Pediatric Surgery

Gastrografin Protocol for Adhesive Small Bowel Obstruction (SBO)

September 30, 2019
Dr. Meera Kotagal discusses the use of gastrografin for diagnosis and potential therapeutic treatment for adhesive small bowel obstruction. Here you will find the evidence-based guideline in place at Cincinnati Children's Hospital (August 2019) as guided by the following studies:
• Grant HW et al. Adhesions after abdominal surgery in children. JPS 2008;43(1):152-156. 
• Branco BC et al. Systematic review and meta-analysis of the diagnostic and therapeutic role of water-soluble contrast agent in adhesive small bowel obstruction. BJS 2010;97(4):470-478. 
• Lee CY et al. Evaluation of a water-soluble contrast agent for conservative management of adhesive small bowel obstruction in pediatric patients. JPS 2015;50(4):581-585. 
• Linden et al. Evaluation of a water-soluble contrast protocol for non-operative management of pediatric adhesive small bowel obstruction. JPS 2019;54(1):184-188. 
• Zeilinski MD et al. Multi-institutional, prospective, observational study comparing the Gastrograffin challenge versus standard treatment in adhesive small bowel obstruction. J Traum and ACS 2017;83(1):47-54.