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ABS 2013, 2(1): 0-0 |
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Safamanesh S, Pazouki A, Tamannaie Z, Mohammadalipour B, Ramezani K, Hajnasrollah E, et al . Evaluation of Gastrografin Therapeutic Role in the Management of
Small Bowel Obstruction. ABS 2013; 2 (1)
URL: http://annbsurg.iums.ac.ir/article-1-261-en.html
URL: http://annbsurg.iums.ac.ir/article-1-261-en.html
Sina Safamanesh1 
, Abdolreza Pazouki1 , Zeinab Tamannaie 1, Behnoush Mohammadalipour2 , Koosha Ramezani2 , Esmaeel Hajnasrollah3 , Ghazal Hajnasrollah3 , Shahla Chaichian4
, Abdolreza Pazouki1 , Zeinab Tamannaie 1, Behnoush Mohammadalipour2 , Koosha Ramezani2 , Esmaeel Hajnasrollah3 , Ghazal Hajnasrollah3 , Shahla Chaichian4
1- 1 Minimally Invasive Surgery Research Center, Tehran University of Medical Sciences, Tehran, IR Iran
2- Faculty of Medicine, Shahid Beheshti University of Medical Sciences, Tehran, IR Iran
3- Department of Surgery, Shahid Beheshti University of Medical Sciences, Tehran, IR Iran
4- 1 Minimally Invasive Surgery Research Center, Tehran University of Medical Sciences, Tehran, IR Iran 4 Faculty of Medicine, Islamic Azad University, Tehran Medical Branch, Tehran, IR Iran
2- Faculty of Medicine, Shahid Beheshti University of Medical Sciences, Tehran, IR Iran
3- Department of Surgery, Shahid Beheshti University of Medical Sciences, Tehran, IR Iran
4- 1 Minimally Invasive Surgery Research Center, Tehran University of Medical Sciences, Tehran, IR Iran 4 Faculty of Medicine, Islamic Azad University, Tehran Medical Branch, Tehran, IR Iran
Abstract: (761 Views)
Background: Small bowel obstruction is one of the most common surgical emergencies and main causes of hospital admissions. Diatrizoate Meglumine Gastrografin, a hyperosmolar water-soluble contrast agent, has been used to triage patients with small bowel obstruction for an operative or a non-operative management. It can also have a therapeutic effect by increasing the pressure gradient across obstructive sites that may result in resolving the obstruction. Objectives: The aim of this study was to test the gastrografin effect in the resolution of small bowel obstruction. Patients and Methods: In this cross sectional–descriptive study, gastrografin was given to patients diagnosed with small bowel obstruction in clinical and radiological grounds . The contrast passage was assessed by serial X-rays. If the contrast remained in the small bowel, a decision was made as to whether proceed to surgical intervention, based on clinical condition. The patients were divided into two groups: A, who finally required surgery, and B, who were resolved by gastrografin administration. Results: Forty six patients were entered into the study. Thirty seven of the patients (80%) received a non-operative course in whom the contrast was observed in the large bowel. They had a mean hospital stay of 4.6 days. Nine patients (20%) required operative intervention. These patients had a mean hospital stay of 8 days. Conclusions: This study has demonstrated that gastrografin was highly effective in the management of adhesive small bowel obstruction resulting in a decreased need for surgery and hospital stay.
Type of Study: Original |
Subject:
MIS
Received: 2020/12/29 | Accepted: 2013/02/15 | ePublished: 2013/02/15
Received: 2020/12/29 | Accepted: 2013/02/15 | ePublished: 2013/02/15
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