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Postoperative management after small bowel obstruction (SBO) surgery is not consensual and better knowledge of risk factors for postoperative morbidity could help to add evidence of the feasibility of enhanced recovery programs (ERPs).
In elective surgery, ERPs have shown a significant benefit for the patient but this is not performed routinely in emergency surgery due to the difficulty to avoid postoperative nasogastric tube.
The aim was to identify risk factors for postoperative morbidity and for nasogastric tube (NGT) replacement after SBO surgery.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| systematic nasogastric tube | NGT was left systematically after surgery and removed after the first flattus | ||
| Non systematic nasogastric tube | Nasogastric tube was removed immediately after surgery and was replaced in case of vomiting |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Nasogastric tube removal | Procedure | Nasogastric tube was removed immediately after surgery |
|
| Measure | Description | Time Frame |
|---|---|---|
| postoperative morbidity | morbidity classified according to Dindo Clavien classification | within 30 days |
| Measure | Description | Time Frame |
|---|---|---|
| Nasogastric tube replacement | nasogastric tube replacement after removal | within 30 days |
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Inclusion Criteria:
Exclusion Criteria:
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All patients undergoing surgery for adhesive small bowel obstruction in the CHU of Angers between January 1, 2014 and December 31, 2017
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