Evidence map›Paper›PMID 40900318›Full record

ArticleLangenbeck's archives of surgery2025

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

Dimitri Chappalley, Nicolas Dupasquier, Gabriel Heierli, Maria Teresa Torres, Dieter Hahnloser, Fabian Grass, Martin Hübner

Abstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in Langenbeck's archives of surgery, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the 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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

2 citing papers in PubMed.

  1. Emphysematous cystitis superimposed to small-bowel obstruction: a case report.International journal of surgery case reports · 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

7 authors.

Dimitri ChappalleyDepartment of Visceral Surgery, University Hospital Lausanne (CHUV), University of Lausanne (UNIL), Rue du Bugnon 46, Lausanne, 1011, Switzerland.
Nicolas DupasquierDepartment of Visceral Surgery, University Hospital Lausanne (CHUV), University of Lausanne (UNIL), Rue du Bugnon 46, Lausanne, 1011, Switzerland.
Gabriel HeierliDepartment of Visceral Surgery, University Hospital Lausanne (CHUV), University of Lausanne (UNIL), Rue du Bugnon 46, Lausanne, 1011, Switzerland.
Maria Teresa TorresDepartment of Visceral Surgery, University Hospital Lausanne (CHUV), University of Lausanne (UNIL), Rue du Bugnon 46, Lausanne, 1011, Switzerland.
Dieter HahnloserDepartment of Visceral Surgery, University Hospital Lausanne (CHUV), University of Lausanne (UNIL), Rue du Bugnon 46, Lausanne, 1011, Switzerland.
Fabian GrassDepartment of Visceral Surgery, University Hospital Lausanne (CHUV), University of Lausanne (UNIL), Rue du Bugnon 46, Lausanne, 1011, Switzerland.
Martin HübnerDepartment of Visceral Surgery, University Hospital Lausanne (CHUV), University of Lausanne (UNIL), Rue du Bugnon 46, Lausanne, 1011, Switzerland. martin.hubner@chuv.ch.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionThis 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).

methodAmong 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.

resultsThe 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 after 72 hours of conservative management. Complications were minimal, with only two cases of bronchial aspiration. No patient died within 30 days of conservative management.

conclusionThis standardized algorithm using pre-defined NGT output values proved feasible and safe, standardizing care and providing structured guidance in clinical decision-making. Larger trials are necessary to confirm efficacy and explore patient-reported outcomes.

Indexed as

AlgorithmsIntestinal ObstructionIntestine, SmallAdultAgedAged, 80 and overConservative TreatmentFeasibility StudiesFemaleHumansIntubation, GastrointestinalMaleMiddle AgedProspective StudiesTissue AdhesionsAdhesionConservative treatmentNasogastric tubeSmall bowel obstruction

Identifiers

PMID40900318
PMCPMC12408694

What OpenQuestion holds

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Registered trials

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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.