Effect of Contrast-enhanced Computed Tomography on Diagnosis and Management of Acute Abdomen in Adults

Tsushima, Yoshito; Yamada, Shǔji; Aoki, Jun; Motojima, Teiji; Endo, Keigo

doi:10.1053/crad.2001.0925

Cited by 82 publications

(53 citation statements)

References 32 publications

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“…The effect of CT on treatment plans is quite high because of its high sensitivity and specificity. In one study, it was found that CT influenced the diagnosis and/or treatment of 45.6% of patients [10]. In our study, this value was 78.4% (98 patients).…”

Section: Discussionsupporting

confidence: 50%

“…We found similar results in our study. Although the use of intravenous contrast material is advised for the diagnosis of appendicitis, unenhanced CT scans may also be used [10]. We did not used contrast in patients, and preferred not to use contrast materials when possible because oral and rectal contrast material use is time-consuming and uncomfortable for patients.…”

Section: Discussionmentioning

confidence: 99%

“…Other studies showed that CT affects the treatment of appendicitis by avoidance of unnecessary appendectomy, avoidance of unnecessary observations, and exclusion of other pathologies [1,10,12,13]. By avoiding unnecessary operations, CT reduces the cost of treatment [14].…”

Section: Discussionmentioning

confidence: 99%

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The Effect of Computed Tomography on Surgeon’s Decisions in Suspected Appendicitis Cases

Öztürk¹

2015

Ann Clin Anal Med

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Anahtar KelimelerApendektomi; Tomografi; Karın Ağrısı Abstract Aim: The purpose of this study is to evaluate the effect of computed tomography (CT) on the diagnosis and treatment plan of surgeons in patients with suspected appendicitis. Material and Method: Our study was conducted between 2010 -2011. One hundred twenty five patients suspected appendicitis and underwent abdominal computed tomography scanning were enrolled. The effects of CT scanning on the diagnosis and treatment plan of surgeons were evaluated. Results: After CT scanning the findings of appendicitis was revealed in 89 patients were not revealed in 36. Eighty eight patients diagnosed with acute appendicitis after a CT scan and the 5 patients with clinical suspect of appendicitis which is not confirmed by CT scan were operated (total 93 patients). In according to histopathological findings acute appendicitis were confirmed in 83 patients and were not confirmed acute appendicitis in 10 patients. According to our study, CT has changed the diagnosis and treatment plan in 98 patients (78.4%) with suspected appendicitis. The diagnosis of acute appendicitis was confirmed in 65 (52%) of these patients, and treatment was started ending the observation. Diagnostic and treatment plan was changed in 33 patients and CT did not affect surgeon's decision in 27 (21.6%) patients. Discussion: CT is a diagnostic method which affects the diagnosis and treatment of patients with suspected appendicitis. We recommend CT scans without waiting in patients with suspected acute appendicitis.

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Section: Discussionsupporting

confidence: 50%

Section: Discussionmentioning

confidence: 99%

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The Effect of Computed Tomography on Surgeon’s Decisions in Suspected Appendicitis Cases

Öztürk¹

2015

Ann Clin Anal Med

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“…Caso não exista esta disponibilidade, devemos optar pela laparotomia exploradora como técnica mais segura, tanto para o diagnóstico quanto para o tratamento. 6,7,8 O algoritmo da Figura 1 tem o intuito de auxiliar e direcionar a investigação dos pacientes com dor abdominal, seguindo as diretrizes do consenso do Colégio Brasileiro de Cirurgiões, em 2006. 9 Como podemos observar há muitas variáveis a serem consideradas, porém, até o momento, foram apresentadas as diretrizes para o diagnóstico, ainda não tendo sido discutido as opções terapêuticas específicas.…”

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“…Nos casos típicos, os exames de imagem não acrescentam muito, porém nos casos duvidosos podem auxiliar no diagnóstico. 4,7 Nos casos iniciais, o tratamento consiste na intervenção cirúrgica e ressecção do apêndice, não ne-cessitando de tratamento adjuvante. Nos casos avançados, com necrose do apêndice, peritonites, perfuração e abscessos, é necessários o tratamento com antibióticos após a ressecção do apêndice que pode durar alguns dias.…”

Section: 4-apendicite Agudaunclassified

Abdômen Agudo

Brunetti¹,

Scarpelini

2007

Medicina (Ribeirão Preto)

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nares e intoxicações exógenas, dentre outras podem causar dor abdominal e até simular abdômen agudo.No ano de 2002 nos EUA, cerca de 7 milhões de pacientes procuraram serviços de emergência com quadro de dor abdominal, 7,5% do total de atendimentos, e cerca de 50% destes necessitaram de intervenções médicas. 1,4,5 Os dados brasileiros são imprecisos, principalmente devido à ausência de sistematização e informatização do sistema de saúde pú-blico, aliado à ausência de dados do sistema de saú-de privado.O objetivo desta revisão é avaliar as publicações mais recentes sobre o tema abdômen agudo, procurando aquelas que apresentassem avanços significativos na área médica e tecnológica, na tentativa de produzir um resumo objetivo das melhores práticas disponíveis atualmente, para o diagnóstico e tratamento desta condição. ABDÔMEN AGUDO 1-INTRODUÇÃOO termo abdômen agudo é amplo e compreende inúmeras situações clínicas. Alguns autores têm definido abdômen agudo como uma dor na região abdominal, não traumática, de aparecimento súbito e de intensidade variável associada ou não a outros sintomas. Geralmente com duração de horas até quatro dias, não ultrapassando sete dias. Em geral, necessita de intervenção médica imediata, cirúrgica ou não.

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Acute Abdominal Pain

Lobo

2012

Textbook of Clinical Gastroenterology and Hepatology

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Effect of Contrast-enhanced Computed Tomography on Diagnosis and Management of Acute Abdomen in Adults

Cited by 82 publications

References 32 publications

The Effect of Computed Tomography on Surgeon’s Decisions in Suspected Appendicitis Cases

The Effect of Computed Tomography on Surgeon’s Decisions in Suspected Appendicitis Cases

Abdômen Agudo

Acute Abdominal Pain

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