Optimal Timing of First Abdominal Radiography after Gastrografin Administration for Small Bowel Obstruction

2020 ◽  
Vol 256 ◽  
pp. 193-197
Author(s):  
Omar Alnachoukati ◽  
Mohamed Ray-Zack ◽  
Sam Godin ◽  
Taylor Apodaca ◽  
Martin Zielinski ◽  
...  
Keyword(s):  
Small Bowel ◽  
Small Bowel Obstruction ◽  
Bowel Obstruction ◽  
Optimal Timing ◽  
Abdominal Radiography

scholarly journals Small Bowel Obstruction Induced by Concurrent Postoperative Intra-Abdominal Adhesions and Small Bowel Fecal Materials in a Young Dog

2021 ◽  
Vol 8 (5) ◽  
pp. 83
Author(s):  
Jae-Eun Hyun ◽  
Hyun-Jung Han
Keyword(s):  
Small Bowel ◽  
Small Bowel Obstruction ◽  
Bowel Obstruction ◽  
Surgical Intervention ◽  
Gastrointestinal Symptoms ◽  
Exploratory Laparotomy ◽  
Abdominal Adhesions ◽  
Abdominal Radiography ◽  
Foreign Body Removal ◽  
Small Intestinal

A 7-month-old neutered male poodle dog presented with general deterioration and gastrointestinal symptoms after two separate operations: a jejunotomy for small-intestinal foreign body removal and an exploratory laparotomy for diagnosis and treatment of the gastrointestinal symptoms that occurred 1 month after the first surgery. The dog was diagnosed as having small-bowel obstruction (SBO) due to intra-abdominal adhesions and small-bowel fecal material (SBFM) by using abdominal radiography, ultrasonography, computed tomography, and laparotomy. We removed the obstructive adhesive lesion and SBFM through enterotomies and applied an autologous peritoneal graft to the released jejunum to prevent re-adhesion. After the surgical intervention, the dog recovered quickly and was healthy at 1 year after the surgery without gastrointestinal signs. To our knowledge, this study is the first report of a successful treatment of SBO induced by postoperative intra-abdominal adhesions and SBFM after laparotomies in a dog.

Accuracy of Abdominal Radiography in Acute Small-Bowel Obstruction: Does Reviewer Experience Matter?

2007 ◽  
Vol 188 (3) ◽  
pp. W233-W238 ◽  
Author(s):  
William M. Thompson ◽  
Ramsey K. Kilani ◽  
Benjamin B. Smith ◽  
John Thomas ◽  
Tracy A. Jaffe ◽  
...  
Keyword(s):  
Small Bowel ◽  
Small Bowel Obstruction ◽  
Bowel Obstruction ◽  
Abdominal Radiography ◽  
Acute Small Bowel Obstruction

EP.FRI.274 Nasogastric decompression in small bowel obstruction

2021 ◽  
Vol 108 (Supplement_7) ◽  
Author(s):  
Adewale Ayeni ◽  
Ramprasad Rajebhosale ◽  
Prabhu Ravi ◽  
Pradeep Thomas
Keyword(s):  
Small Bowel ◽  
Hospital Stay ◽  
Small Bowel Obstruction ◽  
Bowel Obstruction ◽  
Optimal Timing ◽  
Palliative Intent ◽  
Duration Of Hospital Stay ◽  
History Of ◽  
Randomized Control ◽  
Nasogastric Decompression

Abstract Aim The aim of this study is to review the surgeon’s compliance and efficacy of nasogastric decompression in management of small bowel obstruction. Method This is a retrospective 6 months study from 1st January 2020 to 30th June 2020. Results 73 patients were managed for SBO during this period. Adhesions (43.8%) was identified as the most common cause of small bowel obstruction followed by hernias (27.4%).  51 (70%) patients had nasogastric decompression planned on admission, although there was history of vomiting in 85% of patients at admission. Forty two patients (58%) had nasogastric decompression. Majority (71%) of these patients had NG inserted within 24 hours, only 2 of these patients had it inserted on admission. Of the 44 patients managed conservatively for their SBO, 19 had NG decompression. Two patients died during admission (both managed with palliative intent).  Conclusion The routine use of nasogastric decompression in SBO is still common despite the lack of randomized control trial. Its use is associated with an increase in duration of hospital stay. Although the optimal timing of placement of NG tube is not known, our study shows that placement within 6 hours of admission may shorten the duration of hospital stay. 

Abdominal Radiography Findings in Small-Bowel Obstruction

2001 ◽  
Vol 176 (1) ◽  
pp. 167-174 ◽  
Author(s):  
John C. Lappas ◽  
Benedicto L. Reyes ◽  
Dean D. T. Maglinte
Keyword(s):  
Small Bowel ◽  
Small Bowel Obstruction ◽  
Bowel Obstruction ◽  
Abdominal Radiography

Conventional Radiography and Ultrasonography in the Diagnosis of Small Bowel Obstruction and Strangulation

1996 ◽  
Vol 37 (1P1) ◽  
pp. 186-189
Author(s):  
J. Czechowski
Keyword(s):  
Small Bowel ◽  
Small Bowel Obstruction ◽  
Acute Abdomen ◽  
Bowel Obstruction ◽  
Conventional Radiography ◽  
Mechanical Obstruction ◽  
Routine Examination ◽  
Abdominal Radiography ◽  
Linear Transducer ◽  
One Year

Ninety-six patients, 45 men and 51 women (mean age 39 years, range 13–90 years), with clinically acute abdomen were examined by conventional abdominal radiography and ultrasonography during a period of one year. Ultrasonography was performed with a linear transducer, which permitted study of morphology and motility of small bowel loops: distention, paralysis, intramural thickening, and extraluminal fluid. Nineteen cases of mechanical obstruction (9 simple and 10 of strangulation type) were observed. In the strangulation group ultrasonographic findings were positive in 91% whereas conventional radiography solely was positive in 30%. In the simple obstruction, 89% and 78%, respectively, were correctly diagnosed by the 2 techniques. Ultrasonography is recommended as a routine examination beside conventional abdominal films in acute abdomen.

scholarly journals An Unusual Cause of Small Bowel Obstruction in a Child: Ingested Rhubarb

2013 ◽  
Vol 2013 ◽  
pp. 1-2 ◽  
Author(s):  
Miguel Glatstein ◽  
Dana Danino ◽  
Ayelet Rimon ◽  
Sergei Keidar ◽  
Dennis Scolnik
Keyword(s):  
Computed Tomography ◽  
Small Bowel ◽  
Small Bowel Obstruction ◽  
Bowel Obstruction ◽  
Exploratory Laparotomy ◽  
Acute Intestinal Obstruction ◽  
Foreign Material ◽  
Abdominal Radiography ◽  
Plain Abdominal Radiography ◽  
Fluid Levels

Small bowel obstruction is rarely caused by bezoars concretions formed from undigested foreign material in the gastrointestinal tract. An important cause of bezoars is phytobezoars, formed from vegetables or fruits. A four-year-old boy presented to our emergency department with symptoms of acute intestinal obstruction. Upright plain abdominal radiography revealed multiple air fluid levels. Ultrasound showed no abnormalities, and because of worsening symptoms computed tomography of abdomen was performed. It showed intraluminal obstruction of the terminal ileum. Exploratory laparotomy revealed a phytobezoar consisting of undigested rhubarb. The mass was milked through the large bowel and out the anus. Although rare in humans, bezoars are a well-documented cause of small bowel obstruction and should be considered when intraluminal bowel obstruction occurs. Bezoars causing small bowel obstruction may require surgical treatment.

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