Performance of helical computed tomography without oral contrast for the detection of gastrointestinal injuries

Holmes, James F.; Offerman, Steven R.; Chang, Cindy H.; Randel, Brad E.; Hahn, David D.; Frankovsky, Matthew J.; Wisner, David H.

doi:10.1016/s0196-0644(03)00727-3

Cited by 64 publications

(32 citation statements)

References 37 publications

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“…auch rektale KM-Gabe diskutiert. Die Gabe von oralen KM benö-tigt Zeit, verbessert aber die Detektion von Hohlorganverletzungen, ist jedoch nicht zwingender Protokollbestandteil, da Zeitverluste vermieden werden müs-sen [11,32].…”

Section: Abdomenunclassified

Stellenwert der Multidetektor-CT bei Polytrauma

et al. 2014

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Section: Abdomenunclassified

Stellenwert der Multidetektor-CT bei Polytrauma

et al. 2014

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“…[1][2][3][4] Accurate diagnosis is of great importance since delayed diagnosis of BBMI may result in serious complications and mortality. Early diagnosis of isolated BBMI is difficult in patients with blunt abdominal trauma as intervention is required.…”

Section: Introductionmentioning

confidence: 99%

Bowel and mesenteric injury in blunt trauma: diagnostic efficiency of and importance of experience in using multidedector computed tomography

Polat¹,

Aydin²,

Nural³

et al. 2014

Ulus Travma Acil Cerrahi Derg

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“…Recently, the justification for enteric contrast in the emergency department has been questioned in multiple reports. Studies demonstrate the non-superiority of enteric contrast studies in diagnosing appendicitis [1]- [4] and traumatic bowel injury [5]. The majority of those studies focus on appendicitis, probably due to its clear surgical endpoint and relatively high prevalence.…”

Section: Introductionmentioning

confidence: 99%

The Impact of Enteric Contrast on Radiologist Confidence in Intravenously Enhanced MDCT of the Abdomen and Pelvis: A Randomized Controlled Trial

Garcia¹,

Boe²,

Coughlin³

et al. 2014

ACT

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After Institutional Review Board approval, 109 patients ≥ 18 years old undergoing intravenously enhanced Computed Tomography (CT) of the abdomen and pelvis were prospectively enrolled and randomized into two arms. Patients with a history of inflammatory bowel disease, Crohn disease and ulcerative colitis were excluded. The control arm received routine enteric contrast and intravenous contrast. The experimental arm did not receive oral contrast, but received the standard dose of intravenous (IV) contrast. One of four experienced body radiologists reviewed the studies and rated his/her confidence on a scale of 1 (no confidence) to 10 (all confident findings have been made). Confidence levels were compared between groups. The 109 subjects were distributed 54 (49.5%) in the control arm and 55 (50.5%) in the experimental arm. The average confidence level in the control arm was 8.7 ± 0.9 versus 8.4 ± 1.1 in the experimental arm, which is not statistically significant (p value = 0.09). Among radiologists, the average confidence levels ranged from 6 -10 in the control arm and 7 -10 in the experimental arm. No examinations were repeated for technical considerations in either group. No studies were repeated in the experimental group in order to administer oral contrast. When each radiologist was compared to the others, there were no differences in confidence level between pairs in the control arm; however, there were statistically significant differences in confidence level among three pairs of radiologists for the experimental arm. There was no statistically significant difference in radiologist confidence level between intravenously enhanced abdomen and pelvis CTs with enteric contrast and without enteric contrast. C. M. Garcia et al.

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Performance of helical computed tomography without oral contrast for the detection of gastrointestinal injuries

Cited by 64 publications

References 37 publications

Stellenwert der Multidetektor-CT bei Polytrauma

Stellenwert der Multidetektor-CT bei Polytrauma

Bowel and mesenteric injury in blunt trauma: diagnostic efficiency of and importance of experience in using multidedector computed tomography

The Impact of Enteric Contrast on Radiologist Confidence in Intravenously Enhanced MDCT of the Abdomen and Pelvis: A Randomized Controlled Trial

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