27Feb 2017

CAN WE STILL RELY ON ABDOMINAL X-RAY IN DIAGNOSING BOWEL OBSTRUCTION?

  • Medical intern - King Abdulaziz University – Jeddah – Saudi arabia.
  • Assistant professor , abdominal imaging radiologist, Deputy chairman of radiology department, Head of abdominal imaging, King Abdulaziz University – Jeddah – Saudi Arabia.
Crossref Cited-by Linking logo

  • Abstract
  • Keywords
  • References
  • Cite This Article as
  • Corresponding Author

Background: Bowel obstruction (BO) describes as "failure of passage of intestinal contents", it's common surgical emergency and a major cause of morbidity , during last twenty years there was a huge development in radiological techniques used to diagnose bowel obstruction . This study aimed to compare reliability between abdominal plain radiography and CT for detection of suspected cases. Method:A retrospective study including 261 patients suspected SBO who underwent CT scan and abdominal x-ray in king Abdulaziz University hospital, during the period from May 2016 to November 2016. Results:From 261 patients suspected BO,119 (45.6%) were male and 142 (54.4%) female, with mean age score 56.3±17.7, 132 (50.8%) were presented as abdominaldistension , follow by 129 (49.6%) abdominal pain, 69 (26.5%) as vomiting , 61 (23.4%) as constipation, and 11(4.2%) as diarrhea ,from the total number 78 (29.9%) cases reported as positive intestinal obstruction by CT , where 154 (59.4%) cases reported as suspected intestinal obstruction by x-ray . Conclusion:The early precise diagnosis of bowelobstruction helps in decreasing the morbidity and mortality rate. Plain abdomen radiography is suitable technique in the emergency cases and follow up tool after operation , however CT scan is the more accurate technique.

  1. JACKSON PG and RAIJI M . Evaluation and Management of Intestinal Obstruction. Am Fam Physician. 2011 Jan 15;83(2):159-165.
  2. Shakil O1,Zafar SN, Zia-ur-Rehman, Saleem S, Khan R, Pal KM .The role of computed tomography for identifying mechanical bowel obstruction in a Pakistani population. J Pak Med Assoc. 2011 Sep;61(9):871-4.
  3. Manchanda SD1,Prasad A, Sachdev N, De P, Abbas SZ, Baruah BP. Multi detector computed tomography (MDCT)  evaluation of small bowel obstruction: pictorial review. Trop Gastroenterol. 2010 Oct-Dec;31(4):249-59.
  4. A NarishaMaharaj&Bhugwan Singh (2015) .A review of the radiological imaging modalities of non-traumatic small bowel obstruction, South African Family Practice, 57:3, 146-159, DOI: 10.1080/20786190.2014.977052
  5. Jha AK . Radiological Techniques in the Diagnosis of Strangulating Small Bowel Obstruction. JNMA J Nepal Med Assoc.2013 Apr-Jun;52(190):420-6.
  6. Paulson EK, and Thompson WM. Review of Small-Bowel Obstruction: The Diagnosis and When to Worry. Radiology: May 2015. 275(2)
  7. Maglinte DDT, Howard TJ, Lillemoe KD, et al. Small-bowel obstruction: State-of-the-art imaging and its role in clinical management. ClinGastroenterolHepatol. 2008;6(2):130–9. Available from: http://dx.doi. org/10.1016%2Fj.cgh.2007.11.025
  8. Thompson WM1,Kilani RK, Smith BB, Thomas J, Jaffe TA, Delong DM, Paulson EK. Accuracy of Abdominal Radiography in Acute Small-Bowel Obstruction:  Does Reviewer Experience Matter?AJR Am J Roentgenol. 2007 Mar;188(3):W233-8.
  9. Nicolaou S, Kai B, Ho S, et al. Imaging of acute small-bowel obstruction. Am J Roentgenol. 2005;185(4):1036–44. Available from: http://dx.doi. org/10.2214%2FAJR.04.0815
  10. Furukawa A, Yamasaki M, Takahashi M, et al. CT diagnosis of small bowel obstruction: scanning technique, interpretation and role in the diagnosis. Semin Ultrasound CT MRI. 2003, Oct;24(5):336–52. Available from: http://dx.doi.org/10.1016%2Fj.sult.2003.08.001
  11. Macari M, Megibow A. Imaging of suspected acute small bowel obstruction. SeminRoentgenol. 200;36(2):108-17.
  12. Silva AC, Pimenta M, Guimaraes LS. Small bowel obstruction: whatto look for. Radiographics. 2009;29(2):423–9. Available from: http:// dx.doi.org/10.1148/rg.292085514
  13. Algin O1,Evrimler S, Arslan H. Advances in Radiologic Evaluation of Small Bowel Diseases. J Comput Assist Tomogr. 2013 Nov-Dec;37(6):862-71.
  14. Furukawa A., Yamasaki M., Furuichi K., Yokoyama K., Nagata T, Takahashi M, Murata K, Sakamoto T. Helical CT in the diagnosis of Small bowel obstruction. Radiographics. 2001;21 (2):341-55.
  15. Burkill GJC, Bell JRG, Healy JC. The utility of computed tomography in acute small bowel obstruction. ClinRadiol. 2001;56(5):350-9.
  16. Jun L, ChangYi S . Diagnostic Value of Plain and Contrast Radiography, and Multi-slice Computed Tomography in Diagnosing Intestinal Obstruction in Different Locations. Indian J Surg. 2015 Dec;77(Suppl 3):1248-51.
  17. Maglinte DD, Gage SN, Harmon BH, Kelvin FM, Hage JP, Chua GT, et al. Obstruction of the small intestine: accuracy and role of CT in diagnosis. Radiology. 1993;188:61–4.
  18. Scaglione M, Romano S, Pinto F, Flagiello F, Farina R, Acampora C, Romano L. Helical CT diagnosis of small bowel obstruction in the acute clinical setting. Eur J Radiol.  2004;50(1):15-22.
  19. Masselli G1, Gualdi G . CT and MR enterography in evaluating small bowel diseases: when to use which modality?Abdom Imaging.2013 Apr;38(2):249-59.
  20. Carucci LR, Levine MS (2002) Radiographic imaging of inflammatory bowel disease. GastroenterolClin North Am 31:93–117
  21. Podolsky DK (2002) Inflammatory bowel disease. N Engl J Med 347:417–429
  22. Maglinte DD, Sandrasegaran K, Lappas JC, Chiorean M (2007) CT enteroclysis. Radiology 245(3):661–671
  23. Fletcher JG, Fidler JL, Bruining DH, Huprich JE (2011) New concepts in intestinal imaging for inflammatory bowel diseases. Gastroenterology 140(6):1795–1806

[Maha M. Alsharif, Azza A. Azzouz, Mohammad Wazzan, Ahmed H Abduljabbar and Ahmad S Mufti. (2017); CAN WE STILL RELY ON ABDOMINAL X-RAY IN DIAGNOSING BOWEL OBSTRUCTION? Int. J. of Adv. Res. 5 (Feb). 1582-1587] (ISSN 2320-5407). www.journalijar.com

Maha M. Alsharif
Medical intern - King Abdulaziz University – Jeddah – Saudi arabia

DOI:

Article DOI: 10.21474/IJAR01/3319      
DOI URL: https://dx.doi.org/10.21474/IJAR01/3319

Download Full Paper

Download PDF No. of Downloads: 19 | No. of Views: 109