《美国放射学院适宜性标准：疑似小肠梗阻》2020 年版要点解读_CHINESE JOURNAL OF BASES AND CLINICS IN GENERAL SURGERY

Authors：

朱飞 ¹ , 韩雪盈 ¹ , 刘鹏 ² , 陈心足 ^3,4,5 , 邓力珲 ⁶ ,  黄子星 ⁷

1. ;
2. ;
3. ;
4. ;
5. ;
6. ;
7. ;

Corresponding author：

黄子星, Email: zixinghuang@hotmail.com

Keywords：

DOI：

10.7507/1007-9424.202008116

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Citation： 朱飞, 韩雪盈, 刘鹏, 陈心足, 邓力珲, 黄子星. 《美国放射学院适宜性标准：疑似小肠梗阻》2020 年版要点解读. CHINESE JOURNAL OF BASES AND CLINICS IN GENERAL SURGERY, 2021, 28(2): 171-174. doi: 10.7507/1007-9424.202008116 Copy

1.	Nicolaou S, Kai B, Ho S, et al. Imaging of acute small-bowel obstruction. AJR Am J Roentgenol, 2005, 185(4): 1036-1044.
2.	Frager D, Baer JW, Medwid SW, et al. Detection of intestinal ischemia in patients with acute small-bowel obstruction due to adhesions or hernia: efficacy of CT. AJR Am J Roentgenol, 1996, 166(1): 67-71.
3.	Balthazar EJ, Liebeskind ME, Macari M. Intestinal ischemia in patients in whom small bowel obstruction is suspected: evaluation of accuracy, limitations, and clinical implications of CT in diagnosis. Radiology, 1997, 205(2): 519-522.
4.	Frager D, Medwid SW, Baer JW, et al. CT of small-bowel obstruction: value in establishing the diagnosis and determining the degree and cause. AJR Am J Roentgenol, 1994, 162(1): 37-41.
5.	Fukuya T, Hawes DR, Lu CC, et al. CT diagnosis of small-bowel obstruction: efficacy in 60 patients. AJR Am J Roentgenol, 1992, 158(4): 765-769.
6.	Gazelle GS, Goldberg MA, Wittenberg J, et al. Efficacy of CT in distinguishing small-bowel obstruction from other causes of small-bowel dilatation. AJR Am J Roentgenol, 1994, 162(1): 43-47.
7.	Maglinte DD, Reyes BL, Harmon BH, et al. Reliability and role of plain film radiography and CT in the diagnosis of small-bowel obstruction. AJR Am J Roentgenol, 1996, 167(6): 1451-1455.
8.	Ha HK, Kim JS, Lee MS, et al. Differentiation of simple and strangulated small-bowel obstructions: usefulness of known CT criteria. Radiology, 1997, 204(2): 507-512.
9.	陈心足, 魏涛, 姜坤, 等. 急性肠梗阻的病因学和病死率: 705例回顾分析(英文). 中西医结合学报, 2008, 6(10): 1010-1016.
10.	Chang W, Ko K, Lin C, et al. Features on MDCT that predict surgery in patients with adhesive-related small bowel obstruction. PLoS One, 2014, 9: e89804.
11.	Maung AA, Johnson DC, Piper GL, et al. Evaluation and management of small-bowel obstruction: an Eastern Association for the Surgery of Trauma practice management guideline. J Trauma Acute Care Surg, 2012, 73(5 Suppl 4): S362-S369.
12.	Ten Broek RPG, Krielen P, Di Saverio S, et al. Bologna guidelines for diagnosis and management of adhesive small bowel obstruction (ASBO): 2017 update of the evidence-based guidelines from the world society of emergency surgery ASBO working group. World J Emerg Surg, 2018, 13: 24.
13.	Diaz JJ Jr, Bokhari F, Mowery NT, et al. Guidelines for management of small bowel obstruction. J Trauma, 2008, 64(6): 1651-1664.
14.	DiSantis DJ, Ralls PW, Balfe DM, et al. The patient with suspected small bowel obstruction: imaging strategies. American College of Radiology. ACR Appropriateness Criteria. Radiology, 2000, (Suppl): 121-124.
15.	Ros PR, Huprich JE. ACR Appropriateness Criteria on suspected small-bowel obstruction. J Am Coll Radiol, 2006, 3(11): 838-841.
