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Title

COMPARISON OF ABDOMINAL RADIOGRAPHIES DIAGNOSTIC FINDINGS WITH SURGERY RESULTS IN NEONATAL OBSTRUCTION

Pages

 Start Page 52 | End Page 53

Abstract

 Background: Gastrointestinal obstruction is one of the most common surgical emergencies. Surgeons should select between conservative and invasive strategies. Imaging modalities are important in proper diagnosis. This study was designed to evaluate diagnostic value of abdominal radiographies (with and without contrast) and comparing them with surgical results.Methods: A cross-sectional study was performed on 62 NEONATES admitted in NICU of 22 Bahman and Dr. Sheikh Hospitals of Mashhad from July 2011 for two years.Radiographic findings were recorded in questionnaires and then after surgery, surgical diagnosis compared with them.Findings: Of 62 NEONATES with GI obstruction, 46.8% were girls and 53.2% were boys which was not significantly different. Among our cases, 3 patients had esophageal and colon obstruction, 1 case had two types of colon obstruction and 1 neonate had colon and small bowel obstruction simultaneously. According to surgery results, the frequency of GI obstruction was as colon obstruction in 51.6%, small bowel obstruction in 27.4%, gastric outlet obstruction in 9.7% and esophageal obstruction in 17.7%. The sensitivity of radiographies (with and without contrast) in detection of upper GI obstruction was 100% and in lower GI obstruction was 95.2%.Conclusion: The overall sensitivity of radiologic studies (GI radiographies with and without contrast) in neonatal GI obstruction was 96.5%; so it is a great noninvasive diagnostic method in this condition.

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