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138485

PROGNOSTIC FACTORS OF FAILED NON-OPERATIVE MANAGEMENT FOR ADHESIVE SMALL BOWEL OBSTRUCTION: VALUE OF ORALLY ADMINISTERED GASTROGRAFIN

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Last updated: 04 Jan 2025

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Abstract

Objectives : to evaluate the effica­cy of gastrografin in resolution of the episode of obstruction in patients ad­mitted with adhesive small bowel ob­struction, and to determine the inde­pendent predictors of failed non-operative management. Patients and Methods : This study was conducted on all admitted pa­tients with adhesive small bowel ob­struction at the Departments of Sur­gery, Mansoura Emergency Hospital and Mansoura University Hospital, Mansoura, Egypt, from May 2005 to July 2008. Patients were blindly ran­domized into two groups: Group 1 (control group), and Group 2 (gas- trografin group) 50 patients each. 100 ml of gasrografin was administered to group 2 patients. The progress of the contrast to the colon was assessed by serial abdominal radiographs. When the contrast reached the colon, oral fluids started. If the contrast failed to reach the colon after 24h, laparotomy was performed. Results : In Group 2, there were increased rate of resolution of the ob­struction, decreased rate of failure of conservative management, and over­all shorter hospital stay when com­pared to Group 1 (86% versus 68% & 14% versus 32% & 2.28 versus 4.06 days respectively). 

DOI

10.21608/mjmu.2009.138485

Authors

First Name

Mahmoud

Last Name

Amin

MiddleName

-

Affiliation

Department Of Surgery Faculty Of Medicine, Mansoura University, Mansoura, Egypt

Email

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City

-

Orcid

-

First Name

shraf

Last Name

Shoma

MiddleName

-

Affiliation

Department Of Surgery Faculty Of Medicine, Mansoura University, Mansoura, Egypt

Email

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City

-

Orcid

-

First Name

Ashraf

Last Name

Abbas

MiddleName

-

Affiliation

Department Of Surgery Faculty Of Medicine, Mansoura University, Mansoura, Egypt

Email

-

City

-

Orcid

-

First Name

Waleed

Last Name

Askar

MiddleName

-

Affiliation

Department Of Surgery Faculty Of Medicine, Mansoura University, Mansoura, Egypt

Email

-

City

-

Orcid

-

First Name

Ahmed

Last Name

Negm

MiddleName

-

Affiliation

Department Of Surgery Faculty Of Medicine, Mansoura University, Mansoura, Egypt

Email

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City

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Orcid

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First Name

Gamal

Last Name

Almorsi

MiddleName

-

Affiliation

Department Of Surgery Faculty Of Medicine, Mansoura University, Mansoura, Egypt

Email

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City

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Orcid

-

First Name

Ahmed

Last Name

Abo Elyazed

MiddleName

-

Affiliation

Department Of Community Department, Faculty Of Medicine, Mansoura University, Mansoura, Egypt .

Email

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City

-

Orcid

-

First Name

Talal

Last Name

Amer

MiddleName

-

Affiliation

Department Of Radiology Department, Faculty Of Medicine, Mansoura University, Mansoura, Egypt .

Email

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City

-

Orcid

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Volume

38

Article Issue

1

Related Issue

19431

Issue Date

2009-04-01

Receive Date

2021-01-11

Publish Date

2009-04-01

Page Start

97

Page End

116

Print ISSN

1110-211X

Online ISSN

2735-3990

Article File

MJMU_Volume 38_Issue 1_Pages 97-116.pdf

PDF . 4.4MB

Link

https://mjmu.journals.ekb.eg/article_138485.html

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https://mjmu.journals.ekb.eg/service?article_code=138485

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7

Type

Research (original) articles

Type Code

1,453

Publication Type

Journal

Publication Title

Mansoura Medical Journal

Publication Link

https://mjmu.journals.ekb.eg/

MainTitle

PROGNOSTIC FACTORS OF FAILED NON-OPERATIVE MANAGEMENT FOR ADHESIVE SMALL BOWEL OBSTRUCTION: VALUE OF ORALLY ADMINISTERED GASTROGRAFIN

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Article

Created At

23 Jan 2023