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Small bowel obstruction and the gastrografin challenge

机译:小肠梗阻和胃肠蛋白挑战

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摘要

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.
机译:“Gastrografin挑战”已被使用数十年来评估小肠梗阻(SBO)。 这种类型的研究涉及肠道施用水溶性对比,然后是串行腹部射线照相。 虽然其诊断作用成熟,其治疗作用仍然存在争议。 追逐胃肠蛋白挑战案例,可以帮助解释。 对小肠中稀释对比的外观,结肠中对比的浓缩效果以及外科历史和解剖学的看法是至关重要的。 在本文中,我们审查了急性SBO的方法以及胃肠共霉蛋白的使用以及审查部分和完整SBO病例的图像解释。 还讨论了Adynamic Ileus在Adynamic Ileus中使用的Gastrografin以及其他潜在的未来用途。

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