Brid İleuslu Hastalarda Çok Kesitli BT ile Tanı veCerrahi Korelasyon

Conclusion: Multi-detector CT is an effective imaging modality in demonstration of the bowel obstruction and its’ level; also in consideration of secondary findings in patients with bride ileus.

📌 3 Key Takeaways

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Objective & Hypothesis:Objective: We aimed to consider the multi-detector computed tomography findings of patients with the prediagnosis of bride ileus by pathologic results and surgical correlations.

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Key Findings & Data:Methods: 65 patients (35 female, 30 male; ages between 13-87) with surgically confirmed diagnosis of bride ileus were enrolled in this study that were referred to general surgery department in the period between January 2010 and January 2014.

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Conclusion & Impact:Conclusion: Multi-detector CT is an effective imaging modality in demonstration of the bowel obstruction and its’ level; also in consideration of secondary findings in patients with bride ileus.

🔬Design:Research Article

📍Scope:2010 Verileri

⚙️Variables:Domain Parameters

Abstract

Objective: We aimed to consider the multi-detector computed tomography findings of patients with the prediagnosis of bride ileus by pathologic results and surgical correlations. Methods: 65 patients (35 female, 30 male; ages between 13-87) with surgically confirmed diagnosis of bride ileus were enrolled in this study that were referred to general surgery department in the period between January 2010 and January 2014. Abdominal-pelvic multi-detector CT examinations of the patients were performed by 64-Slice CT machine at breath-holding periods; the scanning was started from the level of xiphoid process to symphysis pubis including the inguinal canal orifices. Radiologic findings were considered according to surgical and pathological findings. Conclusion: Multi-detector CT is an effective imaging modality in demonstration of the bowel obstruction and its’ level; also in consideration of secondary findings in patients with bride ileus.

Özet

Amaç: Amacımız brid ileus ön tanılı hastaların cerrahi bilgileri ve patoloji sonuçları ışığında çok kesitli bilgisayarlı tomografi bulgularını retrospektif olarak değerlendirmektir. Yöntem: Çalışmamıza Ocak 2010 ve Ocak 2014 dönemleri arasında genel cerrahi servisine başvurmuş ve operasyon sonrasında brid ileus kesin tanısı alan yaşları 13-87 arasında değişen 35'i kadın, 30'u erkek toplam 65 olgu dâhil edildi. Hastalarımızın tüm abdomen BT çekimleri 64 kesitli çok kesitli BT cihazıyla; ksifoid proçesten başlayarak simfizis pubise kadar inguinal kanal orifislerini de içine alacak şekilde nefes tutturularak yapıldı. Radyolojik bulgular cerrahi ve patoloji verileriyle beraber istatistiksel olarak karşılaştırıldı. Bulgular: Brid ileusu tesbit etmede çok kesitli bilgisayarlı tomografi'nin sensitivitesi %91, spesifitesi 44 olarak saptandı. Vakalarımızın %72'sinde ince barsak tipi, %28'inde ise kalın barsak tipi obstrüksiyon saptandı. İleuslu olgularımıza eşlik eden mezenterik kirlenme, batında serbest mayi, "inci dizisi" bulgusu ve geçiş zonu ile barsak obstrüksiyonu arasında istatistiksel olarak anlamlı ilişki saptandı (p<0.05). Sonuç: Çok kesitli bilgisayarlı tomografi brid ileuslu hastalarda obstrüksiyonun varlığı, seviyesi ve ikincil olarak oluşan bulguların değerlendirilmesinde etkili görüntüleme yöntemidir.

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Cite This Article

GÖYA, C., YAVUZ, A., HAMİDİ, C., OĞUZ, A., ÇETİNÇAKMAK, M. G., HATTAPOĞLU, S., TEKE, M. (2014). Brid İleuslu Hastalarda Çok Kesitli BT ile Tanı veCerrahi Korelasyon. Tıp Araştırmaları Dergisi, Cilt: 12 - Sayı: 2, 71–76. https://ajindex.com/articles/361812

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