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Master Thesis

Évaluation d’un algorithme de prise en charge des occlusions sur brides avec utilisation de produit de contraste hydrosoluble (ALGOBRIX)

Abstract : Introduction: small bowel adhesive obstruction without gravity criteria ’s best non operative management and the usefulness of water soluble contrast agent are still under debate. An algorithm has been introduced in our visceral surgery department in 2016, with use of Télébrix 24 hours after admission : ALGOBRIX. Aim of the study: to assess algorithm ‘s efficacy and safety. Material and methods: ALGOBRIXwas evaluated by comparing outcomes in patients admitted in 2014-2015 and in 2017-2018. The primary outcome was the hospital length of stay. Data were recorded retrospectively. Results: 186 patients met inclusion and exclusion criteria. Algorithm introduction didn’t decreased length of stay between the two periods nor complication rate. However, ALGOBRIX application in both periods leads to a length of stay decrease of 5 days, and to a complication rate decrease in univariate analysis. The complication rate decrease isn’t confirmed in multivariate analysis. Conclusion: As shown by Scotté et al. in 2017, the usefulness of Télébrix is limited. But ALGOBRIX leads to a shorter length of stay in univariate analysis, which is consistent with Dombert’s recent study.Those findings need to be confirmed with further, randomized study.
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Master Thesis
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https://dumas.ccsd.cnrs.fr/dumas-03320569
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Submitted on : Monday, August 16, 2021 - 10:38:09 AM
Last modification on : Wednesday, August 18, 2021 - 3:18:04 AM

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  • HAL Id : dumas-03320569, version 1

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Antoine Ailhaud. Évaluation d’un algorithme de prise en charge des occlusions sur brides avec utilisation de produit de contraste hydrosoluble (ALGOBRIX). Médecine humaine et pathologie. 2021. ⟨dumas-03320569⟩

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