{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2024,1,17]],"date-time":"2024-01-17T16:09:15Z","timestamp":1705507755926},"reference-count":27,"publisher":"Wiley","issue":"7","license":[{"start":{"date-parts":[[2006,6,12]],"date-time":"2006-06-12T00:00:00Z","timestamp":1150070400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["World j. surg."],"published-print":{"date-parts":[[2006,7]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Introduction<\/jats:title><jats:p>The object of the present study was to determine the effectiveness of a water\u2010soluble contrast follow\u2010through study for differentiating complete from incomplete small bowel obstruction (SBO) and for predicting the need for surgery.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>This prospective study was conducted at Riyadh Medical Complex, Saudi Arabia and spanned 2 years. All adult patients admitted with SBO were included, except those with obstructed hernias, peritonitis, or postabdominal irradiation. The initial resuscitation meglumine amidotrizoate (Gastrografin) follow\u2010though was performed and was considered positive for complete obstruction if the contrast failed to reach the colon as shown on the 24\u2010hour film. Patients were operated on only if they developed signs of strangulation or failed to improve within 48 hours.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Our study group consisted of 73 patients, 48 (65.7%) of whom were male. The mean age was 35.70 \u00b1 12.65 years. In 60 (82.2%) patients, contrast reached the ascending colon within 24 hours, giving a definitive diagnosis of incomplete obstruction; among these 60 cases, 49 (81.7%) resolved on conservative management. The other 13 (17.8%) patients were diagnosed as having a complete obstruction; 4 (30.8%) of them were treated conservatively, and 9 (69.2%) underwent surgery. Therefore the sensitivity, specificity, positive predictive value, and negative predictive value for meglumine amidotrizoate follow\u2010through as an indicator for operative treatment of SBO were 45.0, 92.5, 81.7, and 69.2, respectively. The <jats:italic>P<\/jats:italic> value using Fisher\u2019s exact test was 0.0006.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>We can confidently diagnose complete and incomplete SBO and differentiate one from the other. This accurate diagnosis indicates a high chance of success with conservative management for incomplete obstruction but does not always correlate with the need for surgical intervention.<\/jats:p><\/jats:sec>","DOI":"10.1007\/s00268-005-0409-y","type":"journal-article","created":{"date-parts":[[2006,6,13]],"date-time":"2006-06-13T13:32:39Z","timestamp":1150205559000},"page":"1290-1294","source":"Crossref","is-referenced-by-count":5,"title":["Value of Water\u2010soluble Contrast (Meglumine Amidotrizoate) in the Diagnosis and Management of Small Bowel Obstruction"],"prefix":"10.1002","volume":"30","author":[{"given":"Saleh Moh\u2019d Al","family":"Salamah","sequence":"first","affiliation":[{"name":"Department of Surgery College of Medicine, King Saud University, University Unit, Riyadh Medical Complex 11342 Riyadh Kingdom of Saudi Arabia"},{"name":"PO Box 261283 11342 Riyadh Kingdom of Saudi Arabia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Fraz","family":"Fahim","sequence":"additional","affiliation":[{"name":"Department of Surgery College of Medicine, King Saud University, University Unit, Riyadh Medical Complex 11342 Riyadh Kingdom of Saudi Arabia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Shaukat Mahmood","family":"Mirza","sequence":"additional","affiliation":[{"name":"Department of Surgery College of Medicine, King Saud University, University Unit, Riyadh Medical Complex 11342 Riyadh Kingdom of Saudi Arabia"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2006,6,12]]},"reference":[{"key":"e_1_2_6_2_2","doi-asserted-by":"publisher","DOI":"10.1002\/bjs.1800741105"},{"key":"e_1_2_6_3_2","doi-asserted-by":"publisher","DOI":"10.1016\/S0039-6109(16)44482-8"},{"key":"e_1_2_6_4_2","doi-asserted-by":"publisher","DOI":"10.1097\/00000658-197005000-00018"},{"key":"e_1_2_6_5_2","doi-asserted-by":"publisher","DOI":"10.1016\/S0002-9610(05)80414-3"},{"key":"e_1_2_6_6_2","doi-asserted-by":"publisher","DOI":"10.1016\/0002\u20109610(89)90611\u20109"},{"key":"e_1_2_6_7_2","doi-asserted-by":"publisher","DOI":"10.1097\/00000658\u2010200004000\u201000012"},{"key":"e_1_2_6_8_2","doi-asserted-by":"publisher","DOI":"10.1148\/radiology.204.2.9240545"},{"key":"e_1_2_6_9_2","doi-asserted-by":"publisher","DOI":"10.1053\/gast.1996.v110.pm8964423"},{"key":"e_1_2_6_10_2","doi-asserted-by":"publisher","DOI":"10.2214\/ajr.168.5.9129407"},{"key":"e_1_2_6_11_2","doi-asserted-by":"publisher","DOI":"10.1111\/j.1445-2197.1996.tb00827.x"},{"key":"e_1_2_6_12_2","first-page":"433","article-title":"Therapeutic effect of oral Gastrografin\u00ae in adhesive, partial small bowel obstruction: a prospective randomized trial","volume":"115","author":"Assalia A","year":"1994","journal-title":"Surgery"},{"key":"e_1_2_6_13_2","doi-asserted-by":"publisher","DOI":"10.1007\/s002689900622"},{"key":"e_1_2_6_14_2","doi-asserted-by":"publisher","DOI":"10.1177\/000313480006600303"},{"key":"e_1_2_6_15_2","doi-asserted-by":"publisher","DOI":"10.1046\/j.1365\u20102168.1998.00919.x"},{"key":"e_1_2_6_16_2","first-page":"320","article-title":"A review of the management of small bowel obstruction","volume":"81","author":"Wilson MS","year":"1999","journal-title":"Ann R Coll Surg Engl"},{"key":"e_1_2_6_17_2","doi-asserted-by":"publisher","DOI":"10.1097\/00000658\u2010200207000\u201000002"},{"key":"e_1_2_6_18_2","doi-asserted-by":"publisher","DOI":"10.1080\/110241502321116488"},{"key":"e_1_2_6_19_2","doi-asserted-by":"publisher","DOI":"10.1097\/00000658-198708000-00002"},{"key":"e_1_2_6_20_2","doi-asserted-by":"publisher","DOI":"10.1016\/0002\u20109610(83)90186\u20101"},{"key":"e_1_2_6_21_2","first-page":"1576","article-title":"The value of contrast radiology for postoperative adhesive small bowel obstruction","volume":"49","author":"Onoue S","year":"2002","journal-title":"Hepatogastroenterology"},{"key":"e_1_2_6_22_2","doi-asserted-by":"publisher","DOI":"10.1002\/bjs.4150"},{"key":"e_1_2_6_23_2","doi-asserted-by":"crossref","unstructured":"RoadleyG IssacC YoungM et al. 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