CT diagnosis of the nature of bowel obstruction: morphological evaluation of the transition point

Angelelli, Giuseppe; Moschetta, Marco; Cosmo, T.; Binetti, F; Scardapane, Arnaldo; Ianora, Amato Antonio Stabile

doi:10.1007/s11547-011-0770-x

Cited by 13 publications

(7 citation statements)

References 25 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…Imaging completed pre-operatively may assist in some cases in determining the cause of BO prior to embarking on surgical management, but the ability to determine neoplastic versus non-neoplastic etiology with absolute certainty is increasingly difficult, given prior surgical interventions causing benign adhesions. However, newer techniques regarding morphologic evaluation with respect to imaging techniques may prove helpful in the future 18 .…”

Section: Discussionmentioning

confidence: 99%

Management of Bowel Obstruction in Patients with Stage IV Cancer: Predictors of Outcome After Surgery

et al. 2012

View full text Add to dashboard Cite

Introduction Patients with Stage IV cancer and bowel obstruction (BO) present a complicated management problem. We sought to determine if specific parameters could predict outcome after surgery. Methods Records of patients with Stage IV cancer and BO treated from 1991–2008 were reviewed. For surgical patients, 30-day morbidity and 90-day mortality were assessed using exact multivariable Logistic regression methods. Results Of 198 patients, 132 (66.7%) underwent surgery, 66 medical treatment alone, and demographics were similar. 41 (20.7%) patients were diagnosed with Stage IV cancer and BO synchronously, all treated surgically; the remaining presented metachronously. Medically managed patients were more likely to have received chemotherapy in the 30 days prior to BO [45/66 (68.2%) vs 40/132 (30.3%), p <0.01]. In the surgical group, 30-day morbidity was 35.6%, while 90-day mortality was 42.3%. Median overall survival for synchronous patients was 14.1 months (95 % CI 7.6, 23.2), and 3.7 months (95 % CI 2.5, 5.2) and 3.6 months (95 % CI 1.5, 5.2) for metachronous patients treated surgically and medically, respectively. A multivariate model for 90-day surgical mortality identified low serum albumin, metachronous presentation, and ECOG > 1 as predictors of death (p<0.05). A model for 30-day surgical morbidity yielded low hematocrit as a predictive factor (p<0.05). Conclusions This cohort identifies characteristics indicative of morbidity and mortality in Stage IV cancer and BO. Low serum albumin, ECOG > 1, and metachronous presentation predicted for 90-day surgical mortality. These data suggest factors that can be used to frame treatment discussion plans with patients.

show abstract

Section: Discussionmentioning

confidence: 99%

Management of Bowel Obstruction in Patients with Stage IV Cancer: Predictors of Outcome After Surgery

et al. 2012

View full text Add to dashboard Cite

show abstract

“…Accordingly, the purpose of this study was to investigate the diagnostic accuracy of the US method in the diagnosis of acute appendicitis of the adult patient as in the literature reported [11,12]. …”

Section: Introductionmentioning

confidence: 99%

Accuracy of ultrasonography in the diagnosis of acute appendicitis in adult patients: review of the literature

Pinto

Russo

et al. 2013

Crit Ultrasound J

View full text Add to dashboard Cite

BackgroundUltrasound is a widely used technique in the diagnosis of acute appendicitis; nevertheless, its utilization still remains controversial.MethodsThe accuracy of the Ultrasound technique in the diagnosis of acute appendicitis in the adult patient, as shown in the literature, was searched for.ResultsThe gold standard for the diagnosis of appendicitis still remains pathologic confirmation after appendectomy. In the published literature, graded-compression Ultrasound has shown an extremely variable diagnostic accuracy in the diagnosis of acute appendicitis (sensitivity range from 44% to 100%; specificity range from 47% to 99% ). This is due to many reasons, including lack of operator skill, increased bowel gas content, obesity, anatomic variants, and limitations to explore patients with previuos laparotomies.ConclusionsGraded-compression Ultrasound still remains our first-line method in patients referred with clinically suspected acute appendicitis: nevertheless, due to variable diagnostic accuracy, individual skill is requested not only to perform a successful exam, but also in order to triage those equivocal cases that, subsequently, will have to undergo assessment by means of Computed Tomography.

show abstract

“…In particular, it has been rarely reported in adult liver transplant recipients with a prevalence of less than 1% (6)(7)(8)(9). Among all diagnostic tools for abdominal imaging, Computed tomography (CT) represents the gold standard technique for evaluating both abdominal organs and bowel loops also providing a guide for interventional diagnostic procedures in selected cases (10)(11)(12)(13).…”

Section: Introductionmentioning

confidence: 99%

Reversible pneumatosis cystoides intestinalis after liver transplantation

Telegrafo¹,

Ianora²,

Angelelli³

et al. 2017

GHIR

View full text Add to dashboard Cite

show abstract

CT diagnosis of the nature of bowel obstruction: morphological evaluation of the transition point

Cited by 13 publications

References 25 publications

Management of Bowel Obstruction in Patients with Stage IV Cancer: Predictors of Outcome After Surgery

Management of Bowel Obstruction in Patients with Stage IV Cancer: Predictors of Outcome After Surgery

Accuracy of ultrasonography in the diagnosis of acute appendicitis in adult patients: review of the literature

Reversible pneumatosis cystoides intestinalis after liver transplantation

Contact Info

Product

Resources

About