Nelms David W, Kann Brian R
Department of Colon and Rectal Surgery, Ochsner Medical Center, New Orleans, Louisiana.
Clin Colon Rectal Surg. 2021 Jul;34(4):205-218. doi: 10.1055/s-0041-1729737. Epub 2021 Jun 2.
It is essential for the colon and rectal surgeon to understand the evaluation and management of patients with both small and large bowel obstructions. Computed tomography is usually the most appropriate and accurate diagnostic imaging modality for most suspected bowel obstructions. Additional commonly used imaging modalities include plain radiographs and contrast imaging/fluoroscopy, while less commonly utilized imaging modalities include ultrasonography and magnetic resonance imaging. Regardless of the imaging modality used, interpretation of imaging should involve a systematic, methodological approach to ensure diagnostic accuracy.
对于结肠直肠外科医生来说,了解小肠和大肠梗阻患者的评估与管理至关重要。计算机断层扫描通常是大多数疑似肠梗阻病例最合适、最准确的诊断成像方式。其他常用的成像方式包括平片和造影成像/荧光透视检查,而较少使用的成像方式包括超声检查和磁共振成像。无论使用何种成像方式,成像解读都应采用系统、有条理的方法,以确保诊断准确性。