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Predicate | Object |
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rdf:type | |
lifeskim:mentions | |
pubmed:issue |
3
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pubmed:dateCreated |
1989-9-29
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pubmed:abstractText |
A retrospective review of 229 patients with a final diagnosis of small-bowel obstruction was undertaken to evaluate the role of contrast radiography in the management of their conditions. In 84 patients (37%) the clinical findings and plain abdominal roentgenograms were sufficient for diagnosis and subsequent management. Of the remaining 145 patients with equivocal findings, 27% had an upper gastrointestinal series, 29% a barium enema, and 44% had both. Useful information (complete obstruction, unobstructed passage of contrast, or diagnosis other than adhesional obstruction) was obtained from 86% of the radiographic studies. Three patients had negative contrast studies yet eventually underwent adhesiolysis (enterolysis) and were classified as false-negative. Two patients had evidence of high-grade obstruction yet had nonoperative resolution and were classified as false-positive. The mortality in the contrast group (7%) was not statistically different than that in the no-contrast group (7%). Contrast radiography is a safe and effective means of increasing diagnostic accuracy in patients with presumed small-bowel obstruction.
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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 |
Sep
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pubmed:issn |
0039-6060
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pubmed:author | |
pubmed:issnType |
Print
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pubmed:volume |
106
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pubmed:owner |
NLM
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pubmed:authorsComplete |
Y
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pubmed:pagination |
496-501
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pubmed:dateRevised |
2004-11-17
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pubmed:meshHeading |
pubmed-meshheading:2772824-Adolescent,
pubmed-meshheading:2772824-Adult,
pubmed-meshheading:2772824-Aged,
pubmed-meshheading:2772824-Aged, 80 and over,
pubmed-meshheading:2772824-Barium Sulfate,
pubmed-meshheading:2772824-Child,
pubmed-meshheading:2772824-Contrast Media,
pubmed-meshheading:2772824-Enema,
pubmed-meshheading:2772824-Female,
pubmed-meshheading:2772824-Humans,
pubmed-meshheading:2772824-Intestinal Obstruction,
pubmed-meshheading:2772824-Male,
pubmed-meshheading:2772824-Middle Aged
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pubmed:year |
1989
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pubmed:articleTitle |
The role of contrast radiography in presumed bowel obstruction.
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pubmed:affiliation |
Division of Trauma and Critical Care Surgery, Henry Ford Hospital, Detroit, MI 48202.
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pubmed:publicationType |
Journal Article
|