How and when to use barium for diagnosis of small bowel obstruction.

Abstract:

:The diagnosis of intestinal obstruction is readily made when a patient presents with typical history and signs, and when plain films of the abdomen display characteristic findings. Some patients, however, constitute diagnostic problems because abdominal roentgenograms are still equivocal, even after repetition in four hours. In the unclear case, use of a barium meal will safely, promptly, and routinely prove or disprove small bowel obstruction. Intestinal obstruction in which the initial abdominal films tend to be either unrevealing or equivocal include high obstructions, including the superior mesenteric artery syndrome; presence of strangulation; partial small bowel obstruction; and fluid-filled proximal bowel. In intestinal obstruction, characteristic roentgenographic findings with use of barium meal are normal to rather rapid transit time to the point of obstruction; homogenous dilution of barium in dilated proximal loops; and inhomogenous, scattered, and fragmented collections of barium in the distal, collapsed loops.

journal_name

South Med J

journal_title

Southern medical journal

authors

Han SY,Laws HL,Aldrete JS

doi

10.1097/00007611-197912000-00008

subject

Has Abstract

pub_date

1979-12-01 00:00:00

pages

1519-23

issue

12

eissn

0038-4348

issn

1541-8243

journal_volume

72

pub_type

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