Article Sidebar

pdf
Date Published: 09/07/2024
Online Published: 31/03/2024
Abstract Views: 293
Views pdf: 164
DOI: https://doi.org/10.55046/vjrnm.54.1020.2024
Issue
No. 54 (2024)
Section
Scientific research
How to Cite
Trần, Q. L., Duong, D. H., Nguyen , T. T. P., & Le, T. D. (2024). Role of Value of multi-slice computed tomography in the diagnosis of intestinal obstruction . Vietnamese Journal of Radiology and Nuclear Medicine, 54, 52-59. https://doi.org/10.55046/vjrnm.54.1020.2024

Role of Value of multi-slice computed tomography in the diagnosis of intestinal obstruction

Quang Lộc Trần1,, Duong Đuc Hung2, Nguyen Thi Thu Phuong3, Le Thanh Dung4
1 Trường Đại học Y dược, Đại học Quốc gia Hà Nội
2 University of Medicine and Pharmacy, Hanoi National University
3 Central Hospital 74
4 Viet Duc Friendship Hospital

Main Article Content

Abstract

Objective: To evaluate the efficacy of multi-slice computed tomography (CT) in diagnosing intestinal obstruction. Research subjects and methods: This cross-sectional descriptive study included 84 patients diagnosed with intestinal obstruction via CT scans consisting of 16 or more rows. These patients underwent surgical treatment at Viet Duc Friendship Hospital between February and November 2022. Results: Among the 84 patients diagnosed with intestinal obstruction on CT, with an average age of 52.9 ± 12.2 years and a male/female ratio of 47/37, the sensitivity for diagnosing intestinal obstruction was 100%, with an accuracy of 96.4%. The specificity for identifying the causes of intestinal obstruction such as tumors, food residue, adhesions, and hernias exceeded 90%. The specificity for identifying the location of small bowel obstruction was 80.9%, while for large bowel obstruction, it was 100%. The sensitivity of CT in diagnosing obstruction in the left colon and rectum was 50%, while for other locations, it exceeded 80%.


Conclusion: Multi-slice CT has an important role in the evaluation and management of suspected intestinal obstruction. CT demonstrates high sensitivity and accuracy in diagnosing intestinal obstruction, particularly in identifying its cause and location, as well as assessing the condition of the intestinal loop, thereby facilitating appropriate treatment decisions.

Article Details

Keywords

bowel obstruction, computed tomography, surgery.

References

1. Griffiths S, Glancy DG. Intestinal obstruction. Surg Oxf. 2020;38(1):43-50. doi:10.1016/j.mpsur.2019.10.014
2. Burkill G, Bell J, Healy J. Small bowel obstruction: the role of computed tomography in its diagnosis and management with reference to other imaging modalities. Eur Radiol. 2001;11(8):1405-1422. doi:10.1007/s003300100882
3. Catena F, De Simone B, Coccolini F, Di Saverio S, Sartelli M, Ansaloni L. Bowel obstruction: a narrative review for all physicians. World J Emerg Surg. 2019;14(1):20. doi:10.1186/s13017-019-0240-7
4. Li Z, Zhang L, Liu X, Yuan F, Song B. Diagnostic utility of CT for small bowel obstruction: Systematic review and meta-analysis. PLoS ONE. 2019;14(12):e0226740. doi:10.1371/journal.pone.0226740
5. Galia M, Agnello F, La Grutta L, et al. Computed tomography of bowel obstruction: tricks of the trade. Expert Rev Gastroenterol Hepatol. 2015;9(8):1115-1125. doi:10.1586/17474124.2015.1051030
6. Gupta R, Mittal P, Mittal A, Gupta S, Mittal K, Taneja A. Spectrum of MDCT Findings in Bowel Obstruction in a Tertiary Care Rural Hospital in Northern India. J Clin Diagn Res JCDR. 2016;10(11):TC01-TC04. doi:10.7860/ JCDR/2016/21186.8781
7. Fernandes T, Oliveira MI, Castro R, Araújo B, Viamonte B, Cunha R. Bowel wall thickening at CT: simplifying the diagnosis. Insights Imaging. 2014;5(2):195-208. doi:10.1007/s13244-013-0308-y
8. Nguyễn Văn Khánh (2019). Đánh Giá Giá Trị Cắt Lớp vi Tính Đa Dãy Trong Chẩn Đoán Một Số Nguyên Nhân Tắc Ruột Cơ Giới. Luận Văn Thạc Sĩ Y Học. Trường Đại Hoc Y Hà Nội.
9. Nguyễn Văn Phương, Lê Văn Ngọc Cường. Nghiên cứu đặc điểm hình ảnh cắt lớp vi tính ở bệnh nhân tắc ruột. Tạp chí Y Dược học - Trường Đại học Y Dược Huế. 2017.
10. Megibow AJ, Balthazar EJ, Cho KC, Medwid SW, Birnbaum BA, Noz ME. Bowel obstruction: evaluation with CT. Radiology. Published online August 1, 1991. doi:10.1148/radiology.180.2.2068291
11. Nguyễn Duy Hùng, Vương Kim Ngân. Đặc điểm hình ảnh và giá trị của cắt lớp vi tính trong chẩn đoán tắc ruột non do thoát vị. Tạp chí Y học Việt Nam. 2022.
12. Nguyễn Hoa Huệ, Nguyễn Duy Hùng, Dư Đức Thiện. Giá trị của chụp cắt lớp vi tính đa dãy trong chẩn đoán tắc ruột non. Tạp chí nghiên cứu Y học. 2020:10.
13. Furukawa A, Yamasaki M, Furuichi K, et al. Helical CT in the Diagnosis of Small Bowel Obstruction. RadioGraphics. 2001;21(2):341-355. doi:10.1148/radiographics.21.2.g01mr05341
14. Frager D, Medwid SW, Baer JW, Mollinelli B, Friedman M. CT of small-bowel obstruction: value in establishing the diagnosis and determining the degree and cause. AJR Am J Roentgenol. 1994;162(1):37-41. doi:10.2214/ ajr.162.1.8273686
15. Beattie GC, Peters RT, Guy S, Mendelson RM. Computed tomography in the assessment of suspected large bowel obstruction. ANZ J Surg. 2007;77(3):160-165. doi:10.1111/j.1445-2197.2006.03998.