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To investigate which findings on a non-specific CT scan that predict acute primary intestinal ischaemia.
48 patients with primary intestinal ischemia admitted in 4 consecutive years (2006-2009) in Department of Gastrointestinal Surgery, Aalborg University Hospital. Control group consists of 82 patients operated in the same department and in the same time range.
Abdominal CT scans are described with respect to intestinal diameter, changes in intestinal wall, extra intestinal changes and vessel pathology.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Acute intestinal ischaemia | Abdominal CT scan within 48 hours preoperative. |
| |
| Controls | Abdominal CT scan within 48 hours preoperative. |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Computerized tomography scan of the abdomen | Radiation | Non-specific abdominal ct´s with different phases and contrast +/-. |
|
| Measure | Description | Time Frame |
|---|---|---|
| Intestinal wall pathology | Incidense of CT findings in the radiological main group called "Intestinal wall pathology" | 48 hours |
| Gastrointestinal vessel pathology | Incidense of CT findings in the radiological main group called "Gastrointestinal vessel pathologypathology" | 48 hours |
| Intestinal diameter | Incidense of CT findings in the radiological main group called "Intestinal diameter" | 48 hours |
| Extraintestinal pathology | Incidense of CT findings in the radiological main group called "Extraintestinal pathology" | 48 hours |
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Inclusion Criteria:
Exclusion Criteria:
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All operated patients at Department of Gastrointestinal surgery, Aalborg University Hospital, Denmark.
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 20574087 | Background | Menke J. Diagnostic accuracy of multidetector CT in acute mesenteric ischemia: systematic review and meta-analysis. Radiology. 2010 Jul;256(1):93-101. doi: 10.1148/radiol.10091938. | |
| 28395784 | Background | Karkkainen JM, Acosta S. Acute mesenteric ischemia (part I) - Incidence, etiologies, and how to improve early diagnosis. Best Pract Res Clin Gastroenterol. 2017 Feb;31(1):15-25. doi: 10.1016/j.bpg.2016.10.018. Epub 2017 Jan 4. |
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| 26820988 | Background | Tilsed JV, Casamassima A, Kurihara H, Mariani D, Martinez I, Pereira J, Ponchietti L, Shamiyeh A, Al-Ayoubi F, Barco LA, Ceolin M, D'Almeida AJ, Hilario S, Olavarria AL, Ozmen MM, Pinheiro LF, Poeze M, Triantos G, Fuentes FT, Sierra SU, Soreide K, Yanar H. ESTES guidelines: acute mesenteric ischaemia. Eur J Trauma Emerg Surg. 2016 Apr;42(2):253-70. doi: 10.1007/s00068-016-0634-0. |
| 24238311 | Background | Cudnik MT, Darbha S, Jones J, Macedo J, Stockton SW, Hiestand BC. The diagnosis of acute mesenteric ischemia: A systematic review and meta-analysis. Acad Emerg Med. 2013 Nov;20(11):1087-100. doi: 10.1111/acem.12254. |
| 18425546 | Background | Aschoff AJ, Stuber G, Becker BW, Hoffmann MH, Schmitz BL, Schelzig H, Jaeckle T. Evaluation of acute mesenteric ischemia: accuracy of biphasic mesenteric multi-detector CT angiography. Abdom Imaging. 2009 May-Jun;34(3):345-57. doi: 10.1007/s00261-008-9392-8. |
| 34216221 | Derived | Straarup D, Gotschalck KA, Mikalone R, Thorlacius-Ussing O. Preoperative findings on non-specific CT in patients with primary acute intestinal ischemia: a case-control study. Eur J Trauma Emerg Surg. 2022 Aug;48(4):3025-3032. doi: 10.1007/s00068-021-01741-w. Epub 2021 Jul 3. |