16.	Expert Panel on Gastrointestinal Imaging, Chang KJ, Marin D,et al. ACR Appropriateness Criteria? Suspected small-bowel obstruction. J Am Coll Radiol, 2020, 17(5S): S305-S314.
17.	Megibow AJ, Balthazar EJ, Cho KC, et al. Bowel obstruction: evaluation with CT. Radiology, 1991, 180(2): 313-318.
18.	Shrake PD, Rex DK, Lappas JC, et al. Radiographic evaluation of suspected small bowel obstruction. Am J Gastroenterol, 1991, 86(2): 175-178.
19.	Delabrousse E, Lubrano J, Jehl J, et al. Small-bowel obstruction from adhesive bands and matted adhesions: CT differentiation. AJR Am J Roentgenol, 2009, 192(3): 693-697.
20.	Delabrousse E, Lubrano J, Sailley N, et al. Small-bowel bezoar versus small-bowel feces: CT evaluation. AJR Am J Roentgenol, 2008, 191(5): 1465-1468.
21.	Jaffe TA, Martin LC, Thomas J, et al. Small-bowel obstruction: coronal reformations from isotropic voxels at 16-section multi-detector row CT. Radiology, 2006, 238(1): 135-142.
22.	Desser TS, Gross M. Multidetector row computed tomography of small bowel obstruction. Semin Ultrasound CT MR, 2008, 29(5): 308-321.
23.	Gollub MJ. Multidetector computed tomography enteroclysis of patients with small bowel obstruction: a volume-rendered “surgical perspective”. J Comput Assist Tomogr, 2005, 29(3): 401-407.
24.	Hodel J, Zins M, Desmottes L, et al. Location of the transition zone in CT of small-bowel obstruction: added value of multiplanar reformations. Abdom Imaging, 2009, 34(1): 35-41.
25.	Hong SS, Kim AY, Byun JH, et al. MDCT of small-bowel disease: value of 3D imaging. AJR Am J Roentgenol, 2006, 187(5): 1212-1221.
26.	Shah ZK, Uppot RN, Wargo JA, et al. Small bowel obstruction: the value of coronal reformatted images from 16-multidetector computed tomography—a clinicoradiological perspective. J Comput Assist Tomogr, 2008, 32(1): 23-31.
27.	Colon MJ, Telem DA, Wong D, et al. The relevance of transition zones on computed tomography in the management of small bowel obstruction. Surgery, 2010, 147(3): 373-377.
28.	Idris M, Kashif N, Idris S, et al. Accuracy of 64-slice multidetector computed tomography scan in detection of the point of transition of small bowel obstruction. Jpn J Radiol, 2012, 30(3): 235-241.
29.	Donckier V, Closset J, Van Gansbeke D, et al. Contribution of computed tomography to decision making in the management of adhesive small bowel obstruction. Br J Surg, 1998, 85(8): 1071-1074.
30.	Zalcman M, Sy M, Donckier V, et al. Helical CT signs in the diagnosis of intestinal ischemia in small-bowel obstruction. AJR Am J Roentgenol, 2000, 175(6): 1601-1607.
31.	Millet I, Taourel P, Ruyer A, et al. Value of CT findings to predict surgical ischemia in small bowel obstruction: A systematic review and meta-analysis. Eur Radiol, 2015, 25(6): 1823-1835.
32.	Elsayes KM, Menias CO, Smullen TL, et al. Closed-loop small-bowel obstruction: diagnostic patterns by multidetector computed tomography. J Comput Assist Tomogr, 2007, 31(5): 697-701.
33.	Nakashima K, Ishimaru H, Fujimoto T, et al. Diagnostic performance of CT findings for bowel ischemia and necrosis in closed-loop small-bowel obstruction. Abdom Imaging, 2015, 40(5): 1097-1103.
34.	Walsh DW, Bender GN, Timmons H. Comparison of computed tomography-enteroclysis and traditional computed tomography in the setting of suspected partial small bowel obstruction. Emerg Radiol, 1998, 5(1): 29-37.
