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Title: The sensitivity of radiography of the postoperative stomach

Abstract

The results of radiology and endoscopy were compared in 140 patients who had undergone gastric surgery for ulcer disease. Of 74 patients who were examined with single-contrast radiography, 37 had abnormalities that were demonstrated endoscopically. The radiographic sensitivities in these patients were: gastritis 2/22 (9%); ulcer 3/5 (60%); obstruction 8/8 (100%); and miscellaneous abnormalities 2/2 (100%). The predictive accuracy of a diagnois of ulcer was 38%. Of the 66 patients who were examined with double-contrast radiography, 33 abnormalities were found with endoscopy. The radiographic sensitivities were: gastritis 3/13 (23%); ulcer 7/10 (70%); obstruction 4/4 (100%); and miscellaneous abnormalities 6/6 (100%). The predictive accuracy of a diagnosis of ulcer was 44%. Radiology appears to be unreliable in diagnosing gