Doppler ultrasonography criteria of superior mesenteric artery stenosis

Biri, Suzan; Biri, İsmail; Yucel, Gultekin; Yurdakul, Mehmet; Özdemir, Merve; Tola, Muharrem

doi:10.1002/jcu.22695

Cited by 5 publications

(2 citation statements)

References 16 publications

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“…[15] Employing electronic devices and 2-dimensional ultrasound technology, Doppler ultrasonography visualizes blood flow in tissue, providing details about lymph node size, shape, location, and blood flow. [16] Furthermore, Doppler ultrasound finds applications in examining other tissues, including the heart and blood vessels, for disease diagnosis and treatment planning. This study explored the efficacy and role of Doppler ultrasound in diagnosing cervical lymph nodes in patients with laryngeal and hypopharyngeal cancers.…”

Section: Discussionmentioning

confidence: 99%

A study on the correlation of Doppler ultrasound in the diagnosis of cervical lymph nodes in patients with laryngeal and hypopharyngeal cancers: An observational study

Xiao,

Liu

2024

Medicine

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The objective was to assess the diagnostic efficacy of Doppler ultrasound in detecting cervical lymph nodes in patients diagnosed with laryngeal and hypopharyngeal cancers. Patients undergoing surgery for laryngeal and hypopharyngeal cancers in the Otolaryngology Department from January 2021 to January 2023 were included. Two groups, with equal numbers, underwent ultrasound examination and intensive CT examination in the experimental and control groups, respectively, along with routine cervical lymph node dissection. A resident with over 6 years of clinical experience in the otolaryngology department performed routine bilateral cervical lymph node palpation. Sensitivity, specificity, and validity were compared among different examination methods. The McNemar test assessed specificity and sensitivity between palpation, color Doppler ultrasonography, and enhanced CT, while the Kappa concordance test evaluated the concordance between the 2 examination methods. Data were statistically analyzed using SPSS 23.0. Palpation showed a diagnostic sensitivity (DS) of 52.83% and specificity of 91.11% for all patients with cervical lymph node metastasis. Ultrasonography demonstrated a DS of 77.78% and specificity of 81.82% in patients with cervical lymph node metastasis, while intensive CT had a DS of 75.86% and specificity of 60.00%. Statistical significance (P < .05) was observed in the sensitivity between palpation and ultrasonography, and between palpation and enhanced CT. The specificity between enhanced CT and ultrasonography (P = .021) and between palpation and enhanced CT scan (P = .003) both showed statistical significance (P < .05). Doppler ultrasound yields diagnostic results highly consistent with pathological diagnoses in patients with laryngeal and hypopharyngeal cancers. Utilizing Doppler ultrasound can enhance the accuracy of diagnosing these cancers, aiding physicians in devising more suitable treatment plans for patients.

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Section: Discussionmentioning

confidence: 99%

A study on the correlation of Doppler ultrasound in the diagnosis of cervical lymph nodes in patients with laryngeal and hypopharyngeal cancers: An observational study

Xiao,

Liu

2024

Medicine

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“…13 Elevated SMA peak velocities >275 cm/s are highly suggestive of stenosis. 18,93 Mesenteric ischemia after cardiac surgery is a complication with high morbidity and mortality. 96 Guidelines from the American Society of Echocardiography in 2020 on the use of TEE to assist for surgical decision-making mentioned that TEE should be used to identify the presence of the dissection flap down to the subdiaphragmatic descending aorta.…”

Section: General Principles Of Tgaus Examination Of the Abdomenmentioning

confidence: 99%

Transgastric Abdominal Ultrasonography in Anesthesia and Critical Care: Review and Proposed Approach

Denault

Roberts

Cios

et al. 2021

Anesthesia &Amp; Analgesia

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The use of transesophageal echocardiography (TEE) in the operating room and intensive care unit can provide invaluable information on cardiac as well as abdominal organ structures and function. This approach may be particularly useful when the transabdominal ultrasound examination is not possible during intraoperative procedures or for anatomical reasons. This review explores the role of transgastric abdominal ultrasonography (TGAUS) in perioperative medicine. We describe several reported applications using 10 views that can be used in the diagnosis of relevant abdominal conditions associated with organ dysfunction and hemodynamic instability in the operating room and the intensive care unit.

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Gastrointestinal ultrasound in the critically ill: A narrative review and a proposal for a protocol

Mihnovits,

Reintam Blaser,

Gualdi

et al. 2024

J Parenter Enteral Nutr

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Critically ill patients are at risk of presenting with gastrointestinal dysfunction at intensive care unit admission or during their stay. However, identifying gastrointestinal dysfunction is difficult because clinical evaluation is frequently nonspecific and validated biomarkers are lacking. In this context, ultrasound of the digestive tract may help to identify gastrointestinal dysfunction. In this narrative review, we summarize available evidence and propose a protocol for assessment of the gastrointestinal tract with ultrasound. First, we report available evidence from use of four available protocols: the gastrointestinal and urinary tract sonography protocol, the acute gastrointestinal injury ultrasound score, the transabdominal gastrointestinal ultrasound protocol, and the Lai protocol, each addressing somewhat different aspects. Outputs from these protocols have been associated with clinical scores of gastrointestinal failure, feeding intolerance, and 28‐day mortality. Second, we describe the potential pitfalls of using ultrasound in the critically ill, such as obesity, abdominal dressings, or the presence of intraluminal gas. Third, we suggest perspectives of ultrasound in monitoring the response to enteral nutrition and for early identification of nonocclusive mesenteric ischemia. Fourth, we propose a structured protocol for gastrointestinal ultrasound describing all the different structures that should be evaluated and provide detailed guidance for a clockwise abdominal examination. In conclusion, the use of a specific and structured protocol might help to identify patients presenting with gastrointestinal dysfunction, guide nutrition, and allow the proposal of pathophysiological hypotheses (complications of enteral nutrition, intra‐abdominal infection, bowel ischemia, etc.). The benefit of using a structured protocol requires further investigation.

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Doppler ultrasonography criteria of superior mesenteric artery stenosis

Cited by 5 publications

References 16 publications

A study on the correlation of Doppler ultrasound in the diagnosis of cervical lymph nodes in patients with laryngeal and hypopharyngeal cancers: An observational study

A study on the correlation of Doppler ultrasound in the diagnosis of cervical lymph nodes in patients with laryngeal and hypopharyngeal cancers: An observational study

Transgastric Abdominal Ultrasonography in Anesthesia and Critical Care: Review and Proposed Approach

Gastrointestinal ultrasound in the critically ill: A narrative review and a proposal for a protocol

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