Small Bowel Obstruction Clinical Trial
Official title:
Clinical Impacts of Oral Gastrografin Follow Through in Adhesive Small Bowel Obstruction (SBO).
Mini abstract :
Altogether 100 patients with 117 episodes of ASBO were randomized into control and
gastrografin groups. Eight episodes in eight patients were excluded. Gastrografin group
showed a significant decrease of both the time between admission and operation and that of
hospital stay .The need for surgery was reduced but statistically insignificant.
Abstract
Background:
Many published studies have shown that Gastrografin can be used for diagnosis post operative
acute small bowel obstruction (ASBO) and assessing the need for surgical intervention
.However,the studies have reported conflicting results hence the aim of our study to test
this hypothesis.
Patients and methods :
Altogether 100 patients with 117 episodes of ASBO were randomized into control and
gastrografin groups in a double blinded fashion. Eight episodes in eight patients were
excluded due to protocol violation. In Gastrografin group,100 ml of the dye administered
through a nasogastric tube and complete obstruction has been considered if the contrast
failed to reach the colon on the 24-hour film. Patients were operated on only if they
developed signs of strangulation or failed to improve within 48 hours.
;
Allocation: Randomized, Endpoint Classification: Safety/Efficacy Study, Intervention Model: Parallel Assignment, Masking: Double Blind (Subject, Investigator), Primary Purpose: Treatment
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