کد مقاله کد نشریه سال انتشار مقاله انگلیسی نسخه تمام متن
4278635 1611495 2015 5 صفحه PDF دانلود رایگان
عنوان انگلیسی مقاله ISI
Computed tomography scan versus upper gastrointestinal fluoroscopy for diagnosis of staple line leak following bariatric surgery
ترجمه فارسی عنوان
اسکن سی تی اسکن در مقابل فلوروسکوپی دستگاه گوارش فوقانی برای تشخیص نشت خط اصلی در اثر عمل جراحی بارداری
موضوعات مرتبط
علوم پزشکی و سلامت پزشکی و دندانپزشکی عمل جراحی
چکیده انگلیسی

BackgroundThe best radiographic modality to diagnose staple line leaks following bariatric surgery remains controversial. Two common studies used are upper gastrointestinal (UGI) fluoroscopy and computed tomography (CT). This study sought to determine the better modality in detecting clinically significant postoperative leaks.MethodsThis retrospective review was performed of patients undergoing imaging for suspected staple line leaks following bariatric surgery. These studies were reinterpreted by 2 radiologists who were blinded to the original findings.ResultsSix hundred nineteen radiographic “leak tests” were selectively performed following bariatric procedures at our institution between January 2005 and December 2011. CT was found to have a sensitivity of 95% (95% confidence interval [CI] 81.8 to 99.1) and a specificity of 100% (95% CI 93.1 to 100) in diagnosing postoperative leaks, while UGI demonstrated a sensitivity of 79.4% (95% CI 61.6 to 90.0) and a specificity of 95% (95% CI 85.2 to 98.7).ConclusionCT is a superior modality compared with UGI for detecting staple line leaks following bariatric surgery.

ناشر
Database: Elsevier - ScienceDirect (ساینس دایرکت)
Journal: The American Journal of Surgery - Volume 209, Issue 5, May 2015, Pages 810–814
نویسندگان
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