Evidence map›Paper›PMID 38900305›Full record

Trial reportLangenbeck's archives of surgery2024

Enhanced recovery programs following adhesive small bowel obstruction surgery are feasible and reduce the rate of postoperative ileus: a preliminary study.

Loison M, Bouhours G, Fabulas F, Bougard M, Delestre M, Parot-Schinkel E, Hamel Jf, Venara A

Registry-linked trialAbstract readClinical Trial
PubMed Publisher
In one paragraph

Trial report in Langenbeck's archives of surgery, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT04929275 (Feasability and Impact of Enhanced Recovery Programs After Surgery for Small Bowel Obstruction), which is not on this map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT04929275 nacompletednot on this map

Feasability and Impact of Enhanced Recovery Programs After Surgery for Small Bowel Obstruction

TypeinterventionalSponsorUniversity Hospital, AngersRan2021 to 2022Enrolled50ConditionsSmall Bowel Obstruction, SurgeryArmsEnhanced recovery program
3 · Its place in the literature

Who cites it

2 citing papers in PubMed.

  1. Clinical performance of the Antoine Béclère score in predicting operative requirement in adhesive small bowel obstruction.Ulusal travma ve acil cerrahi dergisi = Turkish journal of trauma & emergency surgery : TJTES · 2026
    Article
  2. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors.

Loison MFaculty of Health, Department of Medicine, University of Angers, ANGERS Cedex 9, France.
Bouhours GDepartment of Anesthesia and Intensive Care Unit, University Hospital of Angers, 4 rue Larrey, ANGERS Cedex 9, 49933, France.
Fabulas FFaculty of Health, Department of Medicine, University of Angers, ANGERS Cedex 9, France.
Bougard MFaculty of Health, Department of Medicine, University of Angers, ANGERS Cedex 9, France.
Delestre MFaculty of Health, Department of Medicine, University of Angers, ANGERS Cedex 9, France.
Parot-Schinkel EBiostatistics and Methodology Department, University Hospital of Angers, 4 rue Larrey, ANGERS Cedex 9, 49933, France.
Hamel JfFaculty of Health, Department of Medicine, University of Angers, ANGERS Cedex 9, France.
Venara AFaculty of Health, Department of Medicine, University of Angers, ANGERS Cedex 9, France. auvenara@chu-angers.fr.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeThe recovery of gastrointestinal function and postoperative ileus are the leading goals for clinicians following surgery for adhesive small bowel obstruction. While enhanced recovery programs may improve recovery, their feasibility in emergency surgery has not yet been proven. We sought to assess the incidence of postoperative ileus in patients following surgery for ASBO and the feasibility of enhanced recovery programs, including their benefits in the recovery of gastrointestinal functions and reducing the length of hospitalization.

methodsThis prospective study includes the first 50 patients surgically treated for ASBO between June 2021 and November 2022. Their surgery was performed either as an emergency procedure or after a short course of medical treatment. The main aim was to compare the observed rate of postoperative ileus with a theoretical rate, set at 40%. The study protocol was registered in clinicaltrials.gov under the number NCT04929275.

resultsAmong the 50 patients included in this study, it reported postoperative ileus in 16%, which is significantly lower than the hypothetical rate of 40% (p = 0.0004). The median compliance with enhanced recovery programs was 75% (95%CI: 70.1-79.9). The lowest item observed was the TAP block (26%) and the highest observed items were preoperative counselling and compliance with analgesic protocols (100%). The overall morbidity was 26.5%, but severe morbidity (Dindo-Clavien > 3) was observed in only 3 patients (6%). Severe morbidity was not related with the ERP.

conclusionEnhanced recovery programs are feasible and safe in adhesive small bowel obstruction surgery patients and could improve the recovery of gastrointestinal functions. CLINICAL TRIAL REGISTRY: NCT04929275. WHAT DOES THE STUDY CONTRIBUTE TO THE FIELD?: Perioperative management of adhesive small bowel obstruction (ASBO) surgery needs to be improved in order to reduce morbidity. Enhanced recovery programs (ERP) are both feasible and safe following urgent surgery for ASBO. ERPs may improve the recovery of gastrointestinal (GI) functions.

Indexed as

Feasibility StudiesIleusIntestinal ObstructionIntestine, SmallPostoperative ComplicationsAdultAgedAged, 80 and overEnhanced Recovery After SurgeryFemaleHumansLength of StayMaleMiddle AgedProspective StudiesRecovery of FunctionAdhesive small bowel obstructionEnhanced recovery programsPostoperative ileusSurgery

Identifiers

PMID38900305

What OpenQuestion holds

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Read underepoch 390

Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.