Diagnostic Performance of Ultrasonography for Identification of Small Bowel Obstruction: A Systematic Review and Meta-analysis
Introduction: Small bowel obstruction (SBO) is known as a common cause of acute abdominal complaints in the emergency department (ED). The modality of choice for the diagnosis of SBO has not yet been established. This systematic review and meta-analysis aimed to investigate the accuracy of ultrason...
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| Format: | Article |
| Language: | English |
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Shahid Beheshti University of Medical Sciences
2024-03-01
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| Series: | Archives of Academic Emergency Medicine |
| Subjects: | |
| Online Access: | https://journals.sbmu.ac.ir/aaem/index.php/AAEM/article/view/2265 |
| _version_ | 1797267086684192768 |
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| author | Mehrdad Farrokhi Mohsen Motavaselian Parisa Jafari Khouzani Atousa Moghadam Fard Fatemeh Daeizadeh Mahya Pourrahimi Reyhaneh Mehrabani Reza Amani-Beni Masoud Farrokhi Faezeh Jalayer Sarnaghy Asal Mir Reza Tavakoli Heidar Fadavian Reza Mehdinezhad Parisa Masoudikabir Tohid Karami Roozbeh Roohinezhad Yalda Yazdani Didar Ghasemi Farideh Rezaeizadeh Alireza Hadizadeh Rojin Sarallah Ashkan Shafigh Solmaz Aminpour Amirhossein Esfahani Seyedsaber Mirabdali Zahrasadat Hosseini Farahnaz Saharkhiz Mehrzad Khodsiani Fahimeh Ebrahimi Tirtashi Shabnam Esmailian Dehkordi Nafise Sadat Amini Mahsa Aran Zohreh Abolghasemfard Nazanin Sanjarinia Zeynab Abdollahi Fatemeh Abediankenari Erfan Ghadirzadeh Mehran Khodashenas Ali Jahanshahi |
| author_facet | Mehrdad Farrokhi Mohsen Motavaselian Parisa Jafari Khouzani Atousa Moghadam Fard Fatemeh Daeizadeh Mahya Pourrahimi Reyhaneh Mehrabani Reza Amani-Beni Masoud Farrokhi Faezeh Jalayer Sarnaghy Asal Mir Reza Tavakoli Heidar Fadavian Reza Mehdinezhad Parisa Masoudikabir Tohid Karami Roozbeh Roohinezhad Yalda Yazdani Didar Ghasemi Farideh Rezaeizadeh Alireza Hadizadeh Rojin Sarallah Ashkan Shafigh Solmaz Aminpour Amirhossein Esfahani Seyedsaber Mirabdali Zahrasadat Hosseini Farahnaz Saharkhiz Mehrzad Khodsiani Fahimeh Ebrahimi Tirtashi Shabnam Esmailian Dehkordi Nafise Sadat Amini Mahsa Aran Zohreh Abolghasemfard Nazanin Sanjarinia Zeynab Abdollahi Fatemeh Abediankenari Erfan Ghadirzadeh Mehran Khodashenas Ali Jahanshahi |
| author_sort | Mehrdad Farrokhi |
| collection | DOAJ |
| description |
Introduction: Small bowel obstruction (SBO) is known as a common cause of acute abdominal complaints in the emergency department (ED). The modality of choice for the diagnosis of SBO has not yet been established. This systematic review and meta-analysis aimed to investigate the accuracy of ultrasonography for the diagnosis of SBO.
Methods: Systematic search was performed on five electronic databases including Medline, Scopus, Web of Sciences, Embase, and Cochrane Library, and the retrieval period was from the inception of each database to November 2023. The quality of the included studies were investigated using the Quality Assessment of Diagnostic Accuracy Studies 2 (QUADAS-2). The pooled values of diagnostic characteristics for ultrasonography were estimated using meta-Disc and Stata statistical software.
Results: Twenty-one studies with a total of 1977 patients were included in the meta-analysis. The pooled estimate for sensitivity, specificity, positive likelihood ratio (PLR), negative likelihood ratio (NLR), diagnostic odds ratio (DOR), and area under the summary ROC curve of ultrasonography for diagnosing SBO were 0.93 (95% CI: 0.91–0.95), 0.8 (95% CI: 0.77–0.83), 5.69 (95% CI: 3.64–8.89), 0.1 (95% CI: 0.07–0.16), 83.51 (95% CI: 18.12–182.91) and 0.96, respectively.
Conclusion: The findings of this meta-analysis showed that the utilization of ultrasonography holds promise as a diagnostic imaging for SBO with high accuracy. However, additional worldwide studies are essential to get more evidence on the value of ultrasonography for the diagnosis of SBO.
