CT diagnosis of closed loop bowel obstruction mechanism is not sufficient to indicate emergent surgery.
Camille RondenetIngrid MilletLucie CornoWassef KhaledIsabelle Boulay-ColettaPatrice TaourelMarc ZinsPublished in: European radiology (2019)
• Twenty percent (19/96) of all cases of closed loop small bowel obstruction (CL-SBO) representing 31% of the patients given first-line conservative therapy, were resolved without surgery. • The distance between the transition zones may help to choose between conservative and surgical management in patients with a CL-SBO but no CT evidence of ischemia. • A distance < 8 mm between the transition zones suggests a need for emergent surgery.
Keyphrases
- minimally invasive
- coronary artery bypass
- small bowel
- computed tomography
- surgical site infection
- end stage renal disease
- ejection fraction
- newly diagnosed
- contrast enhanced
- dual energy
- magnetic resonance imaging
- prognostic factors
- stem cells
- percutaneous coronary intervention
- acute coronary syndrome
- patient reported