Seungmin Lee, Presenter: Nothing to Disclose

Wooyul Paik MD, Abstract Co-Author: Nothing to Disclose

Mi-Hyun Park MD, Abstract Co-Author: Nothing to Disclose

Keum-Nahn Jee MD, PhD, Abstract Co-Author: Nothing to Disclose

To analyze and compare the radiological and clinical differential points between surgically and non-surgically managed groups in patients with small bowel obstruction (SBO).

To evaluate and compare the imaging findings of contrast enhanced abdominal 3D CT between surgically and conservatively managed groups of patients with SBO in 252 cases of 227 patients (mean age of 57 year-old, male to female ratio 118 : 109) from Jan 2009 to March 2013. To analyze the CT findings of proximal bowel dilatation, obstruction site with definite transition zone, small bowel feces sign, mesenteric whorl or crowding around obstruction site, strangulation, closed loop obstruction, and combined peritoneal changes such as ascites, mesenteric haziness, seeding nodules, etc. retrospectively by consensus of two abdominal radiologists. To review their past medical history including previous operation history of abdomen or pelvis, peritoneal inflammation with or without enterocolitis and trauma. To perform statistical analyses using Chi-square test and student t-test between the two groups.  

No significant statistical deference between the two groups about past medial history of surgery, trauma or peritonitis (P>0.05). In surgically managed groups, significantly increased incidence of small bowel feces sign (p=0.007). strangulation or closed loop obstruction (p<0.0001), and peritoneal changes such as ascites, mesenteric haziness, seeding nodules, etc. (p=0.0001) in 3D CT findings.

Contrast enhanced 3D CT findings of small bowel feces sign, strangulation or closed loop obstruction and combined peritoneal changes of ascites, nodules or haziness are statistically significantly increased in surgically managed group of patients with SBO than in non-surgically managed one.

In the evaluation of CT findings with SBO, our results could be considered in decision making of patient’s management.

Lee, S, Paik, W, Park, M, Jee, K, Comparison of Radiological and Clinical Differential Points of Small Bowel Obstruction between Surgically and Non-surgically Managed Groups.  Radiological Society of North America 2014 Scientific Assembly and Annual Meeting, - ,Chicago IL. http://archive.rsna.org/2014/14017951.html