Nasogastric Tube Clamping Trial vs. Immediate Removal
Small Bowel Obstruction, Ileus
About this trial
This is an interventional treatment trial for Small Bowel Obstruction
Eligibility Criteria
Inclusion Criteria:
- Males or females 18 years or older
- Admitted under any of the teaching surgical services for small bowel obstruction or ileus, or develops post-operative ileus
- Patient agreeable to participation in the study
Exclusion Criteria:
- Under the age of 18
- Patient self-removes the NG requiring replacement will be removed from study
Sites / Locations
- OSF Saint Francis Medical Center
Arms of the Study
Arm 1
Arm 2
Active Comparator
Active Comparator
Immediate NG tube removal
NG tube clamp trial
Once the NG tube output is less than 500 mL over a 24 hour period with at least two other signs of return of bowel function the NG tube will be removed. Other signs of bowel function include flatus, bowel movement, change of NG tube output from bilious to more clear/frothy character, and hunger.
Once the NG tube output is less than 500 mL over a 24 hour period with at least two other signs of return of bowel function, a 4 hour clamp trial will be performed. Other signs of bowel function include flatus, bowel movement, change of NG tube output from bilious to more clear/frothy character, and hunger. The NG tube will be taken off of suction and clamped. The NG tube is then reconnected to suction at the end of the four hour clamp trial and removed if less 125 mL drains or kept in place if greater than 125 mL drains. The same initial criteria are used again to determine if a clamp trial will be performed after 24 hours.