Computed tomography value ascites and mesenteric fluid predict intestinal necrosis in strangulated small bowel obstruction
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View abstract on PubMed
Summary
This summary is machine-generated.Predicting intestinal necrosis in strangulated small-bowel obstruction (SBO) is crucial. CT scan findings like mesenteric fluid and ascites (≥20 HU) are key predictors of necrosis in SBO patients.
Area Of Science
- Gastroenterology
- Radiology
- Surgical Oncology
Background
- Preoperative diagnosis of intestinal necrosis in strangulated small-bowel obstruction (SBO) is vital for patient prognosis.
- Accurate prediction aids in timely surgical intervention and improved outcomes.
Purpose Of The Study
- To identify predictors of preoperative intestinal necrosis in patients with strangulated SBO.
- To evaluate the utility of computed tomography (CT) findings in predicting bowel necrosis.
Main Methods
- Retrospective analysis of 75 patients undergoing surgery for strangulated SBO.
- Calculation of CT attenuation values (Hounsfield units - HU) of strangulated bowel contents.
- Univariate and multivariate analyses to identify significant predictors.
Main Results
- 37 patients (49.3%) presented with intestinal necrosis.
- Massive ascites and mesenteric fluid with CT attenuation values ≥20 HU were significant predictors.
- These factors remained independent predictors in multivariate analysis.
Conclusions
- CT attenuation values of mesenteric fluid and ascites (≥20 HU) are valuable indicators for predicting preoperative intestinal necrosis in strangulated SBO.
- These findings can assist clinicians in surgical planning and patient management.
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