Water soluble contrast study predicts the need for early surgery in adhesive small bowel obstruction authors dr s c chen corresponding author s gr e tarcan hyperosmolar water soluble contrast medium in the management of adhesive small intestine obstruction journal of international medical research . A short cut review was carried out to establish whether water soluble contrast small bowel follow through studies are useful in the management of patients with suspected adhesive small bowel obstruction asbo. Gastrografin is a hyperosmolar water soluble contrast medium besides its predictive value for the need for surgery there is probably a therapeutic role of this contrast medium in adhesive small bowel obstruction patients with clinical evidence of adhesive small bowel obstruction were given trial . Chen sc lin fy lee ph et al water soluble contrast study predicts the need for early surgery in adhesive small bowel obstruction br j surg 1998 85 1692 1694 assalia a schein m kopelman d et al therapeutic effect of oral gastrografin in adhesive partial small bowel obstruction a prospective randomized trial. Last years several studies have demonstrated the utility of oral water soluble contrast gastrografinr as a method of predicting need for surgery in these pacients improving early diagnosis
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