Progressive Increase of Bowel Wall Thickness Is a Reliable Indicator for Surgery in Patients With Adhesive Small Bowel Obstruction

Abstract

Patients with initial bowel wall thickening have a higher incidence of surgery, and progressive increase of bowel wall thickness that appears 24 hours later is a reliable indicator for surgery in patients with adhesive small bowel obstruction.

Ultrasonography in diagnosing colorectal cancers in patients presenting with abdominal distension

“…Although ultrasonography has been widely used in patients with acute abdomen, 10 ‐ 11 our study is the first, to our knowledge, to use ultrasonography to diagnose colorectal cancers in patients with abdominal distension. It was used only in a special subgroup of patients, and most of the cancers diagnosed were at an advanced stage.…”

“…Many methods have been used to diagnose colorectal cancer, including faecal blood testing, 5 flexible sigmoidoscopy, 6 double‐contrast barium enema, 7 endoscopic or virtual colonoscopy, 8 and DNA markers 9 . Although abdominal ultrasonography is widely used to diagnose patients with acute abdomen, 10 ‐ 11 its role in diagnosing colorectal cancers has not been tested. The aim of our study was to determine the accuracy of abdominal ultrasonography for diagnosis of colorectal cancers in patients presenting with abdominal distension.…”

Multidetector Row CT of Small Bowel Obstruction

“…All 12 patients who underwent progressive wall thickening underwent surgery. Progressive increase of bowel wall thickness was determined to have a sensitivity of 92.3% and a specificity of 100% as an indication for surgery [19]. The 40 patients who had initial bowel wall thickening that did not require surgery are perhaps more interesting and probably represent the population referred to previously which may have elements of reversible ischemia.…”

Bowel Obstruction: Sonographic Evaluation

“…6a) [12]. The detection of increasing fluid between the intestinal loops or greater intestinal wall thickening is an indication for urgent surgery [26,27]. Durchmesser in 5 mm-Stufen…”

“…6a) [12]. Der Nachweis zunehmender Flüssigkeit zwischen den Darmschlingen oder eine deutlichere Darmwandverdickung sind Hinweise für eine dringliche Operation [26,27]. [28].…”