Evidence map›Paper›PMID 41150164›Full record

ArticleTomography (Ann Arbor, Mich.)2025

Bedside Small-Bowel Challenge vs. Fluoroscopic Series for SBO: A Cost Effectiveness Analysis.

Aravinda Krishna Ganapathy, Liam Cunningham, M Hunter Lanier, Selasi Nakhaima, Madelyn Thiel, Daniel Hoffman, Obeid Ilahi, David H Ballard, Vincent M Mellnick

Abstract readComparative Study
In one paragraph

Article in Tomography (Ann Arbor, Mich.), 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
–field-weighted citation impact
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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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

9 authors.

Aravinda Krishna GanapathySchool of Medicine, Washington University in St. Louis, St. Louis, MO 63110, USA.ORCID 0000-0002-9023-1683
Liam CunninghamSchool of Medicine, Washington University in St. Louis, St. Louis, MO 63110, USA.ORCID 0009-0002-0647-9625
M Hunter LanierMallinckrodt Institute of Radiology, Washington University School of Medicine, St. Louis, MO 63110, USA.
Selasi NakhaimaMallinckrodt Institute of Radiology, Washington University School of Medicine, St. Louis, MO 63110, USA.
Madelyn ThielBarnes Jewish Hospital, St. Louis, MO 63110, USA.
Daniel HoffmanBarnes Jewish Hospital, St. Louis, MO 63110, USA.
Obeid IlahiDepartment of Surgery, Washington University School of Medicine, St. Louis, MO 63110, USA.
David H BallardMallinckrodt Institute of Radiology, Washington University School of Medicine, St. Louis, MO 63110, USA.ORCID 0000-0001-7470-3364
Vincent M MellnickMallinckrodt Institute of Radiology, Washington University School of Medicine, St. Louis, MO 63110, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundSmall bowel obstruction (SBO) accounts for 12-16% of surgical hospital admissions and can lead to complications such as bowel ischemia. Traditional management requires transporting patients to the Radiology Department (RD) for a fluoroscopic small bowel series, occupying resources and time. This study evaluates the efficacy and efficiency of the Small Bowel Challenge Exam, a bedside alternative.

methodsA retrospective analysis was performed on 85 SBO patients from January 2018 to December 2023 at an academic tertiary care facility, comparing the traditional fluoroscopic series (37 patients) to the bedside Small Bowel Challenge Exam (48 patients). Key metrics analyzed included hospital resource utilization, overall costs, and length of stay.

resultsGender and race distributions were similar between groups (

conclusionsThe Small Bowel Challenge Exam reduces certain costs and logistical burdens without prolonging length of stay, suggesting more efficient use of hospital resources. Further research is recommended to evaluate broader implementation and long-term impacts.

Indexed as

Intestinal ObstructionIntestine, SmallAdultAgedAged, 80 and overCost-Benefit AnalysisCost-Effectiveness AnalysisFemaleFluoroscopyHumansLength of StayMaleMiddle AgedRetrospective StudiesTomography, X-Ray Computedabdominal radiologybedside imagingfluoroscopyhealth care costsresource utilizationsmall bowel obstructionX-ray

Identifiers

PMID41150164
PMCPMC12567979

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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.