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[Imaging of intestinal obstructions]

J Mombet1, R Palau

  • 1Centre médico-chirurgical de la porte de Choisy, Paris.

La Revue Du Praticien
|March 15, 1993
PubMed
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Diagnosing intestinal obstruction relies on abdominal radiography. While identifying the obstructed segment is feasible, determining the exact cause remains challenging, often requiring further imaging or surgery.

Area of Science:

  • Radiology
  • Gastroenterology
  • Abdominal Imaging

Background:

  • Intestinal obstruction diagnosis traditionally relies on plain abdominal radiography.
  • Radiographic interpretation can identify obstructed segments but often struggles to determine the cause.

Purpose of the Study:

  • To outline the standard radiographic approach for diagnosing intestinal obstruction.
  • To discuss the challenges in determining the etiology of obstruction via imaging.

Main Methods:

  • Systematic radiography including upright and supine abdominal views.
  • Contrast studies (opacification) of dilated segments for etiological investigation when patient condition permits.
  • Antegrade contrast studies for colonic obstruction.

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Main Results:

  • Radiography effectively identifies the location of intestinal obstruction.
  • Determining the specific cause of obstruction remains a diagnostic challenge.
  • Contrast studies can provide further etiological information, particularly for colonic obstructions.

Conclusions:

  • Plain abdominal radiography is the primary diagnostic tool for intestinal obstruction.
  • Further investigation, including contrast studies, may be necessary to elucidate the cause of obstruction.
  • Distinguishing between occlusion and strangulation, and identifying incomplete obstructions are key considerations.