The role of computed tomography signs in diagnosis of patients with small bowel obstruction
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 who were examined using abdominal CT to diagnose SBO were include...
| Main Authors: | , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Alanya Alaaddin Keykubat University
2018-07-01
|
| Series: | Acta Medica Alanya |
| Subjects: | |
| Online Access: | https://dergipark.org.tr/en/pub/medalanya/issue/38086/388620?publisher=alku |
| _version_ | 1797922157840302080 |
|---|---|
| author | İsmail Şeri̇foğlu İbrahim İlker Öz Alptekin Tosun Mustafa Kemal Demi̇r |
| author_facet | İsmail Şeri̇foğlu İbrahim İlker Öz Alptekin Tosun Mustafa Kemal Demi̇r |
| author_sort | İsmail Şeri̇foğlu |
| collection | DOAJ |
| description | 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 who were 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 diagnosis and CT findings for mesenteric congestion, transition zone and intramural air (p<0.05 for all). These CT signs had greatest sensitivity and positive predictive value (PPV) in diagnosis of SBO. The combination of mesenteric congestion, transition zone and in-tramural air showed a significant association in the diagnosis of SBO (p<0.05). Small bowel feces sign and intraperitoneal free fluid findings had no statistically significant value in the diagnosis of SBO (p>0.05). When three or more CT findings were seen together, there was a statistically significant association in the diagnosis (p<0.05).
Conclusion: Mesenteric congestion and transition zone had the highest sensitivity and PPV in diagnosing SBO. The combination of mesenteric congestion, transition zone and intramural air and the presence of three or more CT signs markedly increase the specificity in diagnosis of SBO. |
| first_indexed | 2024-04-10T14:26:57Z |
| format | Article |
| id | doaj.art-183b3107da05423094307fd42ab141fa |
| institution | Directory Open Access Journal |
| issn | 2587-0319 |
| language | English |
| last_indexed | 2024-04-10T14:26:57Z |
| publishDate | 2018-07-01 |
| publisher | Alanya Alaaddin Keykubat University |
| record_format | Article |
| series | Acta Medica Alanya |
| spelling | doaj.art-183b3107da05423094307fd42ab141fa2023-02-15T16:09:00ZengAlanya Alaaddin Keykubat UniversityActa Medica Alanya2587-03192018-07-0122859010.30565/medalanya.388620727The role of computed tomography signs in diagnosis of patients with small bowel obstructionİsmail Şeri̇foğlu0İbrahim İlker Öz1Alptekin Tosun2Mustafa Kemal Demi̇r3Department of Radiology, Bagcilar Training and Research Hospital, Istanbul, TurkeyDepartment of Radiology, Bulent Ecevit University School of Medicine, ZonguldakDepartment of Radiology, Giresun University School of Medicine, GiresunDepartment of Radiology, Bahçeşehir University School of Medicine, İstanbulAim: 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 who were 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 diagnosis and CT findings for mesenteric congestion, transition zone and intramural air (p<0.05 for all). These CT signs had greatest sensitivity and positive predictive value (PPV) in diagnosis of SBO. The combination of mesenteric congestion, transition zone and in-tramural air showed a significant association in the diagnosis of SBO (p<0.05). Small bowel feces sign and intraperitoneal free fluid findings had no statistically significant value in the diagnosis of SBO (p>0.05). When three or more CT findings were seen together, there was a statistically significant association in the diagnosis (p<0.05). Conclusion: Mesenteric congestion and transition zone had the highest sensitivity and PPV in diagnosing SBO. The combination of mesenteric congestion, transition zone and intramural air and the presence of three or more CT signs markedly increase the specificity in diagnosis of SBO.https://dergipark.org.tr/en/pub/medalanya/issue/38086/388620?publisher=alkucomputed tomographyfeces signtransition zonemesenteric congestionsmall bowel obstructioncomputed tomographyfeces signtransition zonemesenteric congestionsmall bowel obstruction |
| spellingShingle | İsmail Şeri̇foğlu İbrahim İlker Öz Alptekin Tosun Mustafa Kemal Demi̇r The role of computed tomography signs in diagnosis of patients with small bowel obstruction Acta Medica Alanya computed tomography feces sign transition zone mesenteric congestion small bowel obstruction computed tomography feces sign transition zone mesenteric congestion small bowel obstruction |
| title | The role of computed tomography signs in diagnosis of patients with small bowel obstruction |
| title_full | The role of computed tomography signs in diagnosis of patients with small bowel obstruction |
| title_fullStr | The role of computed tomography signs in diagnosis of patients with small bowel obstruction |
| title_full_unstemmed | The role of computed tomography signs in diagnosis of patients with small bowel obstruction |
| title_short | The role of computed tomography signs in diagnosis of patients with small bowel obstruction |
| title_sort | role of computed tomography signs in diagnosis of patients with small bowel obstruction |
| topic | computed tomography feces sign transition zone mesenteric congestion small bowel obstruction computed tomography feces sign transition zone mesenteric congestion small bowel obstruction |
| url | https://dergipark.org.tr/en/pub/medalanya/issue/38086/388620?publisher=alku |
| work_keys_str_mv | AT ismailserifoglu theroleofcomputedtomographysignsindiagnosisofpatientswithsmallbowelobstruction AT ibrahimilkeroz theroleofcomputedtomographysignsindiagnosisofpatientswithsmallbowelobstruction AT alptekintosun theroleofcomputedtomographysignsindiagnosisofpatientswithsmallbowelobstruction AT mustafakemaldemir theroleofcomputedtomographysignsindiagnosisofpatientswithsmallbowelobstruction AT ismailserifoglu roleofcomputedtomographysignsindiagnosisofpatientswithsmallbowelobstruction AT ibrahimilkeroz roleofcomputedtomographysignsindiagnosisofpatientswithsmallbowelobstruction AT alptekintosun roleofcomputedtomographysignsindiagnosisofpatientswithsmallbowelobstruction AT mustafakemaldemir roleofcomputedtomographysignsindiagnosisofpatientswithsmallbowelobstruction |