Understanding CT imaging findings based on the underlying pathophysiology in patients with small bowel ischemia.


Journal

Japanese journal of radiology
ISSN: 1867-108X
Titre abrégé: Jpn J Radiol
Pays: Japan
ID NLM: 101490689

Informations de publication

Date de publication:
Apr 2023
Historique:
received: 31 08 2022
accepted: 27 11 2022
medline: 4 4 2023
pubmed: 7 12 2022
entrez: 6 12 2022
Statut: ppublish

Résumé

Because acute small bowel ischemia has a high mortality rate, it requires rapid intervention to avoid unfavorable outcomes. Computed tomography (CT) examination is important for the diagnosis of bowel ischemia. Acute small bowel ischemia can be the result of small bowel obstruction or mesenteric ischemia, including mesenteric arterial occlusion, mesenteric venous thrombosis, and non-occlusive mesenteric ischemia. The clinical significance of each CT finding is unique and depends on the underlying pathophysiology. This review describes the definition and mechanism(s) of bowel ischemia, reviews CT findings suggesting bowel ischemia, details factors involved in the development of small bowel ischemia, and presents CT findings with respect to the different factors based on the underlying pathophysiology. Such knowledge is needed for accurate treatment decisions.

Identifiants

pubmed: 36472804
doi: 10.1007/s11604-022-01367-x
pii: 10.1007/s11604-022-01367-x
pmc: PMC10066158
doi:

Types de publication

Journal Article Review

Langues

eng

Sous-ensembles de citation

IM

Pagination

353-366

Subventions

Organisme : Canon Medical Systems Corporation
ID : A1700878
Organisme : FUJIFILM Healthcare Corporation
ID : 0G20KA7113

Informations de copyright

© 2022. The Author(s).

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Auteurs

Yuko Nakamura (Y)

Diagnostic Radiology, Hiroshima University, 1-2-3 Kasumi, Minami-Ku, Hiroshima, 734-8551, Japan. yukon@hiroshima-u.ac.jp.

Shota Kondo (S)

Diagnostic Radiology, Hiroshima University, 1-2-3 Kasumi, Minami-Ku, Hiroshima, 734-8551, Japan.

Keigo Narita (K)

Diagnostic Radiology, Hiroshima University, 1-2-3 Kasumi, Minami-Ku, Hiroshima, 734-8551, Japan.

Shogo Maeda (S)

Diagnostic Radiology, Hiroshima University, 1-2-3 Kasumi, Minami-Ku, Hiroshima, 734-8551, Japan.

Dara Fonseca (D)

Diagnostic Radiology, Hiroshima University, 1-2-3 Kasumi, Minami-Ku, Hiroshima, 734-8551, Japan.

Yukiko Honda (Y)

Diagnostic Radiology, Hiroshima University, 1-2-3 Kasumi, Minami-Ku, Hiroshima, 734-8551, Japan.

Chihiro Tani (C)

Diagnostic Radiology, Hiroshima University, 1-2-3 Kasumi, Minami-Ku, Hiroshima, 734-8551, Japan.

Wataru Fukumoto (W)

Diagnostic Radiology, Hiroshima University, 1-2-3 Kasumi, Minami-Ku, Hiroshima, 734-8551, Japan.

Hidenori Mitani (H)

Diagnostic Radiology, Hiroshima University, 1-2-3 Kasumi, Minami-Ku, Hiroshima, 734-8551, Japan.

Mana Ishibashi (M)

Diagnostic Radiology, Hiroshima University, 1-2-3 Kasumi, Minami-Ku, Hiroshima, 734-8551, Japan.

Keigo Chosa (K)

Diagnostic Radiology, Hiroshima University, 1-2-3 Kasumi, Minami-Ku, Hiroshima, 734-8551, Japan.

Fuminari Tatsugami (F)

Diagnostic Radiology, Hiroshima University, 1-2-3 Kasumi, Minami-Ku, Hiroshima, 734-8551, Japan.

Kazuo Awai (K)

Diagnostic Radiology, Hiroshima University, 1-2-3 Kasumi, Minami-Ku, Hiroshima, 734-8551, Japan.

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Classifications MeSH