ACR Appropriateness Criteria® Suspected Small-Bowel Obstruction
| Autor: | Angela D. Levy, Benjamin W. Hatten, David H Kim, Courtney C. Moreno, Daniele Marin, Jason A. Pietryga, Stefanie Weinstein, Christine M. Peterson, Marc A Camacho, Laura R. Carucci, Kathryn J. Fowler, Brooks D. Cash, Peter S. Liu, Expert Panel on Gastrointestinal Imaging, Avinash Kambadakone, Evelyn M Garcia, Alan Siegel, Kevin J. Chang |
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| Rok vydání: | 2020 |
| Předmět: |
medicine.medical_specialty
Abdominal pain medicine.diagnostic_test business.industry Physical examination medicine.disease Appropriateness criteria Appropriate Use Criteria 030218 nuclear medicine & medical imaging Bowel obstruction 03 medical and health sciences 0302 clinical medicine Multidisciplinary approach 030220 oncology & carcinogenesis medicine Radiology Nuclear Medicine and imaging medicine.symptom Intensive care medicine business Medical literature |
| Zdroj: | Journal of the American College of Radiology. 17:S305-S314 |
| ISSN: | 1546-1440 |
| Popis: | Small-bowel obstruction is a common cause of abdominal pain and accounts for a significant proportion of hospital admissions. Radiologic imaging plays the key role in the diagnosis and management of small-bowel obstruction as neither patient presentation, the clinical examination, nor laboratory testing are sufficiently sensitive or specific enough to diagnose or guide management. This document focuses on the imaging evaluation of the two most commonly encountered clinical scenarios related to small-bowel obstruction: the acute presentation and the more indolent, low-grade, or intermittent presentation. This document hopes to clarify the appropriate utilization of the many imaging procedures that are available and commonly employed in these clinical settings. The American College of Radiology Appropriateness Criteria are evidence-based guidelines for specific clinical conditions that are reviewed annually by a multidisciplinary expert panel. The guideline development and revision include an extensive analysis of current medical literature from peer reviewed journals and the application of well-established methodologies (RAND/UCLA Appropriateness Method and Grading of Recommendations Assessment, Development, and Evaluation or GRADE) to rate the appropriateness of imaging and treatment procedures for specific clinical scenarios. In those instances where evidence is lacking or equivocal, expert opinion may supplement the available evidence to recommend imaging or treatment. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
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