrials.gov

Is this trial a fit for you?

Likely a good fit

Ideal candidates are adults aged 18 and older diagnosed with adhesive small bowel obstruction who do not require immediate surgery.

Probably not a fit

Patients with mechanical small bowel obstruction due to incarcerated hernias or carcinomatosis, or those with paralytic obstruction, will not benefit from this study.

A plain-English reading of the study's rules. Only the study team can confirm whether you qualify.

What this trial studies

This study evaluates the effectiveness of administering water-soluble contrast media (CM) at two different time intervals after nasogastric-tube decompression in patients with adhesive small bowel obstruction (SBO). Patients will be randomized into two groups: one receiving CM after 4 hours and the other after 24 hours. The study aims to determine if earlier administration of CM can improve the resolution of SBO. Radiographs will be taken to assess the outcomes, and any patient requiring surgery will not be delayed in receiving necessary treatment.

Why it matters

Potential benefit: If successful, this study could lead to improved management strategies for patients with small bowel obstruction, potentially reducing the need for surgical interventions.

How similar studies have gone: While the approach of using contrast media in SBO management is common, the specific timing of administration being evaluated in this study is less frequently tested, making it a novel investigation.

Who can join: the full rules

Show full inclusion / exclusion criteria
Inclusion Criteria:

* 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

Exclusion Criteria:

* 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
* Patients who have undergone surgery within 6 weeks
* Patients who do not want to be enrolled in the study

Where it's running

  • Tartu University Hospital
    Tartu, Tartu, Estonia
    Recruiting

Study contacts

Similar studies

Other studies for the same condition or treatment. Recruiting studies are listed first.

How to take part

  1. Review the eligibility criteria above with your treating physician.
  2. Check the official listing on ClinicalTrials.gov for the latest contact details and recruitment status.
  3. Contact the study coordinator or principal investigator to ask for pre-screening. Pre-screening is free and never obligates you to enroll.
Last reviewed 2026-11-14 by the Find a Trial editorial team. Information on this page is for educational purposes and is not medical advice. Always consult qualified healthcare professionals about clinical trial participation.