A Prospective Study on Role of Water Soluble Contrast in Management of Small Bowel Obstruction
Journal of Surgery
Volume 4, Issue 3, June 2016, Pages: 71-75
Received: Jun. 12, 2016; Accepted: Jun. 20, 2016; Published: Jul. 4, 2016
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Authors
Kundan, Department of Surgery, Patna Medical College, Patna, India
Ravindra Kumar, Department of Surgery, Patna Medical College, Patna, India
Amarnath Kumar, Department of Surgery, Patna Medical College, Patna, India
Pawanjeet Kumar, Department of Surgery, Patna Medical College, Patna, India
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Abstract
There is no definite protocol in management of small bowel obstruction in relation to duration and need of surgery. The aim is to study the role of gastrografin in management of small bowel obstruction. In this study patients who were diagnosed with intestinal obstruction were administered gastrografin. The patients were followed serially using x-ray at 4hrs interval for 24hrs; decision to operate was taken on non-progression of dye in two consecutive x-ray. Among 20 patients of this study 9 patients were operated on basis of gastrografin study. 11 were treated conservatively. 8 patients were of adhesive bowel obstruction. Out of which 1 was operated, 7 were treated conservatively. The sensitivity, specificity, positive and negative predictive value of gastrografin administration in this study was 100%, 89%, 92%, 100% respectively. Gastrografin helps in strengthening the clinical decision about the management of intestinal obstruction; it helps in early decision making regarding continuing the conservative or operative management and allows the introduction of oral intake earlier and earlier discharge from the hospital as well as reduction in operative rate.
Keywords
Gastrografin, Adhesive Bowel Obstruction, Sensitivity, Specificity, Positive and Negative, Predictive Value
To cite this article
Kundan, Ravindra Kumar, Amarnath Kumar, Pawanjeet Kumar, A Prospective Study on Role of Water Soluble Contrast in Management of Small Bowel Obstruction, Journal of Surgery. Vol. 4, No. 3, 2016, pp. 71-75. doi: 10.11648/j.js.20160403.12
Copyright
Copyright © 2016 Authors retain the copyright of this article.
This article is an open access article distributed under the Creative Commons Attribution License (http://creativecommons.org/licenses/by/4.0/) which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
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