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27 March 2021: Clinical Research

Use of the Water-Soluble Contrast Medium Gastrografin in Treatment of Adhesive Small Bowel Obstruction in Patients with and Without Chronic Radiation Enteropathy: A Single-Center Retrospective Study

Lili Gu 1BCEF , Feng Zhu 1BDE , Tingbin Xie 1BCD , Dengyu Feng 1BEF , Jianfeng Gong 1BDEG* , Ning Li 2ABEFG*

DOI: 10.12659/MSM.930046

Med Sci Monit 2021; 27:e930046

Table 6 Multivariable model for features associated with successful non-operative management in patients with and without Gastrografin challenge.

FeatureGG challenge (n=30)No GG challenge (n=30)
OR95% CIpOR95% CIp
Age0.930.87–1.210.320.820.53–1.290.429
Male sex2.310.78–5.890.1290.950.88–1.020.265
Radiologic signs
 Bowel diameter >25 mm and/or feces sign1.270.853–1.9050.261.010.99–1.020.402
 Beak sign and/or whirl sign and/or agglutinated bowel2.420.369–3.9350.511.560.69–3.560.269
 Mesenteric edema0.480.31–1.240.671.010.61–1.640.615
Total dose of radiotherapy0.890.61–1.140.07
Successful GG challenge test3.582.83–5.541.150.52–2.510.803
Duration of nasogastric tube decompression (>3 days)1.710.04–3.980.290.620.11–4.240.523
Number of previous operations (>2)0.310.12–0.430.671.230.82–1.840.212
Region of previous operation (upper abdomen)1.340.41–2.430.281.050.68–1.620.483
Type of previous intra-abdominal operation2.080.47–3.800.211.500.76–2.970.229
Previous episode of SBO2.30.74–3.600.231.270.64–2.480.438
Previous operation for SBO0.270.14–0.340.010.960.51–1.870.756

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Medical Science Monitor eISSN: 1643-3750
Medical Science Monitor eISSN: 1643-3750