A note on water soluble contrast (Gastrografin) as a treatment in small bowel obstruction

Use of water soluble contrast (Gastrografin) has shown therapeutic modality in patients with partial non mechanical small bowel obstruction, along with NPO, nasogastric decompression, hydration and electrolyte replacement. Water soluble contrast (Gastrografin) is a hypertonic solution, decreases intestinal wall edema and increases intestinal peristalsis. If it works, there should be an improvement in symptoms within 24 hours.


Reference: 

Abbas SM, Bissett IP, Parry BR. Meta-analysis of oral water-soluble contrast agent in the management of adhesive small bowel obstruction. Br J Surg 2007; 94:404.