The significance of abdominal radiographs with paucity of gas in pediatric adhesive small bowel obstruction
Author / Expert
Am J Surg (Johnson BL, Campagna GA, Hyak JM, Vogel AM, Fallon SC, Shah SR, Brandt ML, Naik-Mathuria BJ. - curated by SCHCP)
Topic overview
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 =
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