The value of the erect abdominal radiograph for the diagnosis of mechanical bowel obstruction and paralytic ileus in adults presenting with acute abdominal pain

Journal of Medical Radiation Sciences
Wendy Z M GengKerry Thoirs


There is discord on the value of the erect abdominal radiograph for diagnosing acute abdominal pathologies. The erect radiograph can be uncomfortable for patients in pain and increases patient radiation dose. To determine if including the erect abdominal radiograph in plain abdominal radiography (PAR) improved diagnostic accuracy for identifying mechanical bowel obstruction and/or paralytic ileus in adults presenting with acute abdominal pain. PAR of 40 consecutive adults presenting with suspected bowel obstruction or paralytic ileus was retrospectively sampled and independently reviewed by two emergency department (ED) consultants and two radiology consultants for bowel obstruction and paralytic ileus across two sessions. In session 1, the assessors assessed the supine abdominal radiographs (PAR 1) and clinical details in a randomised order, and session 2, at least 6 weeks later, they assessed the supine and erect radiographs (PAR 2) and clinical details of the randomly re-ordered cases. Computed tomography was the reference standard. Pair-wise comparisons of receiver operating characteristic curves were calculated to assess for significant differences in participants' diagnostic accuracy using MedCalc 16.4.3. Average sensitiv...Continue Reading


Apr 1, 1992·AJR. American Journal of Roentgenology·T FukuyaT J Barloon
Aug 1, 1991·Radiology·A J MegibowM E Noz
Nov 1, 1989·The British Journal of Surgery·T T Irvin
Sep 1, 1986·AJR. American Journal of Roentgenology·S E MirvisR Tarr
Jun 29, 1985·British Medical Journal·S FieldA E Scourfield
Jul 1, 1984·Clinical Radiology·M W HaywardC J Roberts
Jul 1, 1980·Clinical Radiology·G J de LaceyB Cramer
Jan 1, 1994·AJR. American Journal of Roentgenology·D FragerM Friedman
Dec 1, 1996·AJR. American Journal of Roentgenology·D D MaglinteS N Gage
Oct 24, 2000·AJR. American Journal of Roentgenology·F M Hall
Jan 3, 2001·AJR. American Journal of Roentgenology·J C LappasD D Maglinte
Jul 3, 2003·Digestive Diseases·Petr DíteIvo Novotný
Jan 1, 1950·Cancer·W J YOUDEN
Oct 11, 2005·Psychiatric Services : a Journal of the American Psychiatric Association·Rob Whitley
Oct 20, 2005·Asian Journal of Surgery·Subhita PrasannanYunus A Gul
Feb 8, 2006·Annals of the Royal College of Surgeons of England·C Beverly B LimRichard A Harrison
Sep 30, 2006·ANZ Journal of Surgery·Michael Ohene-Yeboah
Feb 22, 2007·AJR. American Journal of Roentgenology·William M ThompsonErik K Paulson
Apr 26, 2008·Biometrical Journal. Biometrische Zeitschrift·Marcus D RuoppEnrique F Schisterman
Sep 10, 2008·Journal of Clinical Epidemiology·Mariska M G LeeflangLes Irwig
Oct 1, 2009·Radiology·Jaap StokerMarja A Boermeester
Nov 3, 2009·Upsala Journal of Medical Sciences·Olle HallerRickard Nyman
Jul 24, 2010·Annals of the Royal College of Surgeons of England·S AlazzawiM H Lewis
Apr 18, 2012·ANZ Journal of Surgery·Long K NguyenRichard M Mendelson
Dec 17, 2014·European Surgical Research. Europäische Chirurgische Forschung. Recherches Chirurgicales Européennes·Zhouqiao WuJohan F Lange
Apr 24, 2015·Radiology·Erik K Paulson, William M Thompson
Jun 23, 2016·Journal of Chiropractic Medicine·Terry K Koo, Mae Y Li


Apr 12, 2019·Journal of Medical Radiation Sciences·Kevin Flintham, Beverly Snaith
Dec 7, 2018·Journal of Medical Radiation Sciences·Ashish Chawla, Wilfred C G Peh
Mar 29, 2019·World Journal of Gastrointestinal Endoscopy·Igor Braga RibeiroEduardo Guimarães Hourneaux de Moura
Feb 18, 2021·Journal of Forensic and Legal Medicine·Kei IkedaTakaki Ishikawa

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.

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.

Spatio-Temporal Regulation of DNA Repair

DNA repair is a complex process regulated by several different classes of enzymes, including ligases, endonucleases, and polymerases. This feed focuses on the spatial and temporal regulation that accompanies DNA damage signaling and repair enzymes and processes.

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.

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.

Separation Anxiety

Separation anxiety is a type of anxiety disorder that involves excessive distress and anxiety with separation. This may include separation from places or people to which they have a strong emotional connection with. It often affects children more than adults. Here is the latest research on separation anxiety.

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.

Applications of Molecular Barcoding

The concept of molecular barcoding is that each original DNA or RNA molecule is attached to a unique sequence barcode. Sequence reads having different barcodes represent different original molecules, while sequence reads having the same barcode are results of PCR duplication from one original molecule. Discover the latest research on molecular barcoding here.

© 2021 Meta ULC. All rights reserved