2010
DOI: 10.1007/s11605-009-1143-9
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Management Algorithm for Pneumatosis Intestinalis and Portal Venous Gas: Treatment and Outcome of 88 Consecutive Cases

Abstract: With greater sensitivity of modern CT scans, PI and PVG are being detected in patients with a wide range of surgical and non-surgical conditions. This clinical algorithm can identify subgroups to direct surgical intervention for acute ischemic insults and prevent non-therapeutic laparotomies for benign idiopathic PI and PVG.

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Cited by 155 publications
(234 citation statements)
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“…Traditionally, portal venous gas is taken as a sign of poor prognosis or intestinal necrosis. Despite this, conservative treatment can still be applied successfully in selected patients 13,14) . Furthermore, it appears that the pattern and amount of portal gas is not necessarily related to the severity of the condition 14) .…”
Section: Discussionmentioning
confidence: 99%
“…Traditionally, portal venous gas is taken as a sign of poor prognosis or intestinal necrosis. Despite this, conservative treatment can still be applied successfully in selected patients 13,14) . Furthermore, it appears that the pattern and amount of portal gas is not necessarily related to the severity of the condition 14) .…”
Section: Discussionmentioning
confidence: 99%
“…While increasing use of CT imaging has led to quicker and earlier detection [9] , the increasing sophistication of this modality includes greater sensitivity for non-critical findings. Management decisions should therefore be based on a combination of both radiological and laboratory findings [10] but clinical examination (repeated frequently) and judgment is paramount.…”
Section: Discussionmentioning
confidence: 99%
“…It can extend from the esophagus to the rectum with the small bowel being most commonly affected [1]. With improvement in diagnostics there has been increased documentation of pneumatosis on computerized tomography (CT) scans [2] of the abdomen.…”
Section: Introductionmentioning
confidence: 99%