Water-soluble contrast agent in adhesive small bowel obstruction: a systematic review and meta-analysis of diagnostic and therapeutic value

American Journal of Surgery
Marco CeresoliLuca Ansaloni

Abstract

Adhesive small bowel obstructions are the most common postoperative causes of hospitalization. Several studies investigated the diagnostic and therapeutic role of water-soluble contrast agent (WSCA) in predicting the need for surgery, but there is no consensus. A systematic review and meta-analysis was done of studies on diagnostic and therapeutic role of oral WSCA. WSCA had a sensitivity of 92% and a specificity of 93% in predicting resolution of obstruction without surgery; diagnostic accuracy increased significantly if abdominal X-rays were taken after 8 hours. The administration of oral WSCA reduced the need for surgery (odds ratio .55, P = .003), length of stay (weighted mean difference -2.18 days, P < .00001), and time to resolution (weighted mean difference -28.25 hours, P < .00001). No differences in terms of morbidity or mortality were recorded. The administration of WSCA is accurate in predicting the need for surgery; the test should be taken after at least 8 hours from administration. WSCA is a proven safe and effective treatment, correlated with a significant reduction in the need for surgery and in the length of hospital stay.

References

Sep 1, 1986·Controlled Clinical Trials·R DerSimonian, N Laird
Nov 1, 1993·The Australian and New Zealand Journal of Surgery·M R CoxA W Heinz
Feb 1, 1996·Controlled Clinical Trials·A R JadadH J McQuay
Oct 8, 1999·World Journal of Surgery·S C ChenF Y Lin
Oct 19, 2000·American Journal of Surgery·G MillerP H Gordon
May 3, 2003·Clinical Radiology·M J Brochwicz-LewinskiJ T Murchison
Aug 4, 2005·ANZ Journal of Surgery·Jonathan BurgeAndrew G Hill
Dec 2, 2005·Journal of Investigative Surgery : the Official Journal of the Academy of Surgical Research·Gokhan YagciTurgut Tufan
Feb 7, 2006·The Journal of Surgical Research·Sorabh KapoorSubodh Varshney
Jun 15, 2006·World Journal of Surgery·Saleh Moh'd Al Al SalamahShaukat Mahmood Mirza
Jun 16, 2009·The Journal of Surgical Research·Mohammed FaridWaleed Omar
Jan 14, 2011·The Journal of International Medical Research·K AtahanE Tarcan
Feb 2, 2013·World Journal of Emergency Surgery : WJES·Federico CoccoliniFausto Catena

