Role of water soluble contrast in adhesive small bowel obstruction, a prospective randomised control trail


  • Bhuban Mohan Das Department of General Surgery, SCBMCH Cuttack, Odisha, India
  • Sushil Kumar Pattanaik Department of General Surgery, SCBMCH Cuttack, Odisha, India
  • Prafulla Dash Department of Radiology, SCBMCH Cuttack, Odisha, India
  • Abhinash Sahoo Department of General Surgery, SCBMCH Cuttack, Odisha, India
  • B.Nembian Raja Rajan Department of General Surgery, SCBMCH Cuttack, Odisha, India



Urografin, SAIO, WSCA


Background: The aim of this study was to assess the diagnostic and therapeutic role of urografin (water soluble contrast agent) in patients with adhesive small bowel obstruction.

Methods: This was a prospective study conducted in the department of surgery in association with the department of Radiology, in S.C.B.M.H, Cuttack. Odisha India. Total patients with clinical and radiological evidence of adhesive SBO were selected for this study. The primary outcome in the diagnosis role of WSCA was its ability to predict the need for the therapeutic role, the following were evaluated, resolution of SBO without surgery, time from admission to resolution, duration of hospital stays, complications and mortality.

Results: 129 prospective patients were included. The appearance of contrast in the colon within 4-24 Hrs, after administration had a sensitivity of 96 percent and specificity of 98 percent in predicting resolution of SBO.

Conclusions: Water soluble contrast agent (urografin) was effective in predicting the need for surgery in patients with adhesive SBO. In addition, it reduced the need for operation and shortened hospital stay.


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How to Cite

Das, B. M., Pattanaik, S. K., Dash, P., Sahoo, A., & Rajan, B. R. (2017). Role of water soluble contrast in adhesive small bowel obstruction, a prospective randomised control trail. International Journal of Research in Medical Sciences, 5(11), 4797–4802.



Original Research Articles