35.	Matsuo Y. Degree of bowel distension on plain-radiographs—a surgical-radiological study of new criteria in mechanical intestinal obstruction. Jpn J Surg, 1978, 8(3): 222-227.
36.	Heinberg EM, Finan MA, Chambers RB, et al. Postoperative ileus on a gynecologic oncology service—do abdominal X-rays have a role. Gynecol Oncol, 2003, 90(1): 158-162.
37.	Ko YT, Lim JH, Lee DH, et al. Small bowel obstruction: sonographic evaluation. Radiology, 1993, 188(3): 649-653.
38.	Caroline DF, Herlinger H, Laufer I, et al. Small-bowel enema in the diagnosis of adhesive obstructions. AJR Am J Roentgenol, 1984, 142(6): 1133-1139.
39.	Makanjuola D. Computed tomography compared with small bowel enema in clinically equivocal intestinal obstruction. Clin Radiol, 1998, 53(3): 203-208.
40.	Cronin CG, Lohan DG, Browne AM, et al. MR enterography in the evaluation of small bowel dilation. Clin Radiol, 2009, 64(10): 1026-1034.
41.	Pracros JP, Sann L, Genin G, et al. Ultrasound diagnosis of midgut volvulus: the “whirlpool” sign. Pediatr Radiol, 1992, 22(1): 18-20.
42.	Ikeda H, Matsuyama S, Suzuki N, et al. Small bowel obstruction in children: review of 10 years experience. Acta Paediatr Jpn, 1993, 35(6): 504-507.
43.	Maglinte DD, Gage SN, Harmon BH, et al. Obstruction of the small intestine: accuracy and role of CT in diagnosis. Radiology, 1993, 188(1): 61-64.
44.	Khurana B, Ledbetter S, McTavish J, et al. Bowel obstruction revealed by multidetector CT. AJR Am J Roentgenol, 2002, 178(5): 1139-1144.
45.	Boudiaf M, Jaff A, Soyer P, et al. Small-bowel diseases: prospective evaluation of multi-detector row helical CT enteroclysis in 107 consecutive patients. Radiology, 2004, 233(2): 338-344.
46.	Engin G. Computed tomography enteroclysis in the diagnosis of intestinal diseases. J Comput Assist Tomogr, 2008, 32(1): 9-16.
47.	Kohli MD, Maglinte DD. CT enteroclysis in incomplete small bowel obstruction. Abdom Imaging, 2009, 34(3): 321-327.
48.	Allen AM, Antosh DD, Grimes CL, et al. Management of ileus and small-bowel obstruction following benign gynecologic surgery. Int J Gynaecol Obstet, 2013, 121(1): 56-59.
49.	Roediger WE, Marshall VC, Roberts S. Value of small bowel enema in incomplete intestinal obstruction. Aust N Z J Surg, 1982, 52(5): 507-509.
50.	Hong SS, Kim AY, Kwon SB, et al. Three-dimensional CT enterography using oral gastrografin in patients with small bowel obstruction: comparison with axial CT images or fluoroscopic findings. Abdom Imaging, 2010, 35(5): 556-562.
51.	Fidler J. MR imaging of the small bowel. Radiol Clin North Am, 2007, 45(2): 317-331.
52.	Moskowitz E, Campion EM, Burlew CC, et al. Obstruction reduction: Use of water-soluble contrast challenge to differentiate between partial and complete small bowel obstruction. Am J Surg, 2019, 218(5): 913-917.
53.	Mansoori B, Vasan V, Xi Y, et al. Variations in use of "water soluble contrast challenge" for small bowel obstruction among academic radiologists: results of a national survey. Abdom Radiol (NY), 2020, 45(4): 1050-1056.
54.	Khasawneh MA, Ugarte ML, Srvantstian B, et al. Role of gastrografin challenge in early postoperative small bowel obstruction. J Gastrointest Surg, 2014, 18(2): 363-368.

