Small bowel obstruction and the gastrografin challenge
| Autor: | Judy K Tam, Naiim Ali, Anjuli R Cherukuri, Sergey Leshchinskiy, Robert D'Agostino |
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| Rok vydání: | 2018 |
| Předmět: |
Radiography
Abdominal medicine.medical_specialty Radiological and Ultrasound Technology business.industry Urology Gastroenterology Contrast Media 030208 emergency & critical care medicine medicine.disease Diagnosis Differential Bowel obstruction 03 medical and health sciences 0302 clinical medicine 030220 oncology & carcinogenesis Intestine Small Adynamic ileus medicine Humans Radiology Nuclear Medicine and imaging Surgical history Radiology business Algorithms Intestinal Obstruction Diatrizoate Meglumine |
| Zdroj: | Abdominal Radiology. 43:2945-2954 |
| ISSN: | 2366-0058 2366-004X |
| DOI: | 10.1007/s00261-018-1591-3 |
| Popis: | The "gastrografin challenge" has been used for decades in the evaluation of small bowel obstruction (SBO). This type of study involves enteric administration of a water-soluble contrast followed by serial abdominal radiographs. While its diagnostic role is well established, its therapeutic role remains controversial. Following an algorithm for gastrografin challenge cases can help with interpretation. An understanding of the appearance of diluted contrast in the small bowel, the concentrating effect of contrast in the colon, and knowledge of surgical history and anatomy is paramount for diagnosis. In this article, we review the approach to acute SBO and the use of gastrografin along with reviewing image interpretation of cases of partial and complete SBO. Gastrografin use in adynamic ileus along with other potential future uses is also discussed. |
| Databáze: | OpenAIRE |
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