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A comparison betwee...
A comparison between intrastomal 3D ultrasonography, CT scanning and findings at surgery in patients with stomal complaints
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- Näsvall, Pia (author)
- Umeå universitet,Kirurgi,Department of Surgery, Sunderby Hospital/Umeå University, 97180, Luleå, Sweden
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- Wikner, F (author)
- Umeå universitet,Institutionen för strålningsvetenskaper
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- Gunnarsson, Ulf, 1967- (author)
- Umeå universitet,Kirurgi
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- Rutegård, Jörgen (author)
- Umeå universitet,Kirurgi
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- Strigård, Karin, 1958- (author)
- Umeå universitet,Kirurgi
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(creator_code:org_t)
- 2014-07-02
- 2014
- English.
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In: International Journal of Colorectal Disease. - : Springer. - 0179-1958 .- 1432-1262. ; 29:10, s. 1263-1266
- Related links:
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https://urn.kb.se/re...
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https://doi.org/10.1...
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Abstract
Subject headings
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- PURPOSE: Since there are no reliable investigative tools for imaging parastomal hernia, new techniques are needed. The aim of this study was to assess the validity of intrastomal three-dimensional ultrasonography (3D) as an alternative to CT scanning for the assessment of stomal complaints.METHOD: Twenty patients with stomal complaints, indicating surgery, were examined preoperatively with a CT scan in the supine position and 3D intrastomal ultrasonography in the supine and erect positions. Comparison with findings at surgery, considered to be the true state, was made.RESULTS: Both imaging methods, 3D ultrasonography and CT scanning, showed high sensitivity (ultrasound 15/18, CT scan 15/18) and specificity (ultrasound 2/2, CT scan 1/2) when judged by a dedicated radiologist. Corresponding values for interpretation of CT scans in routine clinical practice was for sensitivity 17/18 and for specificity 1/2.CONCLUSION: 3D ultrasonography has a high validity and is a promising alternative to CT scanning in the supine position to distinguish a bulge from a parastomal hernia.
Subject headings
- MEDICIN OCH HÄLSOVETENSKAP -- Klinisk medicin -- Kirurgi (hsv//swe)
- MEDICAL AND HEALTH SCIENCES -- Clinical Medicine -- Surgery (hsv//eng)
Keyword
- Hernia
- Parastomal
- 3D ultrasonography
- CT scan
- Ultrasound
- Intrastomal
Publication and Content Type
- ref (subject category)
- art (subject category)
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