1. Nicolaou S, Kai B, Ho S, et al. Imaging of acute small-bowel obstruction. AJR Am J Roentgenol, 2005, 185(4): 1036-1044.
2. Frager D, Baer JW, Medwid SW, et al. Detection of intestinal ischemia in patients with acute small-bowel obstruction due to adhesions or hernia: efficacy of CT. AJR Am J Roentgenol, 1996, 166(1): 67-71.
3. Balthazar EJ, Liebeskind ME, Macari M. Intestinal ischemia in patients in whom small bowel obstruction is suspected: evaluation of accuracy, limitations, and clinical implications of CT in diagnosis. Radiology, 1997, 205(2): 519-522.
4. Frager D, Medwid SW, Baer JW, et al. CT of small-bowel obstruction: value in establishing the diagnosis and determining the degree and cause. AJR Am J Roentgenol, 1994, 162(1): 37-41.
5. Fukuya T, Hawes DR, Lu CC, et al. CT diagnosis of small-bowel obstruction: efficacy in 60 patients. AJR Am J Roentgenol, 1992, 158(4): 765-769.
6. Gazelle GS, Goldberg MA, Wittenberg J, et al. Efficacy of CT in distinguishing small-bowel obstruction from other causes of small-bowel dilatation. AJR Am J Roentgenol, 1994, 162(1): 43-47.
7. Maglinte DD, Reyes BL, Harmon BH, et al. Reliability and role of plain film radiography and CT in the diagnosis of small-bowel obstruction. AJR Am J Roentgenol, 1996, 167(6): 1451-1455.
8. Ha HK, Kim JS, Lee MS, et al. Differentiation of simple and strangulated small-bowel obstructions: usefulness of known CT criteria. Radiology, 1997, 204(2): 507-512.
9. 陈心足, 魏涛, 姜坤, 等. 急性肠梗阻的病因学和病死率: 705例回顾分析(英文). 中西医结合学报, 2008, 6(10): 1010-1016.
10. Chang W, Ko K, Lin C, et al. Features on MDCT that predict surgery in patients with adhesive-related small bowel obstruction. PLoS One, 2014, 9: e89804.
11. Maung AA, Johnson DC, Piper GL, et al. Evaluation and management of small-bowel obstruction: an Eastern Association for the Surgery of Trauma practice management guideline. J Trauma Acute Care Surg, 2012, 73(5 Suppl 4): S362-S369.
12. Ten Broek RPG, Krielen P, Di Saverio S, et al. Bologna guidelines for diagnosis and management of adhesive small bowel obstruction (ASBO): 2017 update of the evidence-based guidelines from the world society of emergency surgery ASBO working group. World J Emerg Surg, 2018, 13: 24.
13. Diaz JJ Jr, Bokhari F, Mowery NT, et al. Guidelines for management of small bowel obstruction. J Trauma, 2008, 64(6): 1651-1664.
14. DiSantis DJ, Ralls PW, Balfe DM, et al. The patient with suspected small bowel obstruction: imaging strategies. American College of Radiology. ACR Appropriateness Criteria. Radiology, 2000, (Suppl): 121-124.
15. Ros PR, Huprich JE. ACR Appropriateness Criteria on suspected small-bowel obstruction. J Am Coll Radiol, 2006, 3(11): 838-841.
16. Expert Panel on Gastrointestinal Imaging, Chang KJ, Marin D,et al. ACR Appropriateness Criteria? Suspected small-bowel obstruction. J Am Coll Radiol, 2020, 17(5S): S305-S314.
17. Megibow AJ, Balthazar EJ, Cho KC, et al. Bowel obstruction: evaluation with CT. Radiology, 1991, 180(2): 313-318.
18. Shrake PD, Rex DK, Lappas JC, et al. Radiographic evaluation of suspected small bowel obstruction. Am J Gastroenterol, 1991, 86(2): 175-178.
