Jejunum and ileum blunt trauma: what has changed with the implementation of multislice computed tomography?
Autor(a) principal: | |
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Data de Publicação: | 2014 |
Outros Autores: | , , , , , |
Tipo de documento: | Artigo |
Idioma: | eng |
Título da fonte: | Revista do Colégio Brasileiro de Cirurgiões |
Texto Completo: | http://old.scielo.br/scielo.php?script=sci_arttext&pid=S0100-69912014000400278 |
Resumo: | OBJECTIVE: to evaluate the impact of the new technology of multidetector computed tomography (MDCT) in improving the accuracy and early diagnosis of BSBI.METHODS: patients with blunt small bowel injuries (BSBI) grade> I were identified retrospectively and their CT scans reviewed by an experienced radiologist. Clinical and tomographic findings were analyzed and patients grouped as "pre-MDCT" and "post-MDCT", according to the time of implementation of a 64-slice MDCT.RESULTS: of the 26 patients with BSBI 16 had CT scans. Motor vehicle collision (62.5%) was the most frequent mechanism of injury. In the pre-MDCT period, five of the 13 patients (38.5%) had abdominal CT, and in the post-MDCT, 11 of 13 patients (84.6%) had the exam. During pre-MDCT, all CT scans were abnormal with findings of pneumoperitoneum (60%), free fluid (40%) and bowel wall enhancement (20%). In the post-MDCT group, all exams but one were abnormal and the most frequent findings were free fluid (90.9%), bowel wall enhancement (72.7%), and pneumoperitoneum (54.5%). However, the rate of delayed laparotomy did not change. The mortality rate in both groups were similar, with 20% during pre-MDCT and 18.2% during post-MDCT.CONCLUSION: the use of MDCT in abdominal trauma in our service has increased the sensibility of the diagnosis, but has had no impact on outcome so far. |
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Revista do Colégio Brasileiro de Cirurgiões |
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Jejunum and ileum blunt trauma: what has changed with the implementation of multislice computed tomography?TraumaAbdominal InjuriesIntestine, SmallComputed TomographyOBJECTIVE: to evaluate the impact of the new technology of multidetector computed tomography (MDCT) in improving the accuracy and early diagnosis of BSBI.METHODS: patients with blunt small bowel injuries (BSBI) grade> I were identified retrospectively and their CT scans reviewed by an experienced radiologist. Clinical and tomographic findings were analyzed and patients grouped as "pre-MDCT" and "post-MDCT", according to the time of implementation of a 64-slice MDCT.RESULTS: of the 26 patients with BSBI 16 had CT scans. Motor vehicle collision (62.5%) was the most frequent mechanism of injury. In the pre-MDCT period, five of the 13 patients (38.5%) had abdominal CT, and in the post-MDCT, 11 of 13 patients (84.6%) had the exam. During pre-MDCT, all CT scans were abnormal with findings of pneumoperitoneum (60%), free fluid (40%) and bowel wall enhancement (20%). In the post-MDCT group, all exams but one were abnormal and the most frequent findings were free fluid (90.9%), bowel wall enhancement (72.7%), and pneumoperitoneum (54.5%). However, the rate of delayed laparotomy did not change. The mortality rate in both groups were similar, with 20% during pre-MDCT and 18.2% during post-MDCT.CONCLUSION: the use of MDCT in abdominal trauma in our service has increased the sensibility of the diagnosis, but has had no impact on outcome so far.Colégio Brasileiro de Cirurgiões2014-08-01info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersiontext/htmlhttp://old.scielo.br/scielo.php?script=sci_arttext&pid=S0100-69912014000400278Revista do Colégio Brasileiro de Cirurgiões v.41 n.4 2014reponame:Revista do Colégio Brasileiro de Cirurgiõesinstname:Colégio Brasileiro de Cirurgiões (CBC)instacron:CBC10.1590/0100-699120140040010info:eu-repo/semantics/openAccessAraújo,Raquel Oliveira Menna Barreto deMatos,Marina Pimentel dePenachim,Thiago JoséPereira,Bruno Monteiro TavaresMantovani,Mario Eduardo de FariaRizoli,SandroFraga,Gustavo Pereiraeng2015-09-25T00:00:00Zoai:scielo:S0100-69912014000400278Revistahttp://www.scielo.br/rcbcONGhttps://old.scielo.br/oai/scielo-oai.php||revistacbc@cbc.org.br1809-45460100-6991opendoar:2015-09-25T00:00Revista do Colégio Brasileiro de Cirurgiões - Colégio Brasileiro de Cirurgiões (CBC)false |
dc.title.none.fl_str_mv |
Jejunum and ileum blunt trauma: what has changed with the implementation of multislice computed tomography? |
title |
Jejunum and ileum blunt trauma: what has changed with the implementation of multislice computed tomography? |
