To study the efficacy of gastrografin in diagnosis of adhesive small bowel obstruction

P. N. Rajkumar, Nagaraj Bhalki, Bharathi Hiremath, Sreekantha, Vinodchandran, B. Yogish

Research output: Contribution to journalArticle

1 Citation (Scopus)

Abstract

Background: Small bowel obstruction(SBO) is a common condition in surgical wards and have prolonged hospital stay due to inappropriate diagnosis. Many studies have shown gastrografin to be highly effective in diagnosing bowel obstruction and differentiate between mechanical and functional obstruction, hence take proper early decision regarding further management.Gastrografin has both diagnostic and therapeutic value. Methodology: Patients with subacute SBO presenting to M.S.Ramaiah Medical College Teaching Hospital Bangalore, will be taken for study.This is a comparitive study between a group of 25 patients who presented with SBO previously and did not receive gastrografin and other group of 25 patients, who present now and receive gastrografin and serial abdominal X-rays taken between 4 to 24 hrs. Results: Out of the 25 patients in group A(cases),7 patients (28.0%) required surgery at the end of 24 hours after admission; while 18 patients (72.0%) tolerated the oral feeds. Out of 25 patients in group B (control),11 patients(44.0%)improved with conservative treatment within 48 hours of admission.However,14 patients(56.0%) from group B were operated within 48 hours of admission because of increasing signs of obstruction.There were 25 patients in group A.The radiographic contrast reached the caecum within 24 hours in 18 out of these 25 patients and oral feeds were started.All of these 18 patients tolerated the feeds well and were subsequently discharged.The 7 patients in whom the radiographic contrast did not reach the caecum within 24 hours were operated.Therefore Gastrografin had a Sensitivity value of 72% and Specificity value of 56%. Conclusion: The uses Gastrografin in adhesive SBO are it is efficacious in diagnosing partial and total small bowel obstruction, avoids surgery,probable therapeutic action,accurate and early diagnosis.

Original languageEnglish
Pages (from-to)158-162
Number of pages5
JournalIndian Journal of Public Health Research and Development
Volume5
Issue number1
DOIs
Publication statusPublished - 01-01-2014
Externally publishedYes

Fingerprint

Diatrizoate Meglumine
Adhesives
Teaching Hospitals

All Science Journal Classification (ASJC) codes

  • Public Health, Environmental and Occupational Health

Cite this

Rajkumar, P. N. ; Bhalki, Nagaraj ; Hiremath, Bharathi ; Sreekantha ; Vinodchandran ; Yogish, B. / To study the efficacy of gastrografin in diagnosis of adhesive small bowel obstruction. In: Indian Journal of Public Health Research and Development. 2014 ; Vol. 5, No. 1. pp. 158-162.
@article{297da9f2183f4b15a257ee41feb330f0,
title = "To study the efficacy of gastrografin in diagnosis of adhesive small bowel obstruction",
abstract = "Background: Small bowel obstruction(SBO) is a common condition in surgical wards and have prolonged hospital stay due to inappropriate diagnosis. Many studies have shown gastrografin to be highly effective in diagnosing bowel obstruction and differentiate between mechanical and functional obstruction, hence take proper early decision regarding further management.Gastrografin has both diagnostic and therapeutic value. Methodology: Patients with subacute SBO presenting to M.S.Ramaiah Medical College Teaching Hospital Bangalore, will be taken for study.This is a comparitive study between a group of 25 patients who presented with SBO previously and did not receive gastrografin and other group of 25 patients, who present now and receive gastrografin and serial abdominal X-rays taken between 4 to 24 hrs. Results: Out of the 25 patients in group A(cases),7 patients (28.0{\%}) required surgery at the end of 24 hours after admission; while 18 patients (72.0{\%}) tolerated the oral feeds. Out of 25 patients in group B (control),11 patients(44.0{\%})improved with conservative treatment within 48 hours of admission.However,14 patients(56.0{\%}) from group B were operated within 48 hours of admission because of increasing signs of obstruction.There were 25 patients in group A.The radiographic contrast reached the caecum within 24 hours in 18 out of these 25 patients and oral feeds were started.All of these 18 patients tolerated the feeds well and were subsequently discharged.The 7 patients in whom the radiographic contrast did not reach the caecum within 24 hours were operated.Therefore Gastrografin had a Sensitivity value of 72{\%} and Specificity value of 56{\%}. Conclusion: The uses Gastrografin in adhesive SBO are it is efficacious in diagnosing partial and total small bowel obstruction, avoids surgery,probable therapeutic action,accurate and early diagnosis.",
author = "Rajkumar, {P. N.} and Nagaraj Bhalki and Bharathi Hiremath and Sreekantha and Vinodchandran and B. Yogish",
year = "2014",
month = "1",
day = "1",
doi = "10.5958/j.0976-5506.5.1.036",
language = "English",
volume = "5",
pages = "158--162",
journal = "Indian Journal of Public Health Research and Development",
issn = "0976-0245",
publisher = "R.K. Sharma, Institute of Medico-Legal Publications",
number = "1",

}

To study the efficacy of gastrografin in diagnosis of adhesive small bowel obstruction. / Rajkumar, P. N.; Bhalki, Nagaraj; Hiremath, Bharathi; Sreekantha; Vinodchandran; Yogish, B.

