Radiological Findings in Primary Intestinal Ischaemia
Study Details
Study Description
Brief Summary
To investigate which findings on a non-specific CT scan that predict acute primary intestinal ischaemia.
| Condition or Disease | Intervention/Treatment | Phase |
|---|---|---|
|
Detailed Description
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.
Study Design
Arms and Interventions
| Arm | Intervention/Treatment |
|---|---|
| Acute intestinal ischaemia Abdominal CT scan within 48 hours preoperative. |
Radiation: Computerized tomography scan of the abdomen
Non-specific abdominal ct´s with different phases and contrast +/-.
|
| Controls Abdominal CT scan within 48 hours preoperative. |
Radiation: Computerized tomography scan of the abdomen
Non-specific abdominal ct´s with different phases and contrast +/-.
|
Outcome Measures
Primary Outcome Measures
- Intestinal wall pathology [48 hours]
Incidense of CT findings in the radiological main group called "Intestinal wall pathology"
- Gastrointestinal vessel pathology [48 hours]
Incidense of CT findings in the radiological main group called "Gastrointestinal vessel pathologypathology"
- Intestinal diameter [48 hours]
Incidense of CT findings in the radiological main group called "Intestinal diameter"
- Extraintestinal pathology [48 hours]
Incidense of CT findings in the radiological main group called "Extraintestinal pathology"
Eligibility Criteria
Criteria
Inclusion Criteria:
-
Primary acute intestinal ischaemia in an abdominal operation.
-
CT-scan within 48 hours preoperative.
Exclusion Criteria:
-
Secondary intestinal ischaemia
-
Intestinal ischaemia isolated intestinal mucosa.
-
No CT-scan within 48 hours preoperative
Contacts and Locations
Locations
No locations specified.Sponsors and Collaborators
- Aalborg University Hospital
Investigators
None specified.Study Documents (Full-Text)
None provided.More Information
Publications
- 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.
- 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. Review.
- Kärkkäinen 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. Review.
- 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. Review.
- 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.
- Acute intestinal ischaemia