spellingShingle |
Jejunum and ileum blunt trauma: what has changed with the implementation of multislice computed tomography? Araújo,Raquel Oliveira Menna Barreto de Trauma Abdominal Injuries Intestine, Small Computed Tomography |
title_short |
Jejunum and ileum blunt trauma: what has changed with the implementation of multislice computed tomography? |
title_full |
Jejunum and ileum blunt trauma: what has changed with the implementation of multislice computed tomography? |
title_fullStr |
Jejunum and ileum blunt trauma: what has changed with the implementation of multislice computed tomography? |
title_full_unstemmed |
Jejunum and ileum blunt trauma: what has changed with the implementation of multislice computed tomography? |
title_sort |
Jejunum and ileum blunt trauma: what has changed with the implementation of multislice computed tomography? |
author |
Araújo,Raquel Oliveira Menna Barreto de |
author_facet |
Araújo,Raquel Oliveira Menna Barreto de Matos,Marina Pimentel de Penachim,Thiago José Pereira,Bruno Monteiro Tavares Mantovani,Mario Eduardo de Faria Rizoli,Sandro Fraga,Gustavo Pereira |
author_role |
author |
author2 |
Matos,Marina Pimentel de Penachim,Thiago José Pereira,Bruno Monteiro Tavares Mantovani,Mario Eduardo de Faria Rizoli,Sandro Fraga,Gustavo Pereira |
author2_role |
author author author author author author |
dc.contributor.author.fl_str_mv |
Araújo,Raquel Oliveira Menna Barreto de Matos,Marina Pimentel de Penachim,Thiago José Pereira,Bruno Monteiro Tavares Mantovani,Mario Eduardo de Faria Rizoli,Sandro Fraga,Gustavo Pereira |
dc.subject.por.fl_str_mv |
Trauma Abdominal Injuries Intestine, Small Computed Tomography |
topic |
Trauma Abdominal Injuries Intestine, Small Computed Tomography |
description |
OBJECTIVE: to evaluate the impact of the new technology of multidetector computed tomography (MDCT) in improving the accuracy and early diagnosis of BSBI.METHODS: patients with blunt small bowel injuries (BSBI) grade> I were identified retrospectively and their CT scans reviewed by an experienced radiologist. Clinical and tomographic findings were analyzed and patients grouped as "pre-MDCT" and "post-MDCT", according to the time of implementation of a 64-slice MDCT.RESULTS: of the 26 patients with BSBI 16 had CT scans. Motor vehicle collision (62.5%) was the most frequent mechanism of injury. In the pre-MDCT period, five of the 13 patients (38.5%) had abdominal CT, and in the post-MDCT, 11 of 13 patients (84.6%) had the exam. During pre-MDCT, all CT scans were abnormal with findings of pneumoperitoneum (60%), free fluid (40%) and bowel wall enhancement (20%). In the post-MDCT group, all exams but one were abnormal and the most frequent findings were free fluid (90.9%), bowel wall enhancement (72.7%), and pneumoperitoneum (54.5%). However, the rate of delayed laparotomy did not change. The mortality rate in both groups were similar, with 20% during pre-MDCT and 18.2% during post-MDCT.CONCLUSION: the use of MDCT in abdominal trauma in our service has increased the sensibility of the diagnosis, but has had no impact on outcome so far. |
publishDate |
2014 |
dc.date.none.fl_str_mv |
2014-08-01 |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/article |
dc.type.status.fl_str_mv |
info:eu-repo/semantics/publishedVersion |
format |
article |
status_str |
publishedVersion |
dc.identifier.uri.fl_str_mv |
http://old.scielo.br/scielo.php?script=sci_arttext&pid=S0100-69912014000400278 |
url |
http://old.scielo.br/scielo.php?script=sci_arttext&pid=S0100-69912014000400278 |
dc.language.iso.fl_str_mv |
eng |
language |
eng |
dc.relation.none.fl_str_mv |
10.1590/0100-699120140040010 |
dc.rights.driver.fl_str_mv |
info:eu-repo/semantics/openAccess |
eu_rights_str_mv |
openAccess |
dc.format.none.fl_str_mv |
text/html |
dc.publisher.none.fl_str_mv |
Colégio Brasileiro de Cirurgiões |
publisher.none.fl_str_mv |
Colégio Brasileiro de Cirurgiões |
dc.source.none.fl_str_mv |
Revista do Colégio Brasileiro de Cirurgiões v.41 n.4 2014 reponame:Revista do Colégio Brasileiro de Cirurgiões instname:Colégio Brasileiro de Cirurgiões (CBC) instacron:CBC |
instname_str |
Colégio Brasileiro de Cirurgiões (CBC) |
instacron_str |
CBC |
institution |
CBC |
reponame_str |
Revista do Colégio Brasileiro de Cirurgiões |
collection |
Revista do Colégio Brasileiro de Cirurgiões |
repository.name.fl_str_mv |
Revista do Colégio Brasileiro de Cirurgiões - Colégio Brasileiro de Cirurgiões (CBC) |
repository.mail.fl_str_mv |
||revistacbc@cbc.org.br |
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1754209212714450944 |