❮ Previous
Next ❯

Citations

Mar 22, 2018·Khirurgiia·A V SazhinL S Kurashinova
Mar 8, 2018·The Cochrane Database of Systematic Reviews·William SyrmisPhillip Good
Sep 6, 2019·Journal of Gastrointestinal Surgery : Official Journal of the Society for Surgery of the Alimentary Tract·Amanda KohBalamurali Bharathan
Jun 7, 2019·World Journal of Emergency Surgery : WJES·Fausto CatenaLuca Ansaloni
Apr 20, 2017·The Journal of Trauma and Acute Care Surgery·Martin D ZielinskiUNKNOWN EAST SBO Workgroup: Martin D. Zielinski, MD; Nadeem N. Haddad, MD; Asad J. Choudhry, MBBS; Daniel C. Cullinane, MD; Kenji In
Aug 20, 2020·Applied Clinical Informatics·Heather LyuAdam Landman
Apr 11, 2018·Abdominal Radiology·Robert D'AgostinoJudy K Tam
Jun 12, 2019·BJS Open·M J LeeUNKNOWN NASBO steering group and NASBO collaborators
Feb 12, 2020·Journal of Gastrointestinal Surgery : Official Journal of the Society for Surgery of the Alimentary Tract·Adrian DiazHeena P Santry
Apr 26, 2017·Current Gastroenterology Reports·Srinivas R Rami Reddy, Mitchell S Cappell
May 15, 2018·ANZ Journal of Surgery·Jakob Köstenbauer, Philip G Truskett
Jun 28, 2018·The American Journal of Gastroenterology·Barend Arend Willem van den BeukelRichard Peter Gerardus Ten Broek
Jun 18, 2019·The Journal of Trauma and Acute Care Surgery·Heather G LyuJoaquim M Havens
Dec 22, 2020·The Annals of Pharmacotherapy·Xiaoyan HuangHui Wang
Jan 30, 2021·Scandinavian Journal of Surgery : SJS : Official Organ for the Finnish Surgical Society and the Scandinavian Surgical Society·M PoddaS Di Saverio
Sep 23, 2020·International Journal of Surgery Case Reports·Giuseppe Di BuonoAntonino Agrusa
Nov 12, 2020·Acute Medicine & Surgery·Jia Wei Valerie TongVishalkumar Girishchandra Shelat
Nov 1, 2020·The Journal of Surgical Research·Luke DombertRobert Behm
Jul 28, 2020·The Journal of Surgical Research·Omar AlnachoukatiJulie Dunn
Jan 21, 2021·Colorectal Disease : the Official Journal of the Association of Coloproctology of Great Britain and Ireland·Andrew S MillerDanette Wright
Apr 4, 2021·Diagnostics·Nicola RosanoInes Marano
Jul 23, 2019·Advances in Surgery·Don J Selzer, Dimitrios Stefanidis
Jun 24, 2021·AJR. American Journal of Roentgenology·Edward M Lawrence, Perry J Pickhardt
Jun 17, 2021·Current Problems in Surgery·David J DetzKevin Y Pei
Jul 5, 2021·World Journal of Emergency Surgery : WJES·Yousef AmaraRichard P Ten Broek
Jul 9, 2021·Journal of Surgical Case Reports·Kostas TepelenisKonstantinos Vlachos
Sep 4, 2021·Journal of Gastroenterology and Hepatology·Hirotada NishieHiromi Kataoka

❮ Previous
Next ❯

Related Concepts

Trending Feeds

COVID-19

Coronaviruses encompass a large family of viruses that cause the common cold as well as more serious diseases, such as the ongoing outbreak of coronavirus disease 2019 (COVID-19; formally known as 2019-nCoV). Coronaviruses can spread from animals to humans; symptoms include fever, cough, shortness of breath, and breathing difficulties; in more severe cases, infection can lead to death. This feed covers recent research on COVID-19.

Blastomycosis

Blastomycosis fungal infections spread through inhaling Blastomyces dermatitidis spores. Discover the latest research on blastomycosis fungal infections here.

Nuclear Pore Complex in ALS/FTD

Alterations in nucleocytoplasmic transport, controlled by the nuclear pore complex, may be involved in the pathomechanism underlying multiple neurodegenerative diseases including Amyotrophic Lateral Sclerosis and Frontotemporal Dementia. Here is the latest research on the nuclear pore complex in ALS and FTD.

Applications of Molecular Barcoding

The concept of molecular barcoding is that each original DNA or RNA molecule is attached to a unique sequence barcode. Sequence reads having different barcodes represent different original molecules, while sequence reads having the same barcode are results of PCR duplication from one original molecule. Discover the latest research on molecular barcoding here.

Chronic Fatigue Syndrome

Chronic fatigue syndrome is a disease characterized by unexplained disabling fatigue; the pathology of which is incompletely understood. Discover the latest research on chronic fatigue syndrome here.

Evolution of Pluripotency

Pluripotency refers to the ability of a cell to develop into three primary germ cell layers of the embryo. This feed focuses on the mechanisms that underlie the evolution of pluripotency. Here is the latest research.

Position Effect Variegation

Position Effect Variagation occurs when a gene is inactivated due to its positioning near heterochromatic regions within a chromosome. Discover the latest research on Position Effect Variagation here.

STING Receptor Agonists

Stimulator of IFN genes (STING) are a group of transmembrane proteins that are involved in the induction of type I interferon that is important in the innate immune response. The stimulation of STING has been an active area of research in the treatment of cancer and infectious diseases. Here is the latest research on STING receptor agonists.

Microbicide

Microbicides are products that can be applied to vaginal or rectal mucosal surfaces with the goal of preventing, or at least significantly reducing, the transmission of sexually transmitted infections. Here is the latest research on microbicides.