19. Delabrousse E, Lubrano J, Jehl J, et al. Small-bowel obstruction from adhesive bands and matted adhesions: CT differentiation. AJR Am J Roentgenol, 2009, 192(3): 693-697.
20. Delabrousse E, Lubrano J, Sailley N, et al. Small-bowel bezoar versus small-bowel feces: CT evaluation. AJR Am J Roentgenol, 2008, 191(5): 1465-1468.
21. Jaffe TA, Martin LC, Thomas J, et al. Small-bowel obstruction: coronal reformations from isotropic voxels at 16-section multi-detector row CT. Radiology, 2006, 238(1): 135-142.
22. Desser TS, Gross M. Multidetector row computed tomography of small bowel obstruction. Semin Ultrasound CT MR, 2008, 29(5): 308-321.
23. Gollub MJ. Multidetector computed tomography enteroclysis of patients with small bowel obstruction: a volume-rendered “surgical perspective”. J Comput Assist Tomogr, 2005, 29(3): 401-407.
24. Hodel J, Zins M, Desmottes L, et al. Location of the transition zone in CT of small-bowel obstruction: added value of multiplanar reformations. Abdom Imaging, 2009, 34(1): 35-41.
25. Hong SS, Kim AY, Byun JH, et al. MDCT of small-bowel disease: value of 3D imaging. AJR Am J Roentgenol, 2006, 187(5): 1212-1221.
26. Shah ZK, Uppot RN, Wargo JA, et al. Small bowel obstruction: the value of coronal reformatted images from 16-multidetector computed tomography—a clinicoradiological perspective. J Comput Assist Tomogr, 2008, 32(1): 23-31.
27. Colon MJ, Telem DA, Wong D, et al. The relevance of transition zones on computed tomography in the management of small bowel obstruction. Surgery, 2010, 147(3): 373-377.
28. Idris M, Kashif N, Idris S, et al. Accuracy of 64-slice multidetector computed tomography scan in detection of the point of transition of small bowel obstruction. Jpn J Radiol, 2012, 30(3): 235-241.
29. Donckier V, Closset J, Van Gansbeke D, et al. Contribution of computed tomography to decision making in the management of adhesive small bowel obstruction. Br J Surg, 1998, 85(8): 1071-1074.
30. Zalcman M, Sy M, Donckier V, et al. Helical CT signs in the diagnosis of intestinal ischemia in small-bowel obstruction. AJR Am J Roentgenol, 2000, 175(6): 1601-1607.
31. Millet I, Taourel P, Ruyer A, et al. Value of CT findings to predict surgical ischemia in small bowel obstruction: A systematic review and meta-analysis. Eur Radiol, 2015, 25(6): 1823-1835.
32. Elsayes KM, Menias CO, Smullen TL, et al. Closed-loop small-bowel obstruction: diagnostic patterns by multidetector computed tomography. J Comput Assist Tomogr, 2007, 31(5): 697-701.
33. Nakashima K, Ishimaru H, Fujimoto T, et al. Diagnostic performance of CT findings for bowel ischemia and necrosis in closed-loop small-bowel obstruction. Abdom Imaging, 2015, 40(5): 1097-1103.
34. Walsh DW, Bender GN, Timmons H. Comparison of computed tomography-enteroclysis and traditional computed tomography in the setting of suspected partial small bowel obstruction. Emerg Radiol, 1998, 5(1): 29-37.
35. Matsuo Y. Degree of bowel distension on plain-radiographs—a surgical-radiological study of new criteria in mechanical intestinal obstruction. Jpn J Surg, 1978, 8(3): 222-227.
