SynthesisPloS one2019
Diagnostic utility of CT for small bowel obstruction: Systematic review and meta-analysis.
Synthesis in PloS one, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 30 papers, 3 of them syntheses that pooled it.
What it found
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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
30 citing papers in PubMed, 3 syntheses or guidelines pooled it, 66 citations in OpenAlex.
- Diagnostic utility of CT for small bowel obstruction: an updated systematic review and meta- analysis.Abdominal radiology (New York) · 2026Pooled it
- Pooled it
- Diagnostic utility of CT for small bowel obstruction: Systematic review and meta-analysis.PloS one · 2019Pooled it
- Development and validation of an interpretable machine learning model to predict high-risk patients with acute small bowel obstruction.World journal of emergency medicine · 2026Article
- Radiologist-AI Collaboration for Ischemia Diagnosis in Small-Bowel Obstruction: Multicentric Development and External Validation of a Multimodal Deep Learning Model.Journal of imaging informatics in medicine · 2026Article
- A novel predictive scoring system for irreversible intestinal ischemia in patients with strangulated bowel obstruction.Surgery today · 2026Article
- Suprapubic catheter insertion complicated by small bowel obstruction requiring laparotomy: a case report.Journal of surgical case reports · 2026Article
- Systemic Sclerosis-Related Intestinal Pseudo-Obstruction Mimicking Mechanical Small Bowel Obstruction.Cureus · 2026Article
- Value of dual-energy computed tomography in the diagnosis of bowel ischemia in patients with mechanical small-bowel obstruction: a retrospective, dual-center study.European radiology · 2025Article
- Evidence-based, cost-effective management of small bowel obstruction: An algorithm of the Journal of Trauma and Acute Care Surgery emergency general surgery algorithms work group.The journal of trauma and acute care surgery · 2025Article
- Bedside Small-Bowel Challenge vs. Fluoroscopic Series for SBO: A Cost Effectiveness Analysis.Tomography (Ann Arbor, Mich.) · 2025Article
- Diagnostic Accuracy of Ultrasound by Emergency Physicians in Patients with Suspected Small Bowel Obstruction (SBO): A Multi-center Study.Medical journal of the Islamic Republic of Iran · 2025Article
- Band adhesions in a virgin abdomen: A case report.International journal of surgery case reports · 2024Article
- Keys to successful laparoscopic adhesiolysis for adhesive small bowel obstruction: A scoping review.Heliyon · 2024Article
- Sclerosing encapsulating peritonitis: A rare cause of intestinal obstruction in 2 patients.Radiology case reports · 2024Article
- Article
- Clinical and Radiological Factors Associated with Nonoperative Management Failure for Small Bowel Obstruction: A Retrospective Study from a Resource-Limited Setting.Therapeutics and clinical risk management · 2024Article
- Real-world accuracy of computed tomography in patients admitted with small bowel obstruction: a multicentre prospective cohort study.Langenbeck's archives of surgery · 2023Article
- Article
- Unenhanced CT-based predictive model to identify small bowel necrosis in patients with mechanical small bowel obstruction.BMC medical imaging · 2023Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
5 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundTo perform a systematic review and meta-analysis evaluating the diagnostic performance of computed tomography (CT) for small bowel obstruction (SBO), including diagnostic accuracy, ischemia, predicting surgical intervention, etiology and transition point.
methodsPubMed/MEDLINE and related databases were searched for research articles published from their inception through August 2018. Findings were pooled using bivariate random-effects and summary receiver operating characteristic curve models. Meta-regression and subgroup analyses were performed to evaluate whether publication year, patient age, enhanced CT, slice thickness and pathogenesis affected classification accuracy.
resultsIn total, 45 studies with a total of 4004 patients were included in the analysis. The pooled sensitivity and specificity of CT for SBO were 91% (95% confidence interval [CI]: 84%, 95%) and 89% (95% CI: 81%, 94%), respectively, and there were no differences in the subgroup analyses of age, publication year, enhanced CT and slice thickness. For ischemia, the pooled sensitivity and specificity was 82% (95% CI: 67%, 91%) and 92% (95% CI: 86%, 95%), respectively. No difference was found between enhanced and unenhanced CT based on subgroup analysis; however, high sensitivity was found in adhesive SBO compared with routine causes (96% vs. 78%, P = 0.03). The pooled sensitivity and specificity for predicting surgical intervention were 87% and 73%, respectively. The accuracy for etiology of adhesions, hernia and tumor was 95%, 70% and 82%, respectively. In addition, the pooled sensitivity and specificity for transition point was 92% and 77%, respectively.
conclusionsCT has considerable accuracy in diagnosis of SBO, ischemia, predicting surgical intervention, etiology and transition point.
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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.