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Titolo:
Blunt bowel and mesenteric injuries: The role of screening computed tomography
Autore:
Malhotra, AK; Fabian, TC; Katsis, SB; Gavant, ML; Croce, MA;
Indirizzi:
Univ Tennessee, Dept Surg, Memphis, TN 38163 USA Univ Tennessee Memphis TN USA 38163 see, Dept Surg, Memphis, TN 38163 USA Univ Tennessee, Dept Radiol, Memphis, TN 38163 USA Univ Tennessee MemphisTN USA 38163 e, Dept Radiol, Memphis, TN 38163 USA
Titolo Testata:
JOURNAL OF TRAUMA-INJURY INFECTION AND CRITICAL CARE
fascicolo: 6, volume: 48, anno: 2000,
pagine: 991 - 998
Fonte:
ISI
Lingua:
ENG
Soggetto:
DIAGNOSTIC PERITONEAL-LAVAGE; ABDOMINAL-TRAUMA; ALKALINE-PHOSPHATASE; INTESTINAL INJURY; CT; PERFORATION; LAPAROTOMY; RUPTURE; FLUID;
Tipo documento:
Article
Natura:
Periodico
Settore Disciplinare:
Clinical Medicine
Citazioni:
31
Recensione:
Indirizzi per estratti:
Indirizzo: Fabian, TC Univ Tennessee, Dept Surg, 956 Court Ave,Suite G228, Memphis, TN 38163 USA Univ Tennessee 956 Court Ave,Suite G228 Memphis TN USA 38163 SA
Citazione:
A.K. Malhotra et al., "Blunt bowel and mesenteric injuries: The role of screening computed tomography", J TRAUMA, 48(6), 2000, pp. 991-998

Abstract

Background: Early generation scanners have demonstrated poor sensitivity detecting blunt bowel/mesenteric injuries (BBMI). This study was aimed at determining the accuracy and role of helical scanners in BBMI. Methods: Retrospective chart review of patients with BBMI, or computed tomographic scans suspicious of BBMI, from August of 1995 to December of 1998. Results: One hundred of 8,112 scans (1.2%) were suspicious of BBMI, Of these suspicious scans, 53 patients had BBMI (true positive-TP) and 47 patients did not (false positive-FP). Seven patients with negative scans had BBMI (false negative-FN). Computed tomography contributed toward early surgery in 77% of patients who may have been delayed. Six patients developed intra-abdominal abscess. The abscess group had a significantly longer time interval from injury to surgery. Multiple findings were seen in 57% of true positive scans, whereas in 13% of false positive scans (p < 0.0001), An algorithmfor management of BBMI is presented. Conclusion: Helical scanners have high accuracy in detecting BBMI, Single versus multiple findings are useful in managing these injuries.

ASDD Area Sistemi Dipartimentali e Documentali, Università di Bologna, Catalogo delle riviste ed altri periodici
Documento generato il 03/07/20 alle ore 16:43:39