Abdominal radiography findings in small-bowel obstruction: relevance to triage for additional diagnostic imaging

AJR. American Journal of Roentgenology
J C LappasD D T Maglinte

Abstract

Our aim was to determine which findings on abdominal radiography are relevant for distinguishing complete or high-grade partial small-bowel obstruction from low-grade partial or no small-bowel obstruction. Admitting abdominal radiographs with the patients in the supine and upright positions were scored for 25 different findings in 81 patients with clinically suspected small-bowel obstruction. Forty-one patients had complete or high-grade partial small-bowel obstruction, and 40 had low-grade partial small-bowel obstruction or no obstruction as determined by enteroclysis examination. Abdominal radiography findings were subjected to statistical analysis for correlation with degree of obstruction. Of 12 radiographic findings strongly associated (p < 0.05) with the severity of obstruction, two findings were found to be the most significant (p < or = 0.0003) and predictive of a higher grade small-bowel obstruction: the presence of air-fluid levels of differential height in the same small-bowel loop and the presence of a mean air-fluid level width greater than or equal to 25 mm on upright abdominal radiographs. When both critical findings are present, the degree of small-bowel obstruction is likely high-grade or complete. When both si...Continue Reading

References

Apr 1, 1992·AJR. American Journal of Roentgenology·T FukuyaT J Barloon
Aug 1, 1991·Radiology·A J MegibowM E Noz
Nov 1, 1987·AJR. American Journal of Roentgenology·E J BalthazarE Beranbaum
Apr 1, 1989·Radiology·J B MarkusG W Stevenson
Sep 1, 1986·AJR. American Journal of Roentgenology·S E MirvisR Tarr
Jul 1, 1973·Seminars in Roentgenology·B Levin
Jul 1, 1973·Seminars in Roentgenology·S S Schwartz
Nov 1, 1995·AJR. American Journal of Roentgenology·P G TaourelJ M Bruel
Jan 1, 1994·AJR. American Journal of Roentgenology·D FragerM Friedman
Jan 1, 1994·AJR. American Journal of Roentgenology·G S GazelleP R Mueller
Jul 1, 1993·Radiology·D D T MaglinteS M Chernish
Mar 1, 1996·AJR. American Journal of Roentgenology·R E Mindelzun, J J McCort
Dec 1, 1996·AJR. American Journal of Roentgenology·D D T MaglinteS N Gage
May 1, 1997·AJR. American Journal of Roentgenology·D D T MaglinteA J Megibow
May 15, 1997·Statistics in Medicine·D W HosmerS Lemeshow

Citations

Sep 9, 2006·Der Chirurg; Zeitschrift für alle Gebiete der operativen Medizen·P Landwehr
Feb 3, 2005·Abdominal Imaging·D D T MaglinteT J Howard
May 3, 2003·Clinical Radiology·M J Brochwicz-LewinskiJ T Murchison
Feb 22, 2007·AJR. American Journal of Roentgenology·William M ThompsonErik K Paulson
Jun 3, 2014·Gastroenterology Research and Practice·Wasim MemonShayan Sirat Maheen Anwar
Mar 28, 2009·Radiographics : a Review Publication of the Radiological Society of North America, Inc·Ana Catarina SilvaLuís S Guimarães
Apr 1, 2011·European Journal of Trauma and Emergency Surgery : Official Publication of the European Trauma Society·K IsakssonB Tingstedt
Feb 3, 2016·Abdominal Radiology·Kiran GangadharNeeraj Lalwani
May 11, 2011·Veterinary Radiology & Ultrasound : the Official Journal of the American College of Veterinary Radiology and the International Veterinary Radiology Association·Ajay SharmaHollis N Erb
Jul 25, 2006·The Nurse Practitioner·Sally K Miller, Patricia T Alpert
Jun 12, 2008·The Journal of Trauma·Jose J DiazRebecca Jerome
May 1, 2010·AACN Advanced Critical Care·Colleen Trevino
Dec 27, 2012·The Journal of Trauma and Acute Care Surgery·Adrian A MaungEastern Association for the Surgery of Trauma
Sep 28, 2019·World Journal of Gastrointestinal Pathophysiology·Pantelis VassiliuNikolaos Arkadopoulos
Dec 7, 2018·Journal of Medical Radiation Sciences·Ashish Chawla, Wilfred C G Peh
Nov 4, 2017·BMC Research Notes·A R FernandoD N Samarasekera

Related Concepts

Trending Feeds

COVID-19

Coronaviruses encompass a large family of viruses that cause the common cold as well as more serious diseases, such as the ongoing outbreak of coronavirus disease 2019 (COVID-19; formally known as 2019-nCoV). Coronaviruses can spread from animals to humans; symptoms include fever, cough, shortness of breath, and breathing difficulties; in more severe cases, infection can lead to death. This feed covers recent research on COVID-19.

STING Receptor Agonists

Stimulator of IFN genes (STING) are a group of transmembrane proteins that are involved in the induction of type I interferon that is important in the innate immune response. The stimulation of STING has been an active area of research in the treatment of cancer and infectious diseases. Here is the latest research on STING receptor agonists.

Chronic Fatigue Syndrome

Chronic fatigue syndrome is a disease characterized by unexplained disabling fatigue; the pathology of which is incompletely understood. Discover the latest research on chronic fatigue syndrome here.

Hereditary Sensory Autonomic Neuropathy

Hereditary Sensory Autonomic Neuropathies are a group of inherited neurodegenerative disorders characterized clinically by loss of sensation and autonomic dysfunction. Here is the latest research on these neuropathies.

Glut1 Deficiency

Glut1 deficiency, an autosomal dominant, genetic metabolic disorder associated with a deficiency of GLUT1, the protein that transports glucose across the blood brain barrier, is characterized by mental and motor developmental delays and infantile seizures. Follow the latest research on Glut1 deficiency with this feed.

Regulation of Vocal-Motor Plasticity

Dopaminergic projections to the basal ganglia and nucleus accumbens shape the learning and plasticity of motivated behaviors across species including the regulation of vocal-motor plasticity and performance in songbirds. Discover the latest research on the regulation of vocal-motor plasticity here.

Neural Activity: Imaging

Imaging of neural activity in vivo has developed rapidly recently with the advancement of fluorescence microscopy, including new applications using miniaturized microscopes (miniscopes). This feed follows the progress in this growing field.

Nodding Syndrome

Nodding Syndrome is a neurological and epileptiform disorder characterized by psychomotor, mental, and growth retardation. Discover the latest research on Nodding Syndrome here.

LRRK2 & Microtubules

Mutations in the LRRK2 gene are risk-factors for developing Parkinson’s disease (PD). LRRK2 mutations in PD have been shown to enhance its association with microtubules. Here is the latest research.