Volume : X, Issue : IV, April - 2020

ROLE OF GASTROGRAFIN IN SMALL BOWEL OBSTRUCTION: A PROSPECTIVE STUDY.

Dr Gopal Sharma, Dr Parveen Sharma, Dr Nivedita Prashar

Abstract :

Background : Small bowel obstruction is one of the most common surgical emergencies and main cause of hospital admissions. Management protocols usually start with a conservative approach that may be successful in some cases, whereas in others it will end eventually by laparotomy with its associated morbidity and mortality.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. Methods: This prospective study was conducted in the Department of Surgery,GMC Jammu with effect from October,2015 to September 2107. 32Patients who were admitted in emergency in our unit as a case of small bowel obstruction were included in study .Results: The mean age of patients was 24.30±6.30 years. The number of male patients was 10(41.66%) and number of female patients was 14(58.34%). Sixteen patients (66.66%) out of twenty four responded to gastrografin trial. The dye reached ileocaecal valve in four patients (25%) within 4 hours, in seven (43.75%) patients, it reached ileoceacal valve in 12 hours whereas in five patients(31.25%) it reached large bowel in 24 hours. In eight patients (33.34%) there was no passage of dye beyond ileaoceacal valve and they required surgical intervention.The average duration of hospital stay in the patients managed conservatively was 6.20 days whereas that in the patients managed operatively was 12.50 days. Conclusion: Gastrografin may have a valuable role in the management of Acute small bowel obstruction(ASBO), whether diagnostic or therapeutic, but a randomized controlled trial is needed to prove its effectiveness in reducing surgical intervention rate and hospital stay time

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Article: Download PDF    DOI : 10.36106/ijar  

Cite This Article:

ROLE OF GASTROGRAFIN IN SMALL BOWEL OBSTRUCTION: A PROSPECTIVE STUDY., DR GOPAL SHARMA, DR PARVEEN SHARMA, DR NIVEDITA PRASHAR INDIAN JOURNAL OF APPLIED RESEARCH : Volume-10 | Issue-4 | April-2020

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