关键词: 小肠梗阻, 粘连性, 治疗, 水溶性造影剂, 泛影葡胺

Abstract: 【Abstract】〓Objective〓To assess the therapeutic value of perfusion of water-soluble contrast medium (Gastrografin ) in the management of adhesive small bowel obstruction. Methods〓Patients with clinical evidence of adhesive small bowel obstruction were performed conservative treatment unless there was suspicion of perforation,.strangulation and peritonitis which needed emergency operation. Fifty-seven cases were divided into the treatment group and the control group. The controls received normal conventional treatment, mainly including fasting, gastrointestinal decompression, enema, intravenous fluid infusion. And those in treatment group were treated with 60-100 ml Gastrografin perfusion either orally or via nasogastric tube, in addition to normal conventional treatment. The effect of non-surgical treatment, relief time of obstruction, length of hospitalization, and complications of two groups were compared between. Results〓For the patients in the treatment group, the effect of non-surgical treatment was significantly better than that in the control group (83.3% VS 55.6%). The results of treatment group in time of bowel tunes recovery (9.56±3.47 h), anal exhaust time (11.24±3.15 h) and the length of hospitalization (5.0±1.83 d) were superior to that of control group (9.56±3.47 h, 22.6±4.14, 8.20±2.15 d, respectively). The daily amount of gastrointestinal decompression in treatment group was 179.20±68.79 ml and control group 323.33±91.31 ml. There was no severe complications in both groups. Conclusion〓In our study, Gastrografin showed effective, safe outcomes for the management of adhesive small bowel obstruction.

Key words: Small bowel obstruction, Adhesive, treatment, Water-soluble contrast medium, Gastrografin