Journal of Surgery

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A Prospective Study on Role of Water Soluble Contrast in Management of Small Bowel Obstruction

Received: 12 June 2016    Accepted: 20 June 2016    Published: 04 July 2016
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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.

DOI 10.11648/j.js.20160403.12
Published in Journal of Surgery (Volume 4, Issue 3, June 2016)
Page(s) 71-75
Creative Commons

This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited.

Copyright

Copyright © The Author(s), 2024. Published by Science Publishing Group

Keywords

Gastrografin, Adhesive Bowel Obstruction, Sensitivity, Specificity, Positive and Negative, Predictive Value

References
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[9] Feigin E, Seror D, Szold A, Carmon M, Allweis TM, Nissan A, et al. Water-soluble contrast material has no therapeutic effect on postoperative small-bowel obstruction: results of a prospective, randomized clinical trial. Am J Surg 1996; 171: 227-229.
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[25] Seror D, Feigin E, Szold A, et al. How conservative can postoperative small bowel obstruction be treated? Am J Surg 1993; 165: 121–126
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Author Information
  • Department of Surgery, Patna Medical College, Patna, India

  • Department of Surgery, Patna Medical College, Patna, India

  • Department of Surgery, Patna Medical College, Patna, India

  • Department of Surgery, Patna Medical College, Patna, India

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  • APA Style

    Kundan, Ravindra Kumar, Amarnath Kumar, Pawanjeet Kumar. (2016). A Prospective Study on Role of Water Soluble Contrast in Management of Small Bowel Obstruction. Journal of Surgery, 4(3), 71-75. https://doi.org/10.11648/j.js.20160403.12

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    ACS Style

    Kundan; Ravindra Kumar; Amarnath Kumar; Pawanjeet Kumar. A Prospective Study on Role of Water Soluble Contrast in Management of Small Bowel Obstruction. J. Surg. 2016, 4(3), 71-75. doi: 10.11648/j.js.20160403.12

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    AMA Style

    Kundan, Ravindra Kumar, Amarnath Kumar, Pawanjeet Kumar. A Prospective Study on Role of Water Soluble Contrast in Management of Small Bowel Obstruction. J Surg. 2016;4(3):71-75. doi: 10.11648/j.js.20160403.12

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  • @article{10.11648/j.js.20160403.12,
      author = {Kundan and Ravindra Kumar and Amarnath Kumar and Pawanjeet Kumar},
      title = {A Prospective Study on Role of Water Soluble Contrast in Management of Small Bowel Obstruction},
      journal = {Journal of Surgery},
      volume = {4},
      number = {3},
      pages = {71-75},
      doi = {10.11648/j.js.20160403.12},
      url = {https://doi.org/10.11648/j.js.20160403.12},
      eprint = {https://download.sciencepg.com/pdf/10.11648.j.js.20160403.12},
      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.},
     year = {2016}
    }
    

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    AU  - Kundan
    AU  - Ravindra Kumar
    AU  - Amarnath Kumar
    AU  - Pawanjeet Kumar
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    PB  - Science Publishing Group
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    AB  - 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.
    VL  - 4
    IS  - 3
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