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Water-Soluble Contrast MediaTheir Use in the Diagnosis of Obstructive Gastrointestinal Disease
ROBERT J. RUBIN, M.D.;
BERNARD J. OSTRUM, M.D.;
WALTER J. DEX, M.D.
AMA Arch Surg. 1960;80(3):495-500.
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| Since this article does not have an abstract, we have provided the first 150 words of the full text PDF and any section headings. |
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Barium remains as the agent of choice in the routine radiographic study of the gastrointestinal tract. In gastrointestinal obstruction, barium is often contraindicated as inefficient or dangerous.5 The water-soluble media are of value at such times as they possess unusual properties which enhance their effectiveness in diagnosing gastrointestinal obstructions with safety.
Properties
The water-soluble media (diatrizoate sodium [Hypaque] was used in this study) are stable aqueous solutions. Therefore, they do not impact or inspissate in the enteric tract.7 They are completely miscible with gastrointestinal secretions and with blood.6 In perforating lesions, they may enter the peritoneal cavity without resultant side-effects and they have been found to disappear from the peritoneal cavity rapidly.6,7 They are also harmless in the biliary tree, pleural cavity, and lung, where again they disappear readily.
These materials have a very low viscosity (Fig. 1) enabling them to traverse partial obstructions with ease,
. . . [Full Text PDF of this Article]
Author Affiliations
Plainfield, N.J.; Philadelphia
Footnotes
Submitted for publication July 25, 1959.
Surgery Illustrated. Based on a scientific exhibit of the Section on Radiology shown at the 108th Annual Meeting of the American Medical Association, Atlantic City, June 8-12, 1959.
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