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Band Adhesions in Relation to Previous Abdominal Surgery - a Retrospective Analysis of Risk Factors

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ClinicalTrials.gov Identifier: NCT03663023
Recruitment Status : Completed
First Posted : September 10, 2018
Last Update Posted : September 10, 2018
Sponsor:
Information provided by (Responsible Party):
Göteborg University

Study Description
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Brief Summary:
This study investigates the prevalence of previous abdominal surgery in a cohort of patients operated for bowel obstruction and analyzes the causes of obstruction discovered at surgery.

Condition or disease Intervention/treatment
Surgical Adhesions Intestinal Obstruction Surgery Induced Tissue Adhesions Procedure: Intestinal obstruction

Detailed Description:
Postoperative intra-abdominal adhesions are a common cause of small bowel obstruction. The extent of adhesions has been assigned to the magnitude of previous surgery. In a county hospital, with a catchment population of 120 000 inhabitants, records of operations performed for bowel obstruction over a period of 70 months were retrieved. Codes for bowel obstruction according to an International Classification of Diseases (ICD-10) will include: Intestinal adhesion with obstruction, Other and unspecified intestinal obstruction, Intestinal obstruction and Peritoneal adhesions. Amount of adhesions will be calculated in relation to previous surgery.
Study Design
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Study Type : Observational
Actual Enrollment : 196 participants
Observational Model: Cohort
Time Perspective: Retrospective
Official Title: Band Adhesions in Relation to Previous Abdominal Surgery - a Retrospective Analysis
Actual Study Start Date : January 1, 2006
Actual Primary Completion Date : October 31, 2011
Actual Study Completion Date : October 31, 2011

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Groups and Cohorts
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Outcome Measures
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Primary Outcome Measures :
  1. Cause of bowel obstruction [ Time Frame: 70 months ]
    Bowel obstruction; caused by adhesions, malignant disease, inflammation or other causes


Eligibility Criteria
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Ages Eligible for Study:   Child, Adult, Older Adult
Sexes Eligible for Study:   All
Accepts Healthy Volunteers:   No
Sampling Method:   Non-Probability Sample
Study Population
According to the protocol, 213 surgical procedures were identified. 17 procedures were excluded due to no bowel obstruction at surgery. Intestinal obstruction was evident in 196 procedures. These procedures were included in this study.
Criteria

Inclusion Criteria:

All subjects operated for bowel obstruction from January 1st 2006 to October 31st 2011. Surgical codes for bowel obstruction included: Intestinal adhesion with obstruction, Other and unspecified intestinal obstruction, Intestinal obstruction, unspecified and Peritoneal adhesions. Surgical procedures were identified for bowel obstruction, including; Division of band adhesion, Adhesiolysis, Other separation of adhesion during bowel obstruction, Laparotomy and reposition or detorsion of intestine.

Exclusion Criteria:

Extra-peritoneal surgery such as inguinal or ventral hernia repair was excluded.

Contacts and Locations
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No Contacts or Locations Provided
More Information
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Top of Page Study Description Study Design Groups and Cohorts Outcome Measures Eligibility Criteria Contacts and Locations More Information
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Responsible Party: Göteborg University
ClinicalTrials.gov Identifier: NCT03663023    
Other Study ID Numbers: Adhesions2018vgr
First Posted: September 10, 2018    Key Record Dates
Last Update Posted: September 10, 2018
Last Verified: September 2018
Individual Participant Data (IPD) Sharing Statement:
Plan to Share IPD: No

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Studies a U.S. FDA-regulated Drug Product: No
Studies a U.S. FDA-regulated Device Product: No
Additional relevant MeSH terms:
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Intestinal Obstruction
Tissue Adhesions
Cicatrix
Fibrosis
 Pathologic Processes
Intestinal Diseases
Gastrointestinal Diseases
Digestive System Diseases