Table 3.
Sonographic evaluation of SBO.
Author | Design | N | Findings | Conclusion |
---|---|---|---|---|
Ünlüer et al. [7] | Prospective US versus CT and XR |
174 | No significant difference between EM and radiology residents in diagnosing BO using US. | With proper training of EM residents, their diagnostic accuracy of BO using US can be comparable to those done by radiology residents. |
| ||||
Jang et al. [8] | Prospective US versus CT and XR |
76 | US showed that the presence of dilated loop of bowel had a sensitivity and specificity of 90.9% and 83.7%, respectively, and the presence of absent peristalsis had a sensitivity and specificity of 27.3% and 97.7%, respectively. | US showed superiority over plain radiographs in detecting SBO. |
| ||||
Musoke et al. [10] | Prospective | 70 | US showed a sensitivity of 93%, specificity of 100%, PPV of 100%, and NPV of 73%. | Not only does US show promises in diagnosis, but it may play a role in detecting patients who need emergent intervention such as those with strangulation. |
| ||||
Ko et al. [12] | Retrospective | 54 | US is better than plain radiographs in diagnosing SBO and in detecting the level and cause of obstruction. | US can be helpful in diagnosing SBO when other modalities are not readily available. |
| ||||
Grassi et al. [13] | Retrospective | 150 | US not only detects the obstruction, but it can detect if this obstruction is caused by a functional or obstructive cause, and it can detect the level of severity. | Using US can detect findings of a worsening obstruction. This may reduce the wait time for a more detailed imaging study (such as CT) before deciding between conservative and surgical management. |