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 type | Interventional |
|---|---|
| Ages | 18 Years and up |
| Sex | All |
| Enrollment | 120 (estimated) |
| Sponsor | University of Tartu Academic / other |
| Locations | 1 site (Tartu, Tartu) |
| Status | Recruiting |
| Started | September 1, 2023 |
| Main results expected | March 30, 2025 |
| Study ends | August 1, 2025 |
| Registry record updated | March 30, 2025 |
| Trial ID | NCT05678023 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
- Principal investigator: Liis Jaanimäe — University of Tartu
- Study coordinator: Liis Jaanimäe, MD
- Email: liis.jaanimae@kliinikum.ee
- Phone: +3725224012
Similar studies
Other studies for the same condition or treatment. Recruiting studies are listed first.
-
Deferring a nasogastric tube in non-operatively managed small bowel obstruction
This trial tests whether not placing a nasogastric tube in patients with small bowel obstruction who are not having immediate surgery can reduce respiratory complications.
-
GT Metabolic Magnet System to create side-to-side connections in the stomach or small intestine
This study will test whether the GT Metabolic Magnet System can safely create side-to-side connections in the stomach or small intestine for adults with gastric outlet obstruction, partial small bowel obstruction, or superior mesenteric artery syndrome.
-
Using Point of Care Ultrasound to Diagnose Small Bowel Obstruction in Emergency Departments
This study tests whether using ultrasound in the emergency department can help doctors quickly and safely diagnose small bowel obstruction instead of relying on CT scans.
-
Comparing early surgery to 3 days of non-surgical management for acute small bowel obstruction
This study is testing whether early surgery or a 3-day wait-and-see approach is better for helping people with a blocked small intestine recover and avoid complications.
-
Procalcitonin-guided care for adhesion-related small bowel obstruction
This study tests whether using blood procalcitonin levels to guide the choice between surgery and conservative care helps adults with adhesion-related small bowel obstruction.
How to take part
- Review the eligibility criteria above with your treating physician.
- Check the official listing on ClinicalTrials.gov for the latest contact details and recruitment status.
- Contact the study coordinator or principal investigator to ask for pre-screening. Pre-screening is free and never obligates you to enroll.