Primärdiagnostik der akuten Sigmadivertikulitis

Autor:	J. Sturm, S. J. Diehl, M. Wüstner, M. Farag Soliman, A. Werner, Stefan Post, C. Düber
Rok vydání:	2004
Předmět:	medicine.medical_specialty Diagnostic methods Acute diverticulitis medicine.diagnostic_test business.industry Ct examination medicine Radiology Nuclear Medicine and imaging Computed tomography Radiology Prospective cohort study business Surgical treatment
Zdroj:	Ultraschall in der Medizin - European Journal of Ultrasound. 25:342-347
ISSN:	1438-8782 0172-4614
Popis:	AIM The initial diagnostics of acute diverticulitis of the sigmoid should render the correct diagnosis as well as assisting in the decision on the options of conservative or surgical treatment by ruling out or demonstrating complications. At present, sonography or computed tomography (CT) are the two competing diagnostic options. This study was designed to demonstrate that sonography could be used as the method of choice. METHOD 63 patients with clinical suspicion of acute diverticulitis of the sigmoid were examined initially by sonography or CT in a prospective study. RESULTS Sonography and CT showed a 97 % sensitivity and specificity for reaching the accurate and clinically plausible diagnosis. As to the demonstration of complications of the disease, sensitivity and specificity were comparably high for both diagnostic methods. CONCLUSIONS Sonography can compete with the more complex CT examination and therefore represents the recommended primary diagnostic procedure.
Databáze:	OpenAIRE
Externí odkaz:	https://explore.openaire.eu/search/publication?articleId=doi_________::6b7988fe470f0e2d3bf9e9c6aa0645a1 https://doi.org/10.1055/s-2004-813381 Zobrazit plný text záznamu