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| first_indexed | 2024-03-07T14:21:53Z |
| format | Article |
| id | doaj.art-f71d33adfbe144eead5b81db8dd0b0d7 |
| institution | Directory Open Access Journal |
| issn | 2645-4904 |
| language | English |
| last_indexed | 2024-04-25T01:11:00Z |
| publishDate | 2024-03-01 |
| publisher | Shahid Beheshti University of Medical Sciences |
| record_format | Article |
| series | Archives of Academic Emergency Medicine |
| spelling | doaj.art-f71d33adfbe144eead5b81db8dd0b0d72024-03-10T09:06:06ZengShahid Beheshti University of Medical SciencesArchives of Academic Emergency Medicine2645-49042024-03-0112110.22037/aaem.v12i1.2265Diagnostic Performance of Ultrasonography for Identification of Small Bowel Obstruction: A Systematic Review and Meta-analysisMehrdad FarrokhiMohsen MotavaselianParisa Jafari KhouzaniAtousa Moghadam FardFatemeh DaeizadehMahya PourrahimiReyhaneh MehrabaniReza Amani-BeniMasoud FarrokhiFaezeh Jalayer SarnaghyAsal MirReza TavakoliHeidar FadavianReza MehdinezhadParisa MasoudikabirTohid KaramiRoozbeh RoohinezhadYalda YazdaniDidar GhasemiFarideh RezaeizadehAlireza HadizadehRojin SarallahAshkan ShafighSolmaz AminpourAmirhossein EsfahaniSeyedsaber MirabdaliZahrasadat HosseiniFarahnaz SaharkhizMehrzad KhodsianiFahimeh Ebrahimi TirtashiShabnam Esmailian DehkordiNafise Sadat AminiMahsa AranZohreh AbolghasemfardNazanin SanjariniaZeynab AbdollahiFatemeh AbediankenariErfan GhadirzadehMehran KhodashenasAli Jahanshahi Introduction: Small bowel obstruction (SBO) is known as a common cause of acute abdominal complaints in the emergency department (ED). The modality of choice for the diagnosis of SBO has not yet been established. This systematic review and meta-analysis aimed to investigate the accuracy of ultrasonography for the diagnosis of SBO. Methods: Systematic search was performed on five electronic databases including Medline, Scopus, Web of Sciences, Embase, and Cochrane Library, and the retrieval period was from the inception of each database to November 2023. The quality of the included studies were investigated using the Quality Assessment of Diagnostic Accuracy Studies 2 (QUADAS-2). The pooled values of diagnostic characteristics for ultrasonography were estimated using meta-Disc and Stata statistical software. Results: Twenty-one studies with a total of 1977 patients were included in the meta-analysis. The pooled estimate for sensitivity, specificity, positive likelihood ratio (PLR), negative likelihood ratio (NLR), diagnostic odds ratio (DOR), and area under the summary ROC curve of ultrasonography for diagnosing SBO were 0.93 (95% CI: 0.91–0.95), 0.8 (95% CI: 0.77–0.83), 5.69 (95% CI: 3.64–8.89), 0.1 (95% CI: 0.07–0.16), 83.51 (95% CI: 18.12–182.91) and 0.96, respectively. Conclusion: The findings of this meta-analysis showed that the utilization of ultrasonography holds promise as a diagnostic imaging for SBO with high accuracy. However, additional worldwide studies are essential to get more evidence on the value of ultrasonography for the diagnosis of SBO. https://journals.sbmu.ac.ir/aaem/index.php/AAEM/article/view/2265DiagnosisIntestinal ObstructionUltrasonographyMeta-analysis |
| spellingShingle | Mehrdad Farrokhi Mohsen Motavaselian Parisa Jafari Khouzani Atousa Moghadam Fard Fatemeh Daeizadeh Mahya Pourrahimi Reyhaneh Mehrabani Reza Amani-Beni Masoud Farrokhi Faezeh Jalayer Sarnaghy Asal Mir Reza Tavakoli Heidar Fadavian Reza Mehdinezhad Parisa Masoudikabir Tohid Karami Roozbeh Roohinezhad Yalda Yazdani Didar Ghasemi Farideh Rezaeizadeh Alireza Hadizadeh Rojin Sarallah Ashkan Shafigh Solmaz Aminpour Amirhossein Esfahani Seyedsaber Mirabdali Zahrasadat Hosseini Farahnaz Saharkhiz Mehrzad Khodsiani Fahimeh Ebrahimi Tirtashi Shabnam Esmailian Dehkordi Nafise Sadat Amini Mahsa Aran Zohreh Abolghasemfard Nazanin Sanjarinia Zeynab Abdollahi Fatemeh Abediankenari Erfan Ghadirzadeh Mehran Khodashenas Ali Jahanshahi Diagnostic Performance of Ultrasonography for Identification of Small Bowel Obstruction: A Systematic Review and Meta-analysis Archives of Academic Emergency Medicine Diagnosis Intestinal Obstruction Ultrasonography Meta-analysis |
| title | Diagnostic Performance of Ultrasonography for Identification of Small Bowel Obstruction: A Systematic Review and Meta-analysis |
| title_full | Diagnostic Performance of Ultrasonography for Identification of Small Bowel Obstruction: A Systematic Review and Meta-analysis |
| title_fullStr | Diagnostic Performance of Ultrasonography for Identification of Small Bowel Obstruction: A Systematic Review and Meta-analysis |
| title_full_unstemmed | Diagnostic Performance of Ultrasonography for Identification of Small Bowel Obstruction: A Systematic Review and Meta-analysis |
| title_short | Diagnostic Performance of Ultrasonography for Identification of Small Bowel Obstruction: A Systematic Review and Meta-analysis |
| title_sort | diagnostic performance of ultrasonography for identification of small bowel obstruction a systematic review and meta analysis |
| topic | Diagnosis Intestinal Obstruction Ultrasonography Meta-analysis |
| url | https://journals.sbmu.ac.ir/aaem/index.php/AAEM/article/view/2265 |
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