Spiral Computed Tomography with Phytocomposition as a Diagnostic Tool for Adhesive Intestinal Obstruction

Background: Adhesive intestinal obstruction is a common and potentially lethal complication after surgical interventions in the abdomen. Radiologic imaging is the main diagnostic method. Objective: This study aims to analyse the diagnostic value of spiral computed tomography with a novel method (n = ۵۴).Material and Methods: In this multidirectional cohort study, we present the data with non-parallel (historical) control. This study included the analysis of results of patients with a diagnosis of intestinal obstruction (n = ۵۴) who were admitted to the surgical departments of the City Clinical Hospitals (Ufa city) from ۲۰۱۳ to ۲۰۱۹; the patients’ examination methods included computed tomography with conventional enhancement. The proposed novel enhancement method was implemented by ingesting a mixture containing ۵۰ ml of the contrast Unigexol (۳۰۰ mg) in ۱.۰ L cold mineral carbonated water, and Computed tomography (CT) was performed during ۴۰ min after ingesting the contrast meal. Further, the patients with suspected obstruction in the colon were administered a pre-prepared contrast enema with a decoction of leaves of smoke-tree (۱۰۰ g), chamomile flowers (۱۰۰ g) and calendula flowers (۱۰۰ g). Additionally, CT was performed. Results: Obstruction was conservatively stopped in ۲۴ (۴۴.۴%) patients of the main group. Remaining ۳۰ (۵۵.۶%) patients from the main group were operated with minimal surgical access in the early stages. Conclusion: Owing to early diagnosis of intestinal obstruction and application of the phytocomposition during the examination, exerting various effects such as antispasmodic, analgesic, disinfectant, bactericidal, cicatrising, choleretic, tanning and decongestant, unnecessary surgical interventions were prevented.

کلیدواژه ها:

Intestinal obstruction ، Enema ، Abdomen ، Tanning ، Analgesic ، Phytocomposition