In: Indian Journal of Public Health Research and Development, Vol. 5, No. 1, 01.01.2014, p. 158-162.

Research output: Contribution to journalArticle

TY - JOUR

T1 - To study the efficacy of gastrografin in diagnosis of adhesive small bowel obstruction

AU - Rajkumar, P. N.

AU - Bhalki, Nagaraj

AU - Hiremath, Bharathi

AU - Sreekantha,

AU - Vinodchandran,

AU - Yogish, B.

PY - 2014/1/1

Y1 - 2014/1/1

N2 - Background: Small bowel obstruction(SBO) is a common condition in surgical wards and have prolonged hospital stay due to inappropriate diagnosis. Many studies have shown gastrografin to be highly effective in diagnosing bowel obstruction and differentiate between mechanical and functional obstruction, hence take proper early decision regarding further management.Gastrografin has both diagnostic and therapeutic value. Methodology: Patients with subacute SBO presenting to M.S.Ramaiah Medical College Teaching Hospital Bangalore, will be taken for study.This is a comparitive study between a group of 25 patients who presented with SBO previously and did not receive gastrografin and other group of 25 patients, who present now and receive gastrografin and serial abdominal X-rays taken between 4 to 24 hrs. Results: Out of the 25 patients in group A(cases),7 patients (28.0%) required surgery at the end of 24 hours after admission; while 18 patients (72.0%) tolerated the oral feeds. Out of 25 patients in group B (control),11 patients(44.0%)improved with conservative treatment within 48 hours of admission.However,14 patients(56.0%) from group B were operated within 48 hours of admission because of increasing signs of obstruction.There were 25 patients in group A.The radiographic contrast reached the caecum within 24 hours in 18 out of these 25 patients and oral feeds were started.All of these 18 patients tolerated the feeds well and were subsequently discharged.The 7 patients in whom the radiographic contrast did not reach the caecum within 24 hours were operated.Therefore Gastrografin had a Sensitivity value of 72% and Specificity value of 56%. Conclusion: The uses Gastrografin in adhesive SBO are it is efficacious in diagnosing partial and total small bowel obstruction, avoids surgery,probable therapeutic action,accurate and early diagnosis.

AB - Background: Small bowel obstruction(SBO) is a common condition in surgical wards and have prolonged hospital stay due to inappropriate diagnosis. Many studies have shown gastrografin to be highly effective in diagnosing bowel obstruction and differentiate between mechanical and functional obstruction, hence take proper early decision regarding further management.Gastrografin has both diagnostic and therapeutic value. Methodology: Patients with subacute SBO presenting to M.S.Ramaiah Medical College Teaching Hospital Bangalore, will be taken for study.This is a comparitive study between a group of 25 patients who presented with SBO previously and did not receive gastrografin and other group of 25 patients, who present now and receive gastrografin and serial abdominal X-rays taken between 4 to 24 hrs. Results: Out of the 25 patients in group A(cases),7 patients (28.0%) required surgery at the end of 24 hours after admission; while 18 patients (72.0%) tolerated the oral feeds. Out of 25 patients in group B (control),11 patients(44.0%)improved with conservative treatment within 48 hours of admission.However,14 patients(56.0%) from group B were operated within 48 hours of admission because of increasing signs of obstruction.There were 25 patients in group A.The radiographic contrast reached the caecum within 24 hours in 18 out of these 25 patients and oral feeds were started.All of these 18 patients tolerated the feeds well and were subsequently discharged.The 7 patients in whom the radiographic contrast did not reach the caecum within 24 hours were operated.Therefore Gastrografin had a Sensitivity value of 72% and Specificity value of 56%. Conclusion: The uses Gastrografin in adhesive SBO are it is efficacious in diagnosing partial and total small bowel obstruction, avoids surgery,probable therapeutic action,accurate and early diagnosis.

UR - http://www.scopus.com/inward/record.url?scp=84893107540&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=84893107540&partnerID=8YFLogxK

U2 - 10.5958/j.0976-5506.5.1.036

DO - 10.5958/j.0976-5506.5.1.036

M3 - Article

VL - 5

SP - 158

EP - 162

JO - Indian Journal of Public Health Research and Development

JF - Indian Journal of Public Health Research and Development

SN - 0976-0245

IS - 1

ER -