Using Point of Care Ultrasound to Diagnose Small Bowel Obstruction in Emergency Departments

Is this trial a fit for you?

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

What this trial studies

This observational study aims to evaluate the effectiveness of Point of Care Ultrasound (POCUS) in diagnosing Small Bowel Obstruction (SBO) in emergency department patients. Currently, diagnosis relies heavily on abdominal CT scans, which have drawbacks such as radiation exposure and increased costs. The study will assess the diagnostic accuracy of POCUS and its ability to rule out SBO, potentially improving patient management and reducing unnecessary CT scans. Additionally, it will explore the use of Gestalt probability assessments by physicians to evaluate the likelihood of SBO based on clinical presentation.

Why it matters

Who can join: the full rules

Inclusion Criteria:

1. Major patient (age \> 18 years old), no upper limit
2. Patient admitted to the ED with suspected SBO (abdominal pain, vomiting, cessation of gas and feces...)
3. Low or moderate pretest Gestalt clinical probability
4. Patient able to understand protocol and express agreement
5. Oral non-opposition given

Exclusion Criteria:

1. Patient under legal guardianship
2. Pregnant women
3. Nursing mothers
4. Patient who does not speak or understand French
5. Patient without a health insurance plan
6. Patient who already had imaging confirming the diagnosis
7. Patient who participates simultaneously in any interventional study focused on abdominal pain before POCUS and CT realization

Where it's running

• Chu Clermont-Ferrand Hopital Gabriel Montpied
  Clermont-Ferrand, France, France Recruiting
• Ghem Groupe Hospitalier Eaubonne Montmorency Simone Veil
  Eaubonne, France, France Recruiting
• CHD Vendée
  La Roche-sur-Yon, France, France Recruiting
• CHD Vendée, Luçon
  Luçon, France, France Recruiting
• Ap-Hm Hopital La Timone
  Marseille, France, France Recruiting
• Ghsif Groupe Hospitalier Sud Ile de Franc _ Ch Melun
  Melun, France, France Recruiting

Study contacts

• Study coordinator: Philippe LE CONTE Professor LE CONTE, Professor
• Email: philippe.leconte@chu-nantes.fr
• Phone: 0240083934

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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.