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Real-world accuracy of computed tomography in patients admitted with small bowel obstruction: a multicentre prospective cohort study

PURPOSE: Small bowel obstruction (SBO) is a common surgical emergency. Previous studies have shown the value computed tomography (CT) scanning in both confirming this diagnosis and identifying indications for urgent surgical intervention, such as strangulated bowel or closed loop obstructions. Howev...

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Autores principales: Nielsen, L. B. J., Ærenlund, M. P., Alouda, M., Azzam, M., Bjerke, T., Burcharth, J., Dibbern, C. B., Jensen, T. K., Jordhøj, J. Q., Lolle, I., Malik, T., Ngo-Stuyt, L., Nielsen, E. Ø., Olausson, M., Skovsen, A. P., Tolver, M. A., Smith, H. G.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Springer Berlin Heidelberg 2023
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10465641/
https://www.ncbi.nlm.nih.gov/pubmed/37642708
http://dx.doi.org/10.1007/s00423-023-03084-z
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author Nielsen, L. B. J.
Ærenlund, M. P.
Alouda, M.
Azzam, M.
Bjerke, T.
Burcharth, J.
Dibbern, C. B.
Jensen, T. K.
Jordhøj, J. Q.
Lolle, I.
Malik, T.
Ngo-Stuyt, L.
Nielsen, E. Ø.
Olausson, M.
Skovsen, A. P.
Tolver, M. A.
Smith, H. G.
author_facet Nielsen, L. B. J.
Ærenlund, M. P.
Alouda, M.
Azzam, M.
Bjerke, T.
Burcharth, J.
Dibbern, C. B.
Jensen, T. K.
Jordhøj, J. Q.
Lolle, I.
Malik, T.
Ngo-Stuyt, L.
Nielsen, E. Ø.
Olausson, M.
Skovsen, A. P.
Tolver, M. A.
Smith, H. G.
author_sort Nielsen, L. B. J.
collection PubMed
description PURPOSE: Small bowel obstruction (SBO) is a common surgical emergency. Previous studies have shown the value computed tomography (CT) scanning in both confirming this diagnosis and identifying indications for urgent surgical intervention, such as strangulated bowel or closed loop obstructions. However, most of the literature is based on retrospective expert review of previous imaging and little data regarding the real-time accuracy of CT reporting is available. Here, we investigated the real-world accuracy of CT reporting in patients admitted with SBO. METHODS: This was a multicentre prospective study including consecutive patients admitted with SBO. The primary outcomes were the sensitivity and specificity of CT scanning for bowel obstruction with ischaemia and closed loop obstruction. Data were retrieved from the original CT reports written by on-call radiologists and compared with operative findings. RESULTS: One hundred seventy-six patients were included, all of whom underwent CT scanning with intravenous contrast followed by operative management of SBO. Bowel obstruction with ischaemia was noted in 20 patients, with a sensitivity and specificity of CT scanning of 40.0% and 85.5%, respectively. Closed loop obstructions were noted in 26 patients, with a sensitivity and specificity of CT scanning of 23.1% and 98.0%, respectively. CONCLUSIONS: The real-world accuracy of CT scanning appears to be lower than previously reported in the literature. Strategies to address this could include the development of standardised reporting schemas and to increase the surgeon’s own familiarity with relevant CT features in patients admitted with SBO.
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spelling pubmed-104656412023-08-31 Real-world accuracy of computed tomography in patients admitted with small bowel obstruction: a multicentre prospective cohort study Nielsen, L. B. J. Ærenlund, M. P. Alouda, M. Azzam, M. Bjerke, T. Burcharth, J. Dibbern, C. B. Jensen, T. K. Jordhøj, J. Q. Lolle, I. Malik, T. Ngo-Stuyt, L. Nielsen, E. Ø. Olausson, M. Skovsen, A. P. Tolver, M. A. Smith, H. G. Langenbecks Arch Surg Research PURPOSE: Small bowel obstruction (SBO) is a common surgical emergency. Previous studies have shown the value computed tomography (CT) scanning in both confirming this diagnosis and identifying indications for urgent surgical intervention, such as strangulated bowel or closed loop obstructions. However, most of the literature is based on retrospective expert review of previous imaging and little data regarding the real-time accuracy of CT reporting is available. Here, we investigated the real-world accuracy of CT reporting in patients admitted with SBO. METHODS: This was a multicentre prospective study including consecutive patients admitted with SBO. The primary outcomes were the sensitivity and specificity of CT scanning for bowel obstruction with ischaemia and closed loop obstruction. Data were retrieved from the original CT reports written by on-call radiologists and compared with operative findings. RESULTS: One hundred seventy-six patients were included, all of whom underwent CT scanning with intravenous contrast followed by operative management of SBO. Bowel obstruction with ischaemia was noted in 20 patients, with a sensitivity and specificity of CT scanning of 40.0% and 85.5%, respectively. Closed loop obstructions were noted in 26 patients, with a sensitivity and specificity of CT scanning of 23.1% and 98.0%, respectively. CONCLUSIONS: The real-world accuracy of CT scanning appears to be lower than previously reported in the literature. Strategies to address this could include the development of standardised reporting schemas and to increase the surgeon’s own familiarity with relevant CT features in patients admitted with SBO. Springer Berlin Heidelberg 2023-08-29 2023 /pmc/articles/PMC10465641/ /pubmed/37642708 http://dx.doi.org/10.1007/s00423-023-03084-z Text en © The Author(s) 2023 https://creativecommons.org/licenses/by/4.0/Open Access This article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/ (https://creativecommons.org/licenses/by/4.0/) .
spellingShingle Research
Nielsen, L. B. J.
Ærenlund, M. P.
Alouda, M.
Azzam, M.
Bjerke, T.
Burcharth, J.
Dibbern, C. B.
Jensen, T. K.
Jordhøj, J. Q.
Lolle, I.
Malik, T.
Ngo-Stuyt, L.
Nielsen, E. Ø.
Olausson, M.
Skovsen, A. P.
Tolver, M. A.
Smith, H. G.
Real-world accuracy of computed tomography in patients admitted with small bowel obstruction: a multicentre prospective cohort study
title Real-world accuracy of computed tomography in patients admitted with small bowel obstruction: a multicentre prospective cohort study
title_full Real-world accuracy of computed tomography in patients admitted with small bowel obstruction: a multicentre prospective cohort study
title_fullStr Real-world accuracy of computed tomography in patients admitted with small bowel obstruction: a multicentre prospective cohort study
title_full_unstemmed Real-world accuracy of computed tomography in patients admitted with small bowel obstruction: a multicentre prospective cohort study
title_short Real-world accuracy of computed tomography in patients admitted with small bowel obstruction: a multicentre prospective cohort study
title_sort real-world accuracy of computed tomography in patients admitted with small bowel obstruction: a multicentre prospective cohort study
topic Research
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10465641/
https://www.ncbi.nlm.nih.gov/pubmed/37642708
http://dx.doi.org/10.1007/s00423-023-03084-z
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