Feasibility and safety of an algorithm for the management of adhesive small bowel obstruction.

ABSTRACT:

Introduction

This single-center, prospective cohort study assessed the feasibility and safety of a structured management protocol (Ileus Management Algorithm Protocol: I-MAP) for patients with adhesive small bowel obstruction (ASBO).

Method

Among 63 patients initially admitted for ASBO, 40 met the inclusion criteria and were managed in line with I-MAP, incorporating nasogastric tube (NGT) output and water-soluble contrast (WSC) administration within a standardized decision-making framework.

Results

The study's primary outcome, protocol adherence, was achieved in 87.5% (35/40) of patients, demonstrating the protocol's feasibility. 27/35 patients (77%) had ASBO resolution with conservative management. Eight patients required surgery, mostly due to lack of improvement af

SUBMITTER: Chappalley D 

PROVIDER: S-EPMC12408694 | biostudies-literature | 2025 Sep

REPOSITORIES: biostudies-literature