Role of Gastrografin Contrast Study in Intestinal Obstruction
Introduction: Intestinal obstruction is complete or partial blockage of intestinal tract. The main causes for the obstruction are either mechanical such as adhesions, inflammation, tumours, volvulus, and hernia or nonmechanical such as paralytic ileus, metabolic abnormalities, or mesenteric isc...
| Main Authors: | , , , , |
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| Format: | Article |
| Language: | English |
| Published: |
JCDR Research and Publications Pvt. Ltd.
2017-07-01
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| Series: | International Journal of Anatomy Radiology and Surgery |
| Subjects: | |
| Online Access: | http://www.ijars.net/articles/PDF/2285/28170_CE[VSU]_F(GH)_PF1(VSUAK)_PFA(AK)_PF2(SU_VSU).pdf |
| Summary: | Introduction: Intestinal obstruction is complete or
partial blockage of intestinal tract. The main causes
for the obstruction are either mechanical such as
adhesions, inflammation, tumours, volvulus, and hernia
or nonmechanical such as paralytic ileus, metabolic
abnormalities, or mesenteric ischaemia. Abdominal X-rays
still hold an important part in the management of this
condition.
Aim: Administration of gastrografin has been proved
to be helpful in diagnosing the site of obstruction and
gastrografin acts as a therapeutic agent thus minimizing
the need for surgery.
Materials and Methods: This study was conducted at
the Department of General Surgery, Rajindra Hospital,
Patiala, Punjab, India. A total of 60 patients with clinically
and radiologically demonstrable features of intestinal
obstruction were included in the study. Gastrografin was
administered in these patients and improvements, if any,
were recorded.
Results: Out of 60 patients administered gastrografin,
obstruction was completely resolved in 57 (95%). Surgery
should be considered if obstruction fails to improve after
48 hours of conservative management.
Conclusion: Intestinal obstruction is a very common
general surgical problem leading to repeated hospital
admissions and significant morbidity and mortality.
The most common cause of small bowel obstruction is
adhesions. Gastrografin administration is effective in early
resolution of obstruction, avoidance of surgery and in
turn, a shorter hospital stay. So it has a definite role in the
management of intestinal obstruction. |
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| ISSN: | 2277-8543 2455-6874 |