Prognostic value of MDCT in malignant large-bowel obstructions

La Radiologia medica
G AngelelliA A Stabile Ianora


This study aimed to correlate multidetector-row computed tomography (MDCT) findings and postoperative prognosis in malignant large-bowel obstructions. Twenty-seven patients affected by malignant colonic obstruction underwent MDCT examination and were analysed for obstruction site, colon-wall morphology, intestinal content alterations and transverse diameter of ascending colon. Obstruction site was recognised in all cases (5/27 ascending colon; 1/27 transverse colon; 11/27 descending colon; 10/27 sigma-rectum). Intestinal content consisted of mainly air in 3/27 patients, mainly fluid in 11/27 and air-fluid levels in 13/27. In 9/27 cases, pneumatosis intestinalis was found. Mean maximum diameter of the ascending colon was 8.2 cm. Overall mortality rate was 37%. An intestinal content mainly consisting of air (3/3 living patients) or fluid (7/11 living patients) were indicative of good prognosis. Air-fluid level detection indicated poor prognosis in 7/13 cases. Pneumatosis intestinalis (7/9 deceased patients) and ascending colon diameter values > or =10 cm (7/7 deceased patients) were indicative of poor prognosis. MDCT can identify the presence and site of malignant large-bowel obstructions and may provide useful prognostic informa...Continue Reading


Aug 18, 1977·Gastrointestinal Radiology·M A Meyers
Jan 1, 1992·The American Journal of Clinical Nutrition·W F Caspary
Apr 1, 1989·Radiology·J B MarkusG W Stevenson
Jun 1, 1986·Journal of Ultrasound in Medicine : Official Journal of the American Institute of Ultrasound in Medicine·J J SeibertS L Sutterfield
Oct 1, 1968·Radiology·A G Chmidt
Nov 1, 1984·The British Journal of Radiology·R E Kottler, G K Lee
Sep 1, 1994·The British Journal of Surgery·G T DeansS T Irwin
Nov 1, 1994·AJR. American Journal of Roentgenology·J H LimJ W Lim
Jan 1, 1994·Gut·P A Van LeeuwenR I Wesdorp
Jan 1, 1996·The British Journal of Surgery·H E MulcahyD P O'Donoghue
Feb 5, 1998·CA: a Cancer Journal for Clinicians·S H LandisP A Wingo
Mar 28, 1998·Abdominal Imaging·D FragerM Friedman
Apr 5, 2000·AJR. American Journal of Roentgenology·E M Caoili, E K Paulson
Jun 13, 2001·Journal of the American College of Surgeons·Y M LeeR T Poon
Apr 24, 2004·The Cochrane Database of Systematic Reviews·G L De SalvoM Lise
Sep 24, 2004·AJR. American Journal of Roentgenology·Erik K PaulsonRendon C Nelson
Jan 19, 2005·Techniques in Coloproctology·N GatsoulisG Mavrakis
Feb 3, 2005·Abdominal Imaging·D D T MaglinteT J Howard
Apr 19, 2005·European Radiology·S AufortP Taourel
Sep 9, 2006·Der Chirurg; Zeitschrift für alle Gebiete der operativen Medizen·P Landwehr
Jan 19, 2007·World Journal of Gastroenterology : WJG·Haridimos MarkogiannakisIoannis Bramis
Feb 3, 2007·The British Journal of Radiology·D A McKennaD P O'Keeffe
May 23, 2007·AJR. American Journal of Roentgenology·Lisa M HoWilliam M Thompson
Jul 11, 2007·Zeitschrift für Gastroenterologie·J M Stein, A R Schneider
Aug 10, 2007·Journal of Gastrointestinal Surgery : Official Journal of the Society for Surgery of the Alimentary Tract·Alexander J GreensteinCelia M Divino

❮ Previous
Next ❯


Jan 10, 2012·La Radiologia medica·G AngelelliA A Stabile Ianora
Sep 21, 2013·Journal of Gastrointestinal Surgery : Official Journal of the Society for Surgery of the Alimentary Tract·Heather L Yeo, Sang W Lee
Jan 11, 2014·La Radiologia medica·Marirosa Cristallo LacalamitaGiuseppe Angelelli
Nov 28, 2013·The American Journal of Emergency Medicine·Kai-Yu FongHsu-Heng Yen
Feb 6, 2013·The American Journal of Emergency Medicine·Yu-Lung ChenShih-Hung Tsai
Oct 30, 2010·European Journal of Radiology·Giuseppe AngelelliAmato Antonio Stabile Ianora

❮ Previous
Next ❯

Related Concepts

Trending Feeds


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.

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.

Evolution of Pluripotency

Pluripotency refers to the ability of a cell to develop into three primary germ cell layers of the embryo. This feed focuses on the mechanisms that underlie the evolution of pluripotency. Here is the latest research.

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.

Nuclear Pore Complex in ALS/FTD

Alterations in nucleocytoplasmic transport, controlled by the nuclear pore complex, may be involved in the pathomechanism underlying multiple neurodegenerative diseases including Amyotrophic Lateral Sclerosis and Frontotemporal Dementia. Here is the latest research on the nuclear pore complex in ALS and FTD.

Landau-Kleffner Syndrome

Landau Kleffner syndrome (LKS), also called infantile acquired aphasia, acquired epileptic aphasia, or aphasia with convulsive disorder, is a rare childhood neurological syndrome characterized by the sudden or gradual development of aphasia (the inability to understand or express language) and an abnormal electroencephalogram. Discover the latest research on LKS here.

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.


Microbicides are products that can be applied to vaginal or rectal mucosal surfaces with the goal of preventing, or at least significantly reducing, the transmission of sexually transmitted infections. Here is the latest research on microbicides.

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.