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.
Published in | Journal of Surgery (Volume 4, Issue 3) |
DOI | 10.11648/j.js.20160403.12 |
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), 2016. Published by Science Publishing Group |
Gastrografin, Adhesive Bowel Obstruction, Sensitivity, Specificity, Positive and Negative, Predictive Value
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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
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
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
@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://article.sciencepublishinggroup.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} }
TY - JOUR T1 - A Prospective Study on Role of Water Soluble Contrast in Management of Small Bowel Obstruction AU - Kundan AU - Ravindra Kumar AU - Amarnath Kumar AU - Pawanjeet Kumar Y1 - 2016/07/04 PY - 2016 N1 - https://doi.org/10.11648/j.js.20160403.12 DO - 10.11648/j.js.20160403.12 T2 - Journal of Surgery JF - Journal of Surgery JO - Journal of Surgery SP - 71 EP - 75 PB - Science Publishing Group SN - 2330-0930 UR - https://doi.org/10.11648/j.js.20160403.12 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 ER -