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Journal Reading: Dr. Rosalia Sri Sulistijawati, M.SC, SP - Rad (K)

This document summarizes a journal article about small-bowel obstruction (SBO). It discusses SBO as a common cause of abdominal pain and reviews imaging methods for diagnosis. Abdominal radiography is often initially used but CT scan is the most accurate imaging tool for SBO, detecting complications with 95% sensitivity and specificity. The purpose is to familiarize radiologists with SBO imaging findings and emphasize complications requiring surgery. Key points addressed are definition, classifications, causes, clinical manifestations, imaging examinations and treatment of SBO.

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60 views18 pages

Journal Reading: Dr. Rosalia Sri Sulistijawati, M.SC, SP - Rad (K)

This document summarizes a journal article about small-bowel obstruction (SBO). It discusses SBO as a common cause of abdominal pain and reviews imaging methods for diagnosis. Abdominal radiography is often initially used but CT scan is the most accurate imaging tool for SBO, detecting complications with 95% sensitivity and specificity. The purpose is to familiarize radiologists with SBO imaging findings and emphasize complications requiring surgery. Key points addressed are definition, classifications, causes, clinical manifestations, imaging examinations and treatment of SBO.

Uploaded by

ririazwar
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
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Journal

Reading
Pembimbing :
dr. Rosalia Sri Sulistijawati, M.Sc, Sp.Rad (K)

Ilmu Kepanitraan Klinik


Oleh: Departemen Radiologi RST
Yuliawitri (1620221205) Soedjono Magelang
FK UPN VETERAN JAKARTA Periode 16 April – 19 Mei
2018
Judul: Review of Small-Bowel Obstruction:
The Diagnosis and When to Worry

Author : Erik K. Paulson, MD


William M. Thompson, MD

Search: radiology.rsna.org
Volume 275 : Number 2 – May 2015
ABSTRAK
SBO cause of morbidity &
mortality, accounting for 12%–
16% of hospital admissions for
the evaluation of acute
abdominal pain in the United
States
The clinical findings Multidetector CT has
Abdominal radiography
are neither sensitive been proven to be the
is usually the initial
nor specific enough to imaging modality in single best imaging tool
determine which patients suspected of for evaluating patients
patients with SBO having SBO because suspected of having SBO,
have complications widely available, is with sensitivity and
such as strangulation inexpensive and has an specificity of 95%; it is
accuracy of 50-86% also highly accurate in
or ischemis
detecting the
complications of SBO
THE PURPOSE OF THE
REVIEW
1. To familiarize radiology residents and other practitioners with
basic knowledge of the imaging findings diagnostic of SBO and
to emphasize complications that prompt surgical evaluation

2. The review will focus on the most widely used imaging methods
for suspected SBO, which are radiography and CT.
SUBJECT OF RESEARCH
Inclusion Criteria:

These articles allowed the use of the terms “non-specific


gas pattern,” which for some radiologists implied normal
and for others implied that the presence of SBO could not
be excluded.

We strive to eliminate the use of the term “non-specific


gas pattern” and commit to the presence or absence of
SBO in every case where SBO is the clinical concern
SBO

DEFINITI CLASSIFI ETIOLOG MANIFES


TAT-IONS EXAMINA-
ON CAT-IONS Y THERAPY
CLINIC TIONS

The job of
the
radiologis
t
GAMBAR 3. PRIA 50 TAHUN
GAMBAR 4. PRIA 70 TAHUN
Gambar 5, pria Gambar 6, pria 60 thn
55 thn
Gambar 7, Gambar 8, Pria
Wanita 81 thn 50 thn
GAMBAR 9.
WANITA 51 THN
Gambar 10 , Pria
81 thn

Gambar 11 , Pria
54 thn
Gambar 12 , Gambar 13 ,
Wanita 65 thn Wanita 65 thn
Gambar 15 ,
Wanita 48 thn

Gambar 16 ,
Wanita 58 thn
CONCLUSION
1. In conclusion, when evaluating patients
suspected of having SBO, address the issues
that are relevant to surgical management
including the presence of SBO, site, cause, and
presence of complications.
2. It is critical to search carefully for evidence of
volvulus and closedloop obstruction as these
conditions are associated with strangulation and
place patients at risk for ischemia
THANK
YOU 

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