Upper Gastrointestinal Contrast Study in the Management of Small Bowel Obstruction - a Prospective Randomised Study
| Autor: | Kjell Øvrebø, Asgaut Viste, Karl Søndenaa, D. Jensen, Knut Svanes, Jonas M. Fevang, H Gislasson, B. T. Fevang, Ola Røkke |
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| Rok vydání: | 2000 |
| Předmět: |
Adult
Male medicine.medical_specialty Radiography medicine.medical_treatment Contrast Media Tissue Adhesions Diatrizoate law.invention chemistry.chemical_compound Randomized controlled trial law Intestine Small Humans Medicine Prospective Studies Treatment Failure Prospective cohort study Aged business.industry Bowel resection Length of Stay Middle Aged medicine.disease Surgery Clinical trial Bowel obstruction Barium sulfate chemistry Female Barium Sulfate business Intestinal Obstruction medicine.drug |
| Zdroj: | The European Journal of Surgery. 166:39-43 |
| ISSN: | 1102-4151 |
| DOI: | 10.1080/110241500750009681 |
| Popis: | To find out whether contrast radiography helps to resolve small bowel obstruction.Prospective randomised trial.University hospital, Norway.98 consecutive patients with symptoms of small bowel obstruction and a plain abdominal radiograph that confirmed the diagnosis.The patients were randomly allocated to receive a mixture of barium and sodium diatrizoate (Gastrografin) (n = 48) or not (n = 50). Both groups were followed up clinically and by repeated abdominal films.Non-operative resolution of small bowel obstruction; number of patients with strangulated bowel; bowel resections; mortality; complications; hospital stay; and time from admission to operation.No significant differences were observed between the groups in the incidence of non-operative resolution (31/48 in contrast group, 35/50 in control group, OR: 0.89), strangulation obstruction (1/48 in contrast group, 4/50 in control group, OR: 0.24), bowel resection (3/48 in contrast group, 4/50 in control group, OR: 0.76), complications (8/48 in contrast group, 5/50 in control group, OR: 1.80), mortality (3/48 in contrast group, 1/50 in control group, OR: 3.26), and hospital stay (0-7 days: 34/48 in contrast group, 38/50 in control group, p = 0.95). The contrast group had a shorter interval between admission and operation than the control group (0-24 hours: 12/48 in contrast group, 3/50 in control group, p = 0.005).The contrast examination did not contribute to the resolution of small bowel obstruction. |
| Databáze: | OpenAIRE |
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