Role of ultrasonography and computed tomography in stomach and bowel diseases

https://doi.org/10.53730/ijhs.v6nS3.8250

Authors

  • Yashraj Patil M.D., Associate Professor, Department of Radio-Diagnosis, Dr. D Y Patil Medical College, Hospital& Research Center, Pune, Maharashtra, India
  • Mudit Kumar Third Year Junior Resident, Department of Radio-Diagnosis, Dr. D Y Patil Medical College, Hospital& Research Center, Pune, Maharashtra, India
  • Amit Kharat Professor, Department of Radio-Diagnosis, Dr. D Y Patil Medical College, Hospital& Research Center, Pune, Maharashtra, India
  • Purnachandra Lamghare Professor and head, Department of Radio-Diagnosis, Dr. D Y Patil Medical College, Hospital& Research Center, Pune, Maharashtra, India
  • Arunima Gupta Second year resident Department of Radio-Diagnosis, Dr. D Y Patil Medical College, Hospital& Research Center, Pune, Maharashtra, India

Keywords:

USG, CT scan, acute abdomen, sensitivity

Abstract

Background-In this study we compared ultrasound with CT in detecting causes of Common stomach and bowel pathologies such as appendicitis, diverticulitis, volvulus in patients presenting at the department with acute abdominal pain in the majority of cases. Methods- A cross-sectional study was conducted in our institute from September 2019 to August 2021 following approval from the Ethical committee of the hospital. All clinically suspected lesions involving stomach and bowel patients included patients who were clinically evaluated at OPD & the emergency department by the surgeon. All those who fulfilled the inclusion criteria were explained the purpose of the study. After clinical assessment, all consenting patients underwent ultrasound and computed tomography (CT) within a few hours of presentation.

Results- A total of 100 patients with stomach and bowel disorders were studied using ultrasound and multidetector  CT scan. 25 patients were diagnosed with appendicular pathologies, 25 cases with primary neoplasms, 18 were abdominal Koch’s, 17 were Crohn’s disease, 6 were ulcerative colitis, 4 were volvulus, 3 were diverticulitis, 2 were intussusception.Acute appendicitis was the most frequent finding seen in 23 patients. Ultrasound was diagnostic in all except one case. 

Downloads

Download data is not yet available.

References

Prasad H, Rodrigues G, Shenoy R. Role of ultrasonography in nontraumatic acute abdomen. Int J Radiol. 2007;5(2):1-4.

Thakur JK, Kumar R. Epidemiology of acute abdominal pain: a crosssectional study in a tertiary care hospital of Eastern India. Int Surg J 2019;6:345-8.

Puylaert JB. Ultrasonography of the acute abdomen: gastrointestinal conditions. Radiol Clin North Am. 2003;41:1227–1242.

Kessler N, Cyteval C, Gallix B, Lesnik A, Blayac P-M, Pujol J, et al. Appendicitis: evaluation of sensitivity, specificity, and predictive values of US, Doppler US, and laboratory findings. Radiology. 2004 Feb;230(2):472–8.

Kumar, B. A., Mohapatra, M., Sekhar Mohanty, S., Sen, K. K., & G, M. K. (2021). Diagonstic performance of ultrasonography and computed tomography in acute appendicitis in tertiary care centre. International Journal of Health and Clinical Research, 4(1), 143–149.

Bentley G, Webster JH. Gastro-intestinal tuberculosis. A 10–year review. Journal of British Surgery. 1967 Feb;54(2):90-6.

Paustian FF. Tuberculosis of the intestine. Gastroenterology. 1964;11:311.

Parente F, Greco S, Molteni M, Anderloni A, Maconi G, Porro GB. Modern imaging of Crohn's disease using bowel ultrasound. Inflammatory Bowel Diseases. 2004 Jul 1;10(4):452-61.

Neye H, Ensberg D, Rauh P, Peitz U, Mönkemüller K, Treiber G, Klauck S, Malfertheiner P, Rickes S. Impact of high-resolution transabdominal ultrasound in the diagnosis of complications of Crohn's disease. Scandinavian journal of gastroenterology. 2010 Jun 1;45(6):690-5.

Kim JH. US features of transient small bowel intussusception in pediatric patients. Korean journal of radiology. 2004 Sep 1;5(3):178-84.

Cossavella D, Clerico G, Rosato L, Galetto PV, Paino O, Trompetto M, Luc AR, Pozzo M. Lipoma of the colon as an unusual cause of recurring partial intestinal occlusion. Clinical case and review of the literature. Minerva chirurgica. 1998 Apr 1;53(4):277-80.

Gollub MJ, Yoon S, Smith LM, Moskowitz CS. Does the CT whirl sign really predict small bowel volvulus?: Experience in an oncologic population. Journal of computer assisted tomography. 2006 Jan 1;30(1):25-32

Published

01-06-2022

How to Cite

Patil, Y., Kumar, M., Kharat, A., Lamghare, P., & Gupta, A. (2022). Role of ultrasonography and computed tomography in stomach and bowel diseases. International Journal of Health Sciences, 6(S3), 9422–9430. https://doi.org/10.53730/ijhs.v6nS3.8250

Issue

Section

Peer Review Articles

Most read articles by the same author(s)