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Small and Large Bowel Obstruction in Adults: Evidence-Based Emergency Imaging

  • Anne G. CarrollEmail author
  • Richard G. Kavanagh
  • Caoilfhionn Ni Leidhin
  • Noelle M. Cullinan
  • Samad Shah
  • Lisa P. Lavelle
  • Dermot E. Malone
Chapter
Part of the Evidence-Based Imaging book series (Evidence-Based Imag.)

Abstract

There are many causes of small and large bowel obstruction, which differ considerably between adults and children. That being said, in almost all cases of bowel obstruction, radiological imaging is an essential component of the diagnostic work-up, and there are many different imaging modalities to choose from. The purpose of this chapter is to critically assess the evidence behind the use of the different imaging modalities for investigating and diagnosing the different types of small and large bowel obstruction in adults. We aim to offer guidance for a rational approach to diagnostic work-up using evidence-based algorithms where available.

Keywords

Small bowel obstruction Large bowel obstruction Intestinal obstruction Evidence-based imaging Closed loop obstruction Internal hernia Duodenal atresia Duodenal stenosis Jejunal atresia Ileal atresia Volvulus Malrotation Intussusception Meconium plug Meconium ileus Hirschsprung’s disease Emergency imaging Evidence-based imaging 

References

  1. 1.
    Maglinte DD, et al. Radiology. 1993;188(1):61–4.PubMedGoogle Scholar
  2. 2.
    Taylor MR, Lalani N. Acad Emerg Med. 2013;20(6):528–44.PubMedGoogle Scholar
  3. 3.
    O’Malley RG, et al. Abdom Imaging. 2015;40(7):2248–62.PubMedGoogle Scholar
  4. 4.
    Desser TS, Gross M. Semin Ultrasound CT MR. 2008;29(5):308–21.PubMedGoogle Scholar
  5. 5.
    Silva AC, Pimenta N, Guimaraes LS. Radiographics. 2009;29(2):423–39.PubMedGoogle Scholar
  6. 6.
    Furukawa A, et al. Radiographics. 2001;21(2):341–55.PubMedGoogle Scholar
  7. 7.
    Santillan CS. Radiol Clin N Am. 2013;51(1):17–27.PubMedGoogle Scholar
  8. 8.
    Idris M, et al. Jpn J Radiol. 2012;30(3):235–41.PubMedGoogle Scholar
  9. 9.
    Jancelewicz T, et al. J Gastrointest Surg. 2009;13(1):93–9.PubMedGoogle Scholar
  10. 10.
    Martin LC, Merkle EM, Thompson WM. AJR Am J Roentgenol. 2006;186(3):703–17.PubMedGoogle Scholar
  11. 11.
    Nandipati KC, et al. J Gastrointest Surg. 2012;16(4):675–81.PubMedGoogle Scholar
  12. 12.
    Zielinski MD, Bannon MP. Adv Surg. 2011;45:1–29.PubMedGoogle Scholar
  13. 13.
    Frago R, et al. Am J Surg. 2014;207(1):127–38.PubMedGoogle Scholar
  14. 14.
    Atamanalp SS. Tech Coloproctol. 2013;17(4):419–24.PubMedGoogle Scholar
  15. 15.
    De Giorgio R, Knowles CH. Br J Surg. 2009;96(3):229–39.PubMedGoogle Scholar
  16. 16.
    Ogilvie H. Br Med J. 1948;2(4579):671–3.PubMedPubMedCentralGoogle Scholar
  17. 17.
    Scott FI, et al. Am J Surg. 2012;204(3):315–20.PubMedPubMedCentralGoogle Scholar
  18. 18.
    Ray NF, et al. J Am Coll Surg. 1998;186(1):1–9.PubMedGoogle Scholar
  19. 19.
    Millet I, et al. Radiology. 2014;273(2):425–32.PubMedGoogle Scholar
  20. 20.
    Miller G, et al. Am J Surg. 2000;180(1):33–6.PubMedGoogle Scholar
  21. 21.
    Taourel P, et al. Abdom Imaging. 2003;28(2):267–75.PubMedGoogle Scholar
  22. 22.
    Sikirica V, et al. BMC Surg. 2011;11:13.PubMedPubMedCentralGoogle Scholar
  23. 23.
    Foster NM, et al. J Am Coll Surg. 2006;203(2):170–6.PubMedPubMedCentralGoogle Scholar
  24. 24.
    Maceneaney PM, Malone DE. Clin Radiol. 2000;55(3):227–35.PubMedGoogle Scholar
  25. 25.
    Maung AA, et al. J Trauma Acute Care Surg. 2012;73(5 Suppl 4):S362–9.PubMedGoogle Scholar
  26. 26.
    Di Saverio S, et al. World J Emerg Surg. 2013;8(1):42.PubMedPubMedCentralGoogle Scholar
  27. 27.
    Pongpornsup S, Tarachat K, Srisajjakul S. J Med Assoc Thail. 2009;92(12):1651–61.Google Scholar
  28. 28.
    Aufort S, et al. Eur Radiol. 2005;15(11):2323–9.PubMedGoogle Scholar
  29. 29.
    Suri S, et al. Acta Radiol. 1999;40(4):422–8.PubMedGoogle Scholar
  30. 30.
    Ogata M, Mateer JR, Condon RE. Ann Surg. 1996;223(3):237–41.PubMedPubMedCentralGoogle Scholar
  31. 31.
    Schmutz GR, et al. Eur Radiol. 1997;7(7):1054–8.PubMedGoogle Scholar
  32. 32.
    Musoke F, Kawooya MG, Kiguli-Malwadde E. East Afr Med J. 2003;80(10):540–5.PubMedGoogle Scholar
  33. 33.
    Unluer EE, et al. Eur J Emerg Med. 2010;17(5):260–4.PubMedGoogle Scholar
  34. 34.
    Jang TB, Schindler D, Kaji AH. Emerg Med J. 2011;28(8):676–8.PubMedGoogle Scholar
  35. 35.
    Maglinte DD, et al. AJR Am J Roentgenol. 1996;167(6):1451–5.PubMedGoogle Scholar
  36. 36.
    Daneshmand S, Hedley CG, Stain SC. Am Surg. 1999;65(10):922–6.PubMedGoogle Scholar
  37. 37.
    Beall DP, et al. Clin Radiol. 2002;57(8):719–24.PubMedGoogle Scholar
  38. 38.
    Unal A, et al. Eur J Obstet Gynecol Reprod Biol. 2011;159(1):87–90.PubMedGoogle Scholar
  39. 39.
    Khandelwal A, Fasih N, Kielar A. Radiol Clin N Am. 2013;51(6):1005–22.PubMedGoogle Scholar
  40. 40.
    Jacobs SL, et al. Clin Radiol. 2007;62(4):353–7.PubMedGoogle Scholar
  41. 41.
    Obuz F, et al. Eur J Radiol. 2003;48(3):299–304.PubMedGoogle Scholar
  42. 42.
    Abbas SM, Bissett IP, Parry BR. Br J Surg. 2007;94(4):404–11.PubMedGoogle Scholar
  43. 43.
    Farid M, et al. J Surg Res. 2010;162(2):170–6.PubMedGoogle Scholar
  44. 44.
    Goussous N, et al. J Gastrointest Surg. 2013;17(1):110–6. discussion pp 116–7PubMedGoogle Scholar
  45. 45.
    Choi HK, Chu KW, Law WL. Ann Surg. 2002;236(1):1–6.PubMedPubMedCentralGoogle Scholar
  46. 46.
    Mallo RD, et al. J Gastrointest Surg. 2005;9(5):690–4.PubMedGoogle Scholar
  47. 47.
    Hwang JY, et al. Eur Radiol. 2009;19(10):2425–31.PubMedGoogle Scholar
  48. 48.
    O’Leary EA, et al. Am Surg. 2014;80(6):572–9.PubMedGoogle Scholar
  49. 49.
    Markogiannakis H, et al. World J Gastroenterol. 2007;13(3):432–7.PubMedPubMedCentralGoogle Scholar
  50. 50.
    Wiesner W, et al. Radiology. 2003;226(3):635–50.PubMedGoogle Scholar
  51. 51.
    Geffroy Y, et al. Radiology. 2014;270(1):159–67.PubMedGoogle Scholar
  52. 52.
    Hayakawa K, et al. Emerg Radiol. 2013;20(1):3–9.PubMedGoogle Scholar
  53. 53.
    Schwenter F, et al. Br J Surg. 2010;97(7):1119–25.PubMedGoogle Scholar
  54. 54.
    Kato K, et al. Jpn J Radiol. 2010;28(10):727–32.PubMedGoogle Scholar
  55. 55.
    Takahara T, et al. J Magn Reson Imaging. 2011;34(5):1117–24.PubMedGoogle Scholar
  56. 56.
    Takahara T, et al. Jpn J Radiol. 2011;29(1):11–8.PubMedGoogle Scholar
  57. 57.
    Finan PJ, et al. Color Dis. 2007;9(Suppl 4):1–17.Google Scholar
  58. 58.
    Chapman AH, McNamara M, Porter G. Clin Radiol. 1992;46(4):273–8.PubMedGoogle Scholar

Copyright information

© Springer International Publishing AG, part of Springer Nature 2018

Authors and Affiliations

  • Anne G. Carroll
    • 1
    Email author
  • Richard G. Kavanagh
    • 1
  • Caoilfhionn Ni Leidhin
    • 2
  • Noelle M. Cullinan
    • 3
  • Samad Shah
    • 4
  • Lisa P. Lavelle
    • 1
  • Dermot E. Malone
    • 1
  1. 1.Department of RadiologySt. Vincent’s University HospitalDublinIreland
  2. 2.Department of RadiologySt. James’s HospitalDublinIreland
  3. 3.Department of PediatricsOur Lady’s Children’s HospitalDublinIreland
  4. 4.Department of RadiologyGeisinger Medical CenterDanvilleUSA

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