Evidence map›Paper›PMID 31390727›Full record

ArticleDiagnostics (Basel, Switzerland)2019

Diagnostic Accuracy of Ultrasound in the Diagnosis of Small Bowel Obstruction.

Stefania Tamburrini, Marina Lugarà, Francesco Iaselli, Pietro Paolo Saturnino, Carlo Liguori, Roberto Carbone, Daniela Vecchione, Roberta Abete, Pasquale Tammaro, Ines Marano

Open access · goldAbstract read
In one paragraph

Article in Diagnostics (Basel, Switzerland), 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
16citing papers in PubMed, 1 pooled it
4.2field-weighted citation impact, top 6% of its field
1 · What the graph read from it

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.

2 · The registry

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.

3 · Its place in the literature

Who cites it

16 citing papers in PubMed, 1 synthesis or guideline pooled it, 34 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Article
  4. Article
  5. Article
  6. Review
  7. Imaging in Non-Traumatic Emergencies.Tomography (Ann Arbor, Mich.) · 2023
    Article
  8. Article
  9. Article
  10. Article
  11. Article
  12. Ultrasound of Small Bowel Obstruction: A Pictorial Review.Diagnostics (Basel, Switzerland) · 2021
    Review
  13. Article
  14. Article
  15. Article
  16. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

10 authors.

Stefania TamburriniDepartment of Radiology, Ospedale del Mare-ASLNa1 Centro, 80147 Napoli, Italy. tamburrinistefania@gmail.com.ORCID 0000-0003-0455-0256
Marina LugaràDepartment of Internal Medicine, Ospedale del Mare-ASLNa1 Centro, 80147 Napoli, Italy.
Francesco IaselliDepartment of Radiology, Ospedale del Mare-ASLNa1 Centro, 80147 Napoli, Italy.
Pietro Paolo SaturninoDepartment of Radiology, Ospedale del Mare-ASLNa1 Centro, 80147 Napoli, Italy.
Carlo LiguoriDepartment of Radiology, Ospedale del Mare-ASLNa1 Centro, 80147 Napoli, Italy.
Roberto CarboneDepartment of Radiology, Ospedale del Mare-ASLNa1 Centro, 80147 Napoli, Italy.
Daniela VecchioneDepartment of Radiology, Ospedale del Mare-ASLNa1 Centro, 80147 Napoli, Italy.
Roberta AbeteDepartment of General Surgery, Ospedale del Mare-ASLNa1 Centro, 80147 Napoli, Italy.
Pasquale TammaroDepartment of General Surgery, Ospedale del Mare-ASLNa1 Centro, 80147 Napoli, Italy.
Ines MaranoDepartment of Radiology, Ospedale del Mare-ASLNa1 Centro, 80147 Napoli, Italy.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionSmall bowel obstruction (SBO) is a common presentation to the Emergency Department (ED). This study aimed to analyze the accuracy of ultrasound (US) in diagnosing and staging SBO.

objectivesThe main object of this study was to analyze the accuracy of ultrasound in diagnosing and staging SBO compared to CT.

methodsRetrospectively, stable patients with an ultrasonographic diagnosis of SBO who underwent abdominal CT immediately after US and before receiving naso-intestinal decompression, were included. US criteria for the diagnosis of SBO were related to morphological and functional findings. US diagnosis of obstruction was made if fluid-filled dilated small bowel loops were detected, peristalsis was abnormal and parietal abnormalities were present. Morphologic and functional sonographic findings were assigned to three categories: simple SBO, compensated SBO and decompensated SBO. US findings were compared with the results of CT examinations: Morphologic CT findings (divided into loop, vascular, mesenteric and peritoneal signs) allowed the classification of SBO in simple, decompensated and complicated.

resultsUS diagnostic accuracy rates in relation to CT results were calculated: ultrasound compared to CT imaging, had a sensitivity of 92.31% (95% CI, 74.87% to 99.05%) and a specificity of 94.12% (95% CI, 71.31% to 99.85%) in the diagnosis of SBO.

conclusionsThis study, similarly to the existing literature, suggests that ultrasound is highly accurate in the diagnosis of SBO, and that the most valuable sonographic signs are the presence of dilated bowel loops ad abnormal peristalsis.

Indexed as

abdominal ultrasoundbedside ultrasoundbowel ultrasoundemergency ultrasoundpoint of care ultrasoundsmall bowel obstruction

Identifiers

PMID31390727
PMCPMC6787646
OpenAlexW2966139333

What OpenQuestion holds

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LicenceCC BY
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Registered trials

None linked

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.