Abstract

: This prospective study looked into the usefulness of the hyperosmolar water-soluble contrast agent Urografin® in determining which patients should receive conservative treatment for small-intestinal obstruction brought on by post-operative adhesions.
Methods: The nasogastric tube was used to administer Urografin® to 37 individuals who had adherent intestinal blockage. After 2, 4 and 8 hours, direct abdominal radiographs were taken.
Results: 24 individuals (64.9%) were deemed to have partial obstruction because Urografin® was found in the right colon within 8 hours in those patients. These patients started eating by mouth even though abdomen radiographs showed levels of gas and fluid.
Conclusion: Regardless of the lack of blockage symptoms, conservative treatment might be advised for patients in whom contrast medium is found in the right colon within 8 hours of delivery. However, the absence of contrast material in the right colon within 8 hours cannot be regarded as a surgical indication.