36. Heinberg EM, Finan MA, Chambers RB, et al. Postoperative ileus on a gynecologic oncology service—do abdominal X-rays have a role. Gynecol Oncol, 2003, 90(1): 158-162.
37. Ko YT, Lim JH, Lee DH, et al. Small bowel obstruction: sonographic evaluation. Radiology, 1993, 188(3): 649-653.
38. Caroline DF, Herlinger H, Laufer I, et al. Small-bowel enema in the diagnosis of adhesive obstructions. AJR Am J Roentgenol, 1984, 142(6): 1133-1139.
39. Makanjuola D. Computed tomography compared with small bowel enema in clinically equivocal intestinal obstruction. Clin Radiol, 1998, 53(3): 203-208.
40. Cronin CG, Lohan DG, Browne AM, et al. MR enterography in the evaluation of small bowel dilation. Clin Radiol, 2009, 64(10): 1026-1034.
41. Pracros JP, Sann L, Genin G, et al. Ultrasound diagnosis of midgut volvulus: the “whirlpool” sign. Pediatr Radiol, 1992, 22(1): 18-20.
42. Ikeda H, Matsuyama S, Suzuki N, et al. Small bowel obstruction in children: review of 10 years experience. Acta Paediatr Jpn, 1993, 35(6): 504-507.
43. Maglinte DD, Gage SN, Harmon BH, et al. Obstruction of the small intestine: accuracy and role of CT in diagnosis. Radiology, 1993, 188(1): 61-64.
44. Khurana B, Ledbetter S, McTavish J, et al. Bowel obstruction revealed by multidetector CT. AJR Am J Roentgenol, 2002, 178(5): 1139-1144.
45. Boudiaf M, Jaff A, Soyer P, et al. Small-bowel diseases: prospective evaluation of multi-detector row helical CT enteroclysis in 107 consecutive patients. Radiology, 2004, 233(2): 338-344.
46. Engin G. Computed tomography enteroclysis in the diagnosis of intestinal diseases. J Comput Assist Tomogr, 2008, 32(1): 9-16.
47. Kohli MD, Maglinte DD. CT enteroclysis in incomplete small bowel obstruction. Abdom Imaging, 2009, 34(3): 321-327.
48. Allen AM, Antosh DD, Grimes CL, et al. Management of ileus and small-bowel obstruction following benign gynecologic surgery. Int J Gynaecol Obstet, 2013, 121(1): 56-59.
49. Roediger WE, Marshall VC, Roberts S. Value of small bowel enema in incomplete intestinal obstruction. Aust N Z J Surg, 1982, 52(5): 507-509.
50. Hong SS, Kim AY, Kwon SB, et al. Three-dimensional CT enterography using oral gastrografin in patients with small bowel obstruction: comparison with axial CT images or fluoroscopic findings. Abdom Imaging, 2010, 35(5): 556-562.
51. Fidler J. MR imaging of the small bowel. Radiol Clin North Am, 2007, 45(2): 317-331.
52. Moskowitz E, Campion EM, Burlew CC, et al. Obstruction reduction: Use of water-soluble contrast challenge to differentiate between partial and complete small bowel obstruction. Am J Surg, 2019, 218(5): 913-917.
53. Mansoori B, Vasan V, Xi Y, et al. Variations in use of "water soluble contrast challenge" for small bowel obstruction among academic radiologists: results of a national survey. Abdom Radiol (NY), 2020, 45(4): 1050-1056.
54. Khasawneh MA, Ugarte ML, Srvantstian B, et al. Role of gastrografin challenge in early postoperative small bowel obstruction. J Gastrointest Surg, 2014, 18(2): 363-368.

CHINESE JOURNAL OF BASES AND CLINICS IN GENERAL SURGERY

《美国放射学院适宜性标准：疑似小肠梗阻》2020 年版要点解读

Abstract Full text Figures/Tables Video References Cited by

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