The significance of abdominal radiographs with paucity of gas in pediatric adhesive small bowel obstruction.
Adolescent
Child
Child, Preschool
Conservative Treatment
/ methods
Diagnosis, Differential
Female
Humans
Infant
Intestinal Obstruction
/ diagnosis
Intestine, Small
/ diagnostic imaging
Male
Radiography, Abdominal
/ methods
Reproducibility of Results
Retrospective Studies
Time Factors
Tissue Adhesions
/ complications
Abdominal radiograph
Adhesive small bowel obstruction
Closed loop obstruction
Paucity of gas
Journal
American journal of surgery
ISSN: 1879-1883
Titre abrégé: Am J Surg
Pays: United States
ID NLM: 0370473
Informations de publication
Date de publication:
07 2020
07 2020
Historique:
received:
01
05
2019
revised:
07
10
2019
accepted:
15
10
2019
pubmed:
11
11
2019
medline:
19
8
2020
entrez:
10
11
2019
Statut:
ppublish
Résumé
Management of children with adhesive small bowel obstruction (ASBO) is often based on abdominal radiographs (AXR). Our purpose was to determine the significance of paucity of gas on initial AXR. Retrospective, single center review of children with ASBO between 2011 and 2015. Analysis included chi-square, non-parametric tests and multivariate regression. Of 207 cases, 99 were operative. Initial AXR showed paucity of gas in 41% and gaseous loops in 59%. Paucity was more common in operative patients (49% vs. 32%, p = 0.01). At operation, 71% of patients with paucity had closed loop or high-grade obstruction, compared to 29% of patients with gaseous loops (p = <0.001). For children with ASBO with paucity of gas on AXR, complicated obstruction (closed loop or high-grade) should be considered. In children with high clinical suspicion of complicated obstruction, additional imaging with CT or SBFT may clarify the clinical picture.
Identifiants
pubmed: 31703836
pii: S0002-9610(19)30611-7
doi: 10.1016/j.amjsurg.2019.10.035
pii:
doi:
Types de publication
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Pagination
208-213Informations de copyright
Copyright © 2019 Elsevier Inc. All rights reserved.
Déclaration de conflit d'intérêts
Declaration of competing interest No authors have disclosed any financial interests, arrangements, or affiliations associated with this work.