SynthesisEuropean radiology2013
Use of positive oral contrast agents in abdominopelvic computed tomography for blunt abdominal injury: meta-analysis and systematic review.
Synthesis in European radiology, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
11 citing papers in PubMed.
- [Enteral contrast media-when, what, and how?]Radiologie (Heidelberg, Germany) · 2026Review
- [Enteral contrast agents-When, what and how?]Radiologie (Heidelberg, Germany) · 2026Review
- Pearls and pitfalls in the imaging of blunt bowel and mesenteric injury.Abdominal radiology (New York) · 2026Review
- An Unusual Presentation of a Small Bowel Injury in an Adult Following a Fall From Height.Cureus · 2025Article
- An international survey to assess use of oral and rectal contrast in CT protocols for penetrating torso trauma.Emergency radiology · 2019Article
- Duodeno-pancreatic and extrahepatic biliary tree trauma: WSES-AAST guidelines.World journal of emergency surgery : WJES · 2019Review
- Impact of low-kVp scan technique on oral contrast density at abdominopelvic CT.La Radiologia medica · 2018Article
- Emergency CT of blunt abdominal trauma: experience from a large urban hospital in Southern China.Quantitative imaging in medicine and surgery · 2017Review
- Bowel and mesenteric injuries from blunt abdominal trauma: a review.La Radiologia medica · 2015Review
- Improvement of distension and mural visualization of bowel loops using neutral oral contrasts in abdominal computed tomography.World journal of radiology · 2014Article
- The impact of introducing a no oral contrast abdominopelvic CT examination (NOCAPE) pathway on radiology turn around times, emergency department length of stay, and patient safety.Emergency radiology · 2014Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
4 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectivesTo determine whether positive oral contrast agents improve accuracy of abdominopelvic CT compared with no, neutral or negative oral contrast agent.
methodsLiterature was searched for studies evaluating the diagnostic performance of abdominopelvic CT with positive oral contrast agents against imaging with no, neutral or negative oral contrast agent. Meta-analysis reviewed studies correlating CT findings of blunt abdominal injury with positive and without oral contrast agents against surgical, autopsy or clinical outcome allowing derivation of pooled sensitivity and specificity. Systematic review was performed on studies with common design and reference standard.
resultsThirty-two studies were divided into two groups. Group 1 comprised 15 studies comparing CT with positive and without oral contrast agents. Meta-analysis of five studies from group 1 provided no difference in sensitivity or specificity between CT with positive or without oral contrast agents. Group 2 comprised 17 studies comparing CT with positive and neutral or negative oral contrast agents. Systematic review of 12 studies from group 2 indicated that neutral or negative oral contrasts were as effective as positive oral contrast agents for bowel visualisation.
conclusionsThere is no difference in accuracy between CT performed with positive oral contrast agents or with no, neutral or negative oral contrast agent. KEY POINTS: • There is no difference in the accuracy of CT with or without oral contrast agent. • There is no difference in the accuracy of CT with Gastrografin or water. • Omission of oral contrast, utilising neutral or negative oral contrast agent saves time, costs and decreases risk of aspiration.
Indexed as
Identifiers
23624596What OpenQuestion holds
Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.