Iopamidol in the diagnosis of suspected upper gastro-intestinal perforation.

Abstract:

:Forty patients, mainly post-operative, were examined for suspected leakage from the oesophagus and/or stomach using iopamidol. Oesophageal leaks were demonstrated in seven patients, tracheo-oesophageal fistulae in two and an unsuspected gastro-jejunostomy intusussception in one. Only two cases were regarded as technically unsatisfactory due to poor coating. Normal examinations were found in 28 (70%) patients. This was confirmed by the subsequent clinical course. Aspiration into the bronchial tree occurred in five (12.5%) patients without ill-effects. Furthermore no adverse side effects as a result of the administration of iopamidol were recorded. It is concluded that a non-ionic medium such as iopamidol is the agent of choice in the detection of oesophageal and gastric perforation, particularly in post-operative patients where there is an increased risk of aspiration.

journal_name

Clin Radiol

journal_title

Clinical radiology

authors

Bell KE,McKinstry CS,Mills JO

doi

10.1016/s0009-9260(87)80022-3

subject

Has Abstract

pub_date

1987-03-01 00:00:00

pages

165-8

issue

2

eissn

0009-9260

issn

1365-229X

journal_volume

38

pub_type

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