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

27 March 2021 : Clinical Research

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

Background Material and Methods Results Discussion Conclusions References

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Table 5 Multivariable model for features associated with successful non-operative management in CRE-induced SBO and adhesive SBO.

Feature	CRE induced SBO			Adhesive SBO
Feature	OR	95% CI	p	OR	95% CI	p
Age	0.958	0.905–1.015	0.148	1.014	0.962–1.069	0.602
Male sex	2.065	0.618–6.897	0.239	0.534	0.171–1.672	0.534
Radiologic signs
Bowel diameter >25 mm and/or feces sign	1.379	0.823–1.935	0.219	2.412	0.479–4.345	0.391
Beak sign and/or whirl sign and/or agglutinated bowel	2.102	0.469–3.735	0.401	3.315	0.864–12.724	0.081
Mesenteric edema	0.699	0.376–1.022	0.778	1.987	0.764–3.210	0.109
Total dose of radiotherapy	0.911	0.678–1.144	0.041
Successful GG challenge test	4.812	3.343–6.281	<0.001	3.191	1.447–4.935
Duration of nasogastric tube decompression (>3 days)	2.161	0.059–4.263	0.298	0.781	−0.075–1.637	0.690
Number of previous operations (>2)	0.233	0.131–0.335	0.877	0.560	0.081–1.039	0.431
Region of previous operation (upper abdomen)	1.634	0.628–2.640	0.318	4.918	0.911–8.917	0.091
Type of previous intra-abdominal operation	2.316	0.552–4.080	0.285	0.351	0.088–0.614	0.198
Previous episode of SBO	1.899	0.448–3.350	0.417	0.791	0.368–1.214	0.559
Previous operation for SBO	0.364	0.262–0.466	0.007	0.601	0.136–1.066

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