Janson R, Christ F, Schneider B, Engel C
Rofo. 1982 Jun;136(6):641-8. doi: 10.1055/s-2008-1056122.
One hundred and thirty examinations with oral gastrografin were performed in 110 patients with obstructive symptoms, who did not require immediate operation. They consisted of 49 patients with mechanical ileus, eighteen patients with paralytic ileus and 63 patients with incomplete mechanical ileus. All patients with complete mechanical and three patients with paralytic ileus were investigated surgically and treated in this way. Small bowel transit time longer than five hours provides considerable certainty of complete mechanical ileus. The method has been tried for four years; it makes few demands on the patient and has practically no contra-indications, except for deranged electrolyte balance. In children, the amount of contrast medium should be limited and it should be diluted or an isotonic contrast medium should be used. The method provides definite differentiation between mechanical and functional obstruction. In patients with adhesions and recurrent incomplete obstruction, further laparotomies may be avoided in this way.
对110例有梗阻症状且无需立即手术的患者进行了130次口服泛影葡胺检查。其中包括49例机械性肠梗阻患者、18例麻痹性肠梗阻患者和63例不完全性机械性肠梗阻患者。所有完全性机械性肠梗阻患者及3例麻痹性肠梗阻患者均接受了手术探查并如此治疗。小肠通过时间超过5小时可相当肯定存在完全性机械性肠梗阻。该方法已试用四年；对患者要求甚少，除电解质平衡紊乱外几乎无禁忌证。对于儿童，造影剂用量应受限，应稀释或使用等渗造影剂。该方法可明确区分机械性梗阻和功能性梗阻。对于有粘连和复发性不完全性梗阻的患者，以此法可避免进一步的剖腹手术。
