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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.<\/jats:p>\n          <\/jats:sec>\n          <jats:sec>\n            <jats:title>Conclusion<\/jats:title>\n            <jats:p>This 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.<\/jats:p>\n          <\/jats:sec>","DOI":"10.1007\/s00423-025-03820-7","type":"journal-article","created":{"date-parts":[[2025,9,3]],"date-time":"2025-09-03T10:47:31Z","timestamp":1756896451000},"update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":3,"title":["Feasibility and safety of an algorithm for the management of adhesive small bowel obstruction"],"prefix":"10.1007","volume":"410","author":[{"given":"Dimitri","family":"Chappalley","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nicolas","family":"Dupasquier","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Gabriel","family":"Heierli","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Maria Teresa","family":"Torres","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Dieter","family":"Hahnloser","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Fabian","family":"Grass","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Martin","family":"H\u00fcbner","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"297","published-online":{"date-parts":[[2025,9,3]]},"reference":[{"key":"3820_CR1","doi-asserted-by":"crossref","unstructured":"Ten Broek RPG, Krielen P, Di Saverio S, Coccolini F, Biffl WL, Ansaloni L et al (2018) Bologna guidelines for diagnosis and management of adhesive small bowel obstruction (ASBO): 2017 update of the evidence-based guidelines from the world society of emergency surgery ASBO working group. 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