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Journals / Acta Medica Alanya / 2018 / Cilt: 2 - Sayı: 2

The role of computed tomography signs in diagnosis of patients with small bowel obstruction

İnce bağırsak obstrüksiyonlu hastaların tanısında bilgisayarlı tomografi bulgularının rolü

Mustafa Kemal DEMİR
Alptekin TOSUN
İbrahim İlker ÖZ
İsmail ŞERİFOĞLU
Pages
85–90
Publication Date
2022-09-04
DOI
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AI Summary & Key Takeaways

AI Insight
⚡ TL;DR(Too Long; Didn't Read)

The combination of mesenteric congestion, transitionzone and intramural air and the presence of three or more CT signs markedly increase the specificity in diagnosis of SBO.

📌 3 Key Takeaways

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Objective & Hypothesis:Aim: The goal of this prospective study is to evaluate the prognostic impact of computed tomography (CT) signs in the analysis of small bowel obstruction (SBO).Patients and Method: Sixty consecutive patients with acute abdominal pain whowere examined using abdominal CT to diagnose SBO were included in the study.47 patients of them (26 male; 21 female and mean age, 60 years), were evaluated.CT evaluation parameters were mesenteric congestion, transition zone, feces sign,intramural air and intraperitoneal free fluid.Results: There was a statistically significant association between the SBO diagnosisand CT findings for mesenteric congestion, transition zone and intramural air (p 0.05).
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Key Findings & Data:When three or more CT findings were seentogether, there was a statistically significant association in the diagnosis (p<0.05).Conclusion: Mesenteric congestion and transition zone had the highest sensitivityand PPV in diagnosing SBO.
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Conclusion & Impact:The combination of mesenteric congestion, transitionzone and intramural air and the presence of three or more CT signs markedly increase the specificity in diagnosis of SBO.
🔬Design:Research Article
📍Scope:Comprehensive Sample
⚙️Variables:Domain Parameters

Abstract

Aim: The goal of this prospective study is to evaluate the prognostic impact of computed tomography (CT) signs in the analysis of small bowel obstruction (SBO).Patients and Method: Sixty consecutive patients with acute abdominal pain whowere examined using abdominal CT to diagnose SBO were included in the study.47 patients of them (26 male; 21 female and mean age, 60 years), were evaluated.CT evaluation parameters were mesenteric congestion, transition zone, feces sign,intramural air and intraperitoneal free fluid.Results: There was a statistically significant association between the SBO diagnosisand CT findings for mesenteric congestion, transition zone and intramural air (p 0.05). When three or more CT findings were seentogether, there was a statistically significant association in the diagnosis (p<0.05).Conclusion: Mesenteric congestion and transition zone had the highest sensitivityand PPV in diagnosing SBO. The combination of mesenteric congestion, transitionzone and intramural air and the presence of three or more CT signs markedly increase the specificity in diagnosis of SBO.

Özet

Amaç: Bu prospektif araştırmanın amacı, ince barsak tıkanıklığı (İBT) değerlendirilmesinde bilgisayarlı tomografi (BT) bulgularının prognostik değerini araştırmaktır. Hastalar ve Yöntem: Akut karın ağrısı olan ve İBT araştırılmasında BT çekilen altmış hasta çalışmamıza dahil edildi. Bunlardan, 47 hasta (26 erkek; 21 kadın ve ortalama yaş; 60) nın sonuçları değerlendirildi. BT değerlendirme parametreleri olarak: mezenterik kirlenme, geçiş zonu, feces işareti, intramural hava ve intraperitoneal serbest sıvı kullanıldı. Bulgular: Mezenterik kirlenme, geçiş zonu ve intramural hava BT bulguları ile İBT tanısı arasında istatistiksel anlamlı ilişki bulundu (p 0.05). Üç veya daha fazla BT bulgusunun beraber bulunması durumunda İBT tanısında istatistiksel anlamlı değeri olduğu saptandı (p<0.05). Sonuç: Mezenterik kirlenme ve geçiş zonu bulguları İBT tanısında en yüksek sensitivite ve PPD sahiptir. Mezenterik kirlenme, geçiş zonu ve intramural hava bulgularının kombinasyonu ile üç veya daha fazla BT bulgusunun beraber bulunması durumunda İBT tanısında spesifite belirgin oranda artmaktadır.

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Cite This Article

DEMİR, M. K., TOSUN, A., ÖZ, İ. İ., ŞERİFOĞLU, İ. (2022). The role of computed tomography signs in diagnosis of patients with small bowel obstruction. Acta Medica Alanya, Cilt: 2 - Sayı: 2, 85–90. https://ajindex.com/articles/425919

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