Therapeutic Role of Gastrograffin in the Management of PostOperative Adhesive Small Bowel Obstruction: A Randomized Trial
Journal Title: International Journal of Contemporary Medical Research - Year 2017, Vol 4, Issue 4
Abstract
Introduction: Small bowel obstruction is one of the commonly encountered clinical problems associated with repeated hospitalization. Data from the recent literature show that most of these studies have focused on the assessment of role of watersoluble contrast medium in adhesive small bowel obstruction. Hence; we planned the present study to assess the role of oral water soluble contrast agent in small bowel adhesive obstruction. Material and methods: The study was conducted on 38 patients admitted with diagnosis of Anti Social Behaviour Orders (ASBO) in a tertiary care hospital. Diagnosis of ASBO was established on the basis of clinical history, examination and abdominal radiograph findings. Patients of both partial and complete obstruction were included. Close monitoring of vital and abdominal signs was done. Patients were randomized to receive Gastrografin (Group A) or Placebo (Group B) In patients with of Group A, 60 ml of Gastrografin admixed with 40 ml of normal saline was administered after two hours of active stomach decompression through nasogastric tube. It was clamped for next three hours. Control Group B received 100 ml of normal saline in similar fashion. Patients of both groups were closely monitored by repeated clinical examination without further radiological examination. All the results were recorded and analyzed. Results: Out of 102 patients who presented with small bowel obstruction, 38 patients of ASBO who fulfilled inclusion and exclusion criteria were enrolled for the study, 21 in Group A and 17 in Group B. All patients completed the study period. All patients were hemodynamically stable on presentation. Abdominal girth monitoring was a statistically significant factor predicting outcome in patients with ASBO with sensitivity of 75%, specificity of 96.15%, positive predictive value of 90% and negative predictive value of 89.29%. Hospital stay was significantly shorter in Group A (p value < 0.05). Conclusion: Administration of oral water soluble contrast agents in cases of ASBO is recommended.
Authors and Affiliations
Ashish Chhabra, Ashwani Kumar, Shekhar Upadhyay, Michael Deodhar
Keywords
Related Articles
- EP ID EP429471
- DOI -
- Views 74
- Downloads 0
Correlation of Histological Grade with Harmone Receptors and Her 2 Neu In Carcinoma Breast - A Tertiary Centre Study
Introduction: Hormone receptors and Her 2 Neu status are now widely accepted as a prognostic markers and to decide therapeutic modality in breast carcinoma. The aim of this study was to analyze the receptor status in bre...
Functional, Clinical and Radiological Outcome of Extra Articular Distal End Radius Fracture in Elderly Patients, Closed Reduction and Cross K-wiring Versus Conservative Management (Closed Reduction and Casting)
Introduction: Fractures of the distal radius constitute one of the common skeletal injuries. This type of fracture usually results from low energy trauma in the elderly with low functional demand. The optimal method of o...
Comparative Evaluation of Laser and Ibuprofen on the Success of Inferior Alveolar Nerve Block in Irreversible Pulpitis. A Clinical Study
Introduction: Pain control during endodontic treatment in irreversible pulpitis cases with inferior alveolar nerve block is difficult, more-so in the case of mandibular molars. The present study evaluated the effect of p...
Dental Trauma: School Teachers’ Understanding of Handling the Situation
Introduction: Traumatic dental injury among primary school children’s considered as significant public health problem. Injuries at early stage may leads to functional limitation and disability; hence role of teachers at...
Pityriasis Versicolor on Male Genital Area: A Rare Presentation
Introduction: Pityriasis versicolor is a very common fungal infection. This disease is caused by infection due to yeastMalassezia furfur. Presentation consists of a superficial scaling and a mild disturbance of skin pigm...