The significance of abdominal radiographs with paucity of gas in pediatric adhesive small bowel obstruction
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Read the article on pubmed.ncbi.nlm.nih.gov ↗Article · Sep 2020 · 1 min read
In brief
In brief
Retrospective study of 207 pediatric adhesive small bowel obstruction cases demonstrates that paucity of gas on initial abdominal radiographs correlates with higher operative rates and increased likelihood of closed-loop or high-grade obstruction, suggesting this imaging finding should prompt heightened clinical concern.
Written by the GCMD Library team from the article.
Purpose: Management of children with adhesive small bowel obstruction (ASBO) is often based on abdominal radiographs (AXR). Our purpose was to determine the significance of paucity of gas on initial AXR.
Methods: Retrospective, single center review of children with ASBO between 2011 and 2015. Analysis included chi-square, non-parametric tests and multivariate regression.
Results: Of 207 cases, 99 were operative. Initial AXR showed paucity of gas in 41% and gaseous loops in 59%. Paucity was more common in operative patients (49% vs. 32%, p = 0.01). At operation, 71% of patients with paucity had closed loop or high-grade obstruction, compared to 29% of patients with gaseous loops (p =