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Predicate | Object |
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rdf:type | |
lifeskim:mentions | |
pubmed:issue |
2
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pubmed:dateCreated |
1991-8-9
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pubmed:abstractText |
Eighty-four computed tomographic (CT) scans from patients referred for bowel obstruction between January 2, 1988, and December 31, 1989, were retrospectively evaluated. A pair of radiologists without knowledge of patient histories determined the presence or absence of bowel obstruction. Sixty-four patients ultimately proved to have intestinal obstruction, and 20 did not. Diagnosis was established by means of surgery (n = 39), barium studies (n = 17), and clinical course (n = 28). Causes of obstruction included adhesions (n = 37), metastases (n = 6), primary tumor (n = 7), Crohn disease (n = 4), hernia (n = 3), hematoma (n = 2), colonic diverticulitis (n = 2), and other (n = 3). In addition, 83 CT examinations in patients with no history or indication of intestinal obstruction were simultaneously reviewed. The overall sensitivity was 94%, specificity was 96%, and accuracy was 95%. The cause of obstruction was correctly predicted in 47 of 64 cases (73%). Intestinal obstruction was not diagnosed in any of the 83 control patients. CT is most useful in patients with a history of abdominal malignancy and in patients who have not been operated on and who have signs of infection, bowel infarction, or a palpable abdominal mass.
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pubmed:commentsCorrections | |
pubmed:language |
eng
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pubmed:journal | |
pubmed:citationSubset |
AIM
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pubmed:chemical | |
pubmed:status |
MEDLINE
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pubmed:month |
Aug
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pubmed:issn |
0033-8419
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pubmed:author | |
pubmed:issnType |
Print
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pubmed:volume |
180
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pubmed:owner |
NLM
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pubmed:authorsComplete |
Y
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pubmed:pagination |
313-8
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pubmed:dateRevised |
2008-11-21
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pubmed:meshHeading |
pubmed-meshheading:2068291-Barium Sulfate,
pubmed-meshheading:2068291-Colonic Diseases,
pubmed-meshheading:2068291-Contrast Media,
pubmed-meshheading:2068291-Evaluation Studies as Topic,
pubmed-meshheading:2068291-Humans,
pubmed-meshheading:2068291-Intestinal Diseases,
pubmed-meshheading:2068291-Intestinal Obstruction,
pubmed-meshheading:2068291-Intestine, Small,
pubmed-meshheading:2068291-Sensitivity and Specificity,
pubmed-meshheading:2068291-Tissue Adhesions,
pubmed-meshheading:2068291-Tomography, X-Ray Computed
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pubmed:year |
1991
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pubmed:articleTitle |
Bowel obstruction: evaluation with CT.
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pubmed:affiliation |
Department of Radiology, New York University Medical Center, NY 10016.
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pubmed:publicationType |
Journal Article
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