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Diagnostic Performance of Ultrasonography for Identification of Small Bowel Obstruction; a Systematic Publisher



Motavaselian M1 ; Farrokhi M2 ; Khouzani PJ3 ; Fard AM1 ; Daeizadeh F1 ; Pourrahimi M4 ; Mehrabani R3 ; Amanibeni R3 ; Farrokhi M2 ; Sarnaghy FJ5 ; Mir A6 ; Tavakoli R3 ; Fadavian H7 ; Mehdinezhad R8 Show All Authors
Authors
  1. Motavaselian M1
  2. Farrokhi M2
  3. Khouzani PJ3
  4. Fard AM1
  5. Daeizadeh F1
  6. Pourrahimi M4
  7. Mehrabani R3
  8. Amanibeni R3
  9. Farrokhi M2
  10. Sarnaghy FJ5
  11. Mir A6
  12. Tavakoli R3
  13. Fadavian H7
  14. Mehdinezhad R8
  15. Masoudikabir P9
  16. Moallem M10
  17. Karami T10
  18. Roohinezhad R11
  19. Yazdani Y12
  20. Ghasemi D1
  21. Rezaeizadeh F1
  22. Hadizadeh A13
  23. Sarallah R4
  24. Shafigh A14
  25. Aminpour S15
  26. Esfahani A1
  27. Mirabdali S16
  28. Hosseini Z1
  29. Saharkhiz F1
  30. Khodsiani M1
  31. Tirtashi FE17
  32. Dehkordi SE1
  33. Amini NS1
  34. Aran M1
  35. Abolghasemfard Z1
  36. Sanjarinia N1
  37. Abdollahi Z18
  38. Abediankenari F19
  39. Ghadirzadeh E20
  40. Khodashenas M1
  41. Jahanshahi A1

Source: Archives of Academic Emergency Medicine Published:2024


Abstract

Introduction: Small bowel obstruction (SBO) is known as a common cause of acute abdominal complaints in the emergency department (ED). The modality of choice for the diagnosis of SBO has not yet been established. This systematic review and meta-analysis aimed to investigate the accuracy of ultrasonography for the diagnosis of SBO. Methods: Systematic search was performed on five electronic databases including Medline, Scopus, Web of Sciences, Embase, and Cochrane Library, and the retrieval period was from the inception of each database to November 2023. The quality of the included studies were investigated using the Quality Assessment of Diagnostic Accuracy Studies 2 (QUADAS-2). The pooled values of diagnostic characteristics for ultrasonography were estimated using meta-Disc and Stata statistical software. Results: Twenty-one studies with a total of 1977 patients were included in the meta-analysis. The pooled estimate for sensitivity, specificity, positive likelihood ratio (PLR), negative likelihood ratio (NLR), diagnostic odds ratio (DOR), and area under the summary ROC curve of ultrasonography for diagnosing SBO were 0.93 (95% CI: 0.91–0.95), 0.8 (95% CI: 0.77–0.83), 5.69 (95% CI: 3.64–8.89), 0.1 (95% CI: 0.07–0.16), 83.51 (95% CI: 18.12–182.91) and 0.96, respectively. Conclusion: The findings of this meta-analysis showed that the utilization of ultrasonography holds promise as a diagnostic imaging for SBO with high accuracy. However, additional worldwide studies are essential to get more evidence on the value of ultrasonography for the diagnosis of SBO. © (2023), (Shaheed Beheshti University of Medical Sciences and Health Services). All Rights Reserved.