caa a22 4500 606248994 CHVBK 20210128101353.0 cr unu---uuuuu 210128e20151201xx s 000 0 eng 10.1007/s12262-015-1269-9 doi (NATIONALLICENCE)springer-10.1007/s12262-015-1269-9 Diagnostic Value of Plain and Contrast Radiography, and Multi-slice Computed Tomography in Diagnosing Intestinal Obstruction in Different Locations [Elektronische Daten] [Liu Jun, Sun ChangYi] Early intestinal obstruction is easily misdiagnosed. Many physicians consider terminal bouton if computed tomography (CT) scan is done. However, different examinations provide diverse information and significance. This retrospective, randomized, clinical study investigated the diagnostic value of three imaging modalities for intestinal obstruction, supine and upright (or decubitus) plain abdominal radiography, contrast radiography using Gastrografin, and 64 multi-slice spiral CT (MSCT). A total 142 patients with intestinal obstruction were examined. The diagnostic accuracy of plain radiography, contrast radiography, and MSCT for detecting small bowel obstruction was 62.5, 85, and 77.5%, for localizing the obstruction was 0, 90, and 78.75%, and for determining the cause of obstruction was 0, 71, and 65%, respectively. The diagnostic accuracy for detecting large bowel obstruction was 53.23, 73.17, and 92%, and for localizing the obstruction was 38.17, 60.98, and 98%, respectively. The diagnostic accuracy of MSCT in determining the cause of obstruction was 91%. None of the patients administered Gastrografin experienced any adverse effects. In conclusion, MSCT has great diagnostic value in identifying the site and cause of intestinal obstruction, especially in cases of large bowel obstruction. Contrast radiography using Gastrografin was effective in diagnosing and treating small bowel obstruction, making it a beneficial adjunct to MSCT. Association of Surgeons of India, 2015 Small intestine obstruction nationallicence Large intestine obstruction nationallicence Radiography nationallicence Gastrografin nationallicence Computed tomography nationallicence Diagnosis nationallicence Jun Liu Department of Emergency Medicine, Xuanwu Hospital, Capital University of Medicine Sciences, 100053, Beijing, China aut ChangYi Sun Department of Emergency Medicine, Xuanwu Hospital, Capital University of Medicine Sciences, 100053, Beijing, China aut Indian Journal of Surgery Springer India 77(2015-12-01), 1248-1251 0972-2068 77<1248 2015 77 12262 https://doi.org/10.1007/s12262-015-1269-9 text/html Onlinezugriff via DOI BK010053 XK010053 XK010000 Metadata rights reserved Springer special CC-BY-NC licence nationallicence 1 research-article jats NATIONALLICENCE NATIONALLICENCE NL-springer NATIONALLICENCE 856 40 https://doi.org/10.1007/s12262-015-1269-9 text/html Onlinezugriff via DOI NATIONALLICENCE 700 1- Jun Liu Department of Emergency Medicine, Xuanwu Hospital, Capital University of Medicine Sciences, 100053, Beijing, China aut NATIONALLICENCE 700 1- ChangYi Sun Department of Emergency Medicine, Xuanwu Hospital, Capital University of Medicine Sciences, 100053, Beijing, China aut NATIONALLICENCE 773 0- Indian Journal of Surgery Springer India 77(2015-12-01), 1248-1251 0972-2068 77<1248 2015 77 12262