Pneumogastrography in the diagnosis of perforated peptic ulcer

Maull, Kimball I.; Reath, David B.

doi:10.1016/0002-9610(84)90467-7

Cited by 22 publications

(7 citation statements)

References 10 publications

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“…1 Plain radiography can demonstrate 55% to 85% of patients with pneumoperitoneum. 2,3 However, diagnosis based on this method has practical limitations. Because many patients are too sick or debilitated to stand for chest radiographic examinations, a left lateral decubitus (LLD) abdominal radiograph may also be used to attempt to demonstrate pneumoperitoneum.…”

mentioning

confidence: 99%

Selective Use of Ultrasonography for the Detection of Pneumoperitoneum

et al. 2002

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mentioning

confidence: 99%

Selective Use of Ultrasonography for the Detection of Pneumoperitoneum

et al. 2002

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“…Because pneumoperitoneum is not objectifiable in 30-35% of those perforated, an alternative is pneumogastrophagy, which consists of injecting air into the stomach through the nasogastric tube. In this way, a pneumoperitoneum could become visible and have a more accurate diagnosis, reducing to one-third the time between perforation and surgery and therefore also decreasing mortality to one-third (K. Maull [6]).…”

Section: Imagingmentioning

confidence: 99%

Peptic Ulcer Disease

Casalnuovo¹,

Brégoli²,

Duarte³

et al. 2022

Peptic Ulcer Disease - What's New?

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Peptic ulcer disease, including duodenal and gastric ulcers, is associated with potentially life-threatening complications, including bleeding, perforation, and gastric outlet obstruction. Stomach lesions are located preferentially along the small curvature in the transition zone between the body and the antrum; in the duodenum those lesions are located in the duodenal bulb, where posterior lesions are usually associated with hemorrhage and the anterior ones with perforation. Peptic ulcer disease affects approximately 5–10% of the population worldwide and represents an important cost for public health. Peptic ulcers pathogenesis is complex and involves multifactorial processes, which basically occurs by an imbalance between aggressive and defensive factors of the gastric mucosa. Gastric mucosa is continuously exposed to harmful substances and factors, whether endogenous (acid secretion, peptic activity, and biliary secretion) or exogenous (Helicobacter pylori infection, alcohol abuse, smoking habit, and nonsteroidal anti-inflammatory drugs (NSAIDs)) and stressful life habits.

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“…2,3 Computed tomography is more accurate than plain radiography, but it is not cost-effective and associated with more radiation exposure. 3,4 Ultrasonography, because of its mobility and ease of use, may be an alternative choice for diagnosing of pneumoperitoneum. Several studies with limited sample size reported the ability of ultrasonography in diagnosing of pneumoperitoneum.…”

Section: Introductionmentioning

confidence: 99%

“…However, only 55%–85% of pneumoperitoneum could be detected by abdominal X‐ray plain film 2 , 3 . Computed tomography is more accurate than plain radiography, but it is not cost‐effective and associated with more radiation exposure 3 , 4 …”

Section: Introductionmentioning

confidence: 99%

The value of ultrasound in diagnosis of pneumoperitoneum in emergent or critical conditions: A meta-analysis

Jiang

Feng

2018

Hong Kong Journal of Emergency Medicine

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Background: Hollow organs perforation is a life-threatening condition. Early diagnosis and emergent intervention are important. Bedside ultrasound may be an alternative diagnostic tool for this condition. Objective: The aim of this study was to explore the diagnostic value of ultrasound of pneumoperitoneum in emergent or critical conditions through meta-analysis. Methods: PubMed, EMBASE, and Cochrane Library were systematically searched for potential studies. Then, two reviewers performed the processes of study selection, data extraction, and quality assessment independently. Finally, diagnostic indexes were analyzed with STATA 12.0 software (Serial No. 40120519635). Results: A total of five studies with moderate to high quality were eligible for meta-analysis. The pooled sensitivity, specificity, positive likelihood ratio, and negative likelihood ratio and their 95% confidence interval were 0.91 (95% confidence interval = 0.86-0.94), 0.96 (95% confidence interval = 0.75-0.99), 22.05 (95% confidence interval = 3.10-156.96), and 0.10 (95% confidence interval = 0.07-0.15), respectively. The area under the summary receiver operating characteristic curve was 0.92 (95% confidence interval = 0.90-0.94). Conclusion: Abdominal ultrasound is a useful alternative tool in diagnosing of pneumoperitoneum. However, due to limited evidence, it is not yet indicated for routine clinical use.

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Pneumogastrography in the diagnosis of perforated peptic ulcer

Cited by 22 publications

References 10 publications

Selective Use of Ultrasonography for the Detection of Pneumoperitoneum

Selective Use of Ultrasonography for the Detection of Pneumoperitoneum

Peptic Ulcer Disease

The value of ultrasound in diagnosis of pneumoperitoneum in emergent or critical conditions: A meta-analysis

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