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

İsmail ŞERİFOĞLU; İbrahim İlker ÖZ; Alptekin TOSUN; Mustafa Kemal DEMİR

doi:https://doi.org/10.30565/medalanya.388620

Article Details

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

Authors:

İsmail ŞERİFOĞLU | İbrahim İlker ÖZ | Alptekin TOSUN | Mustafa Kemal DEMİR

Publisher:

Alanya Alaaddin Keykubat University

Main Topics:

Diseases

Journal:

Acta Medica Alanya 2018 Vol.2 Issue 2, pp.85-90

Document Type:

Article

Publication Date:

7/2018

Document Language:

English

Document ID (Org No.):

2000440111

Frequency:

Tri-annual

eISSN:

2587-0319

DOI:

https://doi.org/10.30565/medalanya.388620

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 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 (p0.05). 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. 

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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 (p0.05). 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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Article Details

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

Authors: İsmail ŞERİFOĞLU | İbrahim İlker ÖZ | Alptekin TOSUN | Mustafa Kemal DEMİR

Publisher: Alanya Alaaddin Keykubat University

Main Topics: Diseases

Journal: Acta Medica Alanya 2018 Vol.2 Issue 2, pp.85-90

Document Type: Article

Publication Date: 7/2018

Document Language: English

Document ID (Org No.): 2000440111

Frequency: Tri-annual

eISSN: 2587-0319

DOI: https://doi.org/10.30565/medalanya.388620

Issues

Authors:

İsmail ŞERİFOĞLU | İbrahim İlker ÖZ | Alptekin TOSUN | Mustafa Kemal DEMİR

Publisher:

Alanya Alaaddin Keykubat University

Main Topics:

Diseases

Journal:

Acta Medica Alanya 2018 Vol.2 Issue 2, pp.85-90

Document Type:

Article

Publication Date:

7/2018

Document Language:

English

Document ID (Org No.):

2000440111

Frequency:

Tri-annual

eISSN:

2587-0319

DOI:

https://doi.org/10.30565/medalanya.388620