Abdominal Radiography Findings in Small-Bowel Obstruction

Lappas, John C.; Reyes, Benedicto L.; Maglinte, Dean D. T.

doi:10.2214/ajr.176.1.1760167

Cited by 71 publications

(26 citation statements)

References 17 publications

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“…In our study, SBO was compared to the previously identified CT scout scans [25] [26]. These results corroborate recent reports [12].…”

Section: Discussionsupporting

confidence: 91%

CT Optimization for Diagnosis of Some Acute Abdomen Cases

Jastaniah¹,

Salih²,

Alsafi³

et al. 2015

ACT

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The acute abdomen is one of the most frequent causes for presentation to the emergency department. Imaging plays an important role for an accurate diagnosis, which in turn diminishes morbidity and mortality. The aim of this study was to demonstrate optimum CT aspects and emphasize on the important features of CT for those patients presenting with an acute abdominal pain at the Emergency Department both in general and in a number of selected conditions (appendicitis, small-bowel obstruction, acute pancreatitis, and diverticulitis). The reported data by this study are based on the author working experience, which forms a continuous protocol adjustment process. The present study provides evidence that CT would result in definite diagnosis of patients with abdominal pain in terms of the detection of some urgent conditions.

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“…In our study, SBO was compared to the previously identified CT scout scans [25] [26]. These results corroborate recent reports [12].…”

Section: Discussionsupporting

confidence: 91%

CT Optimization for Diagnosis of Some Acute Abdomen Cases

Jastaniah¹,

Salih²,

Alsafi³

et al. 2015

ACT

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“…Abdominal radiography carries a reported sensitivity and specificity ranging from 55% to 85% for the diagnosis of SBO; our CT scout scan sensitivity of 85% and specificity of 93% are substantially higher (2,8,9,12). This may be due to our selected patient population, because the patients referred for CT are more likely to have an SBO than the general population of patients referred for abdominal radiography.…”

Section: Discussionmentioning

confidence: 77%

“…While abdominal radiography is often still the preferred initial radiologic examination of symptomatic patients with SBO (7,8), computed tomography (CT) has gained favor because it can more consistently help determine the presence or absence of obstruction, as well as the cause, severity, and transition point of obstruction. In addition, CT can reliably depict secondary signs of bowel obstruction, such as abnormal wall thickening or enhancement, ascites, and pneumatosis.…”

mentioning

confidence: 99%

Small-Bowel Obstruction: Coronal Reformations from Isotropic Voxels at 16-Section Multi–Detector Row CT

et al. 2006

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“…Although plain X-ray abdominal evaluation still remains the investigation of first choice in cases of suspected SBO due to its low cost and wide availability, it cannot reliably diagnose the exact level of obstruction and thus can only serve as a basis for triage for further imaging workup [5, 6]. …”

Section: Introductionmentioning

confidence: 99%

MDCT of Small Bowel Obstruction: How Reliable Are Oblique Reformatted Images in Localizing Point of Transition?

Memon

Khattak

Alam

et al. 2014

Gastroenterology Research and Practice

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The goal of this study is to prospectively assess the additional value of oblique reformatted images for localizing POT, having surgery as a reference standard. Materials and Methods. 102 consecutive patients with suspected small bowel obstruction (SBO) underwent 64-slice multidetector row CT (MDCT) using surgical findings as reference standard. Two independent GI radiologists reviewed the CT scans to localize the exact POT by evaluating axial images (data set A) followed by axial, coronal, and oblique MPR images. CT findings were compared to surgical findings in terms of diagnostic performance. McNemar's test was used to detect any statistical difference in POT evaluation between datasets A and B. Kappa statistics were applied for measuring agreement between two readers. Results. There was a diagnostic improvement of 9.9% in the case of the less experienced radiologist in localizing POT by using oblique reformatted images. The more experienced radiologist showed diagnostic improvement by 12.9%.

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Abdominal Radiography Findings in Small-Bowel Obstruction

Cited by 71 publications

References 17 publications

CT Optimization for Diagnosis of Some Acute Abdomen Cases

CT Optimization for Diagnosis of Some Acute Abdomen Cases

Small-Bowel Obstruction: Coronal Reformations from Isotropic Voxels at 16-Section Multi–Detector Row CT

MDCT of Small Bowel Obstruction: How Reliable Are Oblique Reformatted Images in Localizing Point of Transition?

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