Reliability and role of plain film radiography and CT in the diagnosis of small-bowel obstruction
| Autor: | F. M. Kelvin, Scott N. Gage, Ben H. Harmon, Dean D. T. Maglinte, Anastacio C. Ng, James E. Hage, Gonzalo T. Chua, Benedicto L. Reyes, William W. Turner |
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| Rok vydání: | 1996 |
| Předmět: |
Adult
Male medicine.medical_specialty Radiography Contrast Media Sensitivity and Specificity chemistry.chemical_compound Partial obstruction Intestine Small medicine Retrospective analysis Humans Radiology Nuclear Medicine and imaging Aged Retrospective Studies medicine.diagnostic_test business.industry Projectional radiography General Medicine Middle Aged medicine.disease Abdominal Radiography Bowel obstruction Barium sulfate chemistry Female Radiology Tomography Barium Sulfate business Nuclear medicine Tomography X-Ray Computed Intestinal Obstruction |
| Zdroj: | AJR. American journal of roentgenology. 167(6) |
| ISSN: | 0361-803X |
| Popis: | We compare the reliability and define the role of plain film radiography and CT in the assessment of various severities of small-bowel obstruction.A blinded retrospective analysis was done on 78 patients who underwent plain abdominal radiography, CT, and enteroclysis to assess for suspected small-bowel obstruction. The findings at enteroclysis and the clinical outcomes were used as standards of reference.The sensitivity of plain film radiography for revealing small-bowel obstruction was 69% (44/64), and its specificity was 57% (8/14). Overall accuracy of plain film radiography was 67% (52/78). The sensitivity and specificity of CT were 64% (41/64) and 79% (11/ 14), respectively. Overall accuracy of CT was 67% (52/78). When obstructions were classified as low- and high-grade partial obstruction, plain film radiography and CT had sensitivities of 86% (24/28) and 82% (23/28), respectively, for high-grade obstruction and 56% (20/36) and 50% (18/36), respectively, for low-grade obstruction. CT revealed the cause of the small-bowel obstruction in 95% (39/41) of those patients in who CT correctly showed the obstruction.Plain film radiography and CT had similar overall accuracies in showing small-bowel obstruction of various severities. Plain film radiography should remain the initial method of imaging patients with suspected small-bowel obstruction. The ability of CT to show the cause of small-bowel obstruction makes CT an important additional diagnostic tool when specific management issues must be addressed. |
| Databáze: | OpenAIRE |
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