Urinary excretion of Gastrografin in abdominal emergencies

Douglas, J. B.; Kerr, I.H.

doi:10.1259/0007-1285-41-486-429

Cited by 19 publications

(8 citation statements)

References 4 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…The CM was documented on abdominal films and in urine specimens. Similarly, there are a few cases reported on urinary CM in patients with ulcerative colitis [7], in a patient with linear ulcers in the colon [6], and in a patient with an ischemic bowel and an adjacent abscess cavity [8].…”

Section: Discussionmentioning

confidence: 96%

“…No single morphological alteration has been observed which could account for this phenomenon [13]. In human beings, increased intestinal permeation due to mucosal damage has been seen to occur in patients with various intestinal diseases such as Crohn disease, gastrointestinal cancer, metastases, acute intestinal ischemia, and obstruction [6,9,14,15].…”

Section: Discussionmentioning

confidence: 99%

“…In obstruction, increased absorption of CM from the gut may be due to intestinal stasis and dehydration [6,14,16]. Furthermore, gastrografin itself has an adverse effect on the bowel.…”

Section: Discussionmentioning

confidence: 99%

“…The detection of orally ingested gastrografin in the urinary tract on plain abdominal films was described as a sign of gastrointestinal Correspondence to: S. Apter perforation as early as the 1950s [3][4][5]. Sporadic cases of this phenomenon have also been reported in bowel diseases without perforation [6][7][8]. Laerum et al [9] and Halme et al [10] investigated the increased permeability of the bowel wall in patients with Crohn ileitis and with small bowel obstruction.…”

mentioning

confidence: 99%

See 3 more Smart Citations

Urinary excretion of orally ingested gastrografin on CT

et al. 1998

View full text Add to dashboard Cite

Renal excretion of orally ingested gastrografin has rarely been reported on computed tomography (CT). We studied the unenhanced scans of 82 patients with bowel disorders or perforation to assess the prevalence of urinary contrast material (CM) in various bowel diseases. We also assessed the clinical significance of this sign. In addition, we reviewed the unenhanced CT scans of 100 randomly selected patients without bowel diseases as a control group. Twenty-nine of the 58 patients with bowel diseases, six of nine with free perforation, and one of 15 with covered perforation had CM in the urinary tract. None of the 100 without bowel disease showed urinary CM. Statistical analysis was done by using the Fisher's exact test. The prevalence of urinary CM was highest in inflammatory bowel disease, radiation enteritis, and free perforation (p < 0. 0001). This study shows that the CT finding of orally ingested gastrografin in the urinary tract differentiates patients with bowel disease from those without.

show abstract

Section: Discussionmentioning

confidence: 96%

Section: Discussionmentioning

confidence: 99%

“…In obstruction, increased absorption of CM from the gut may be due to intestinal stasis and dehydration [6,14,16]. Furthermore, gastrografin itself has an adverse effect on the bowel.…”

Section: Discussionmentioning

confidence: 99%

mentioning

confidence: 99%

See 2 more Smart Citations

Urinary excretion of orally ingested gastrografin on CT

et al. 1998

View full text Add to dashboard Cite

show abstract

“…Ihre Häufigkeit wird auf 1 -3 % geschätzt. Einen indirekten Hinweis auf die Resorption liefert die gelegentlich beobachtete, allerdings in den meisten Fällen flaue Kontrastierung der ableitenden Harnwege bei Patienten, die zur Klärung der Ursache eines akuten Abdomen mit Natrium-/Meglumin-Amidotrizoat untersucht werden [5]. Der Beweis für die Resorption wasserlöslicher Kontrastmittel aus dem unteren Darmtrakt wurde erstmals im Tierversuch durch die Messung abnorm hoher Jodidkonzentrationen im Serum nach Kontrasteinlauf erbracht [6].…”

Section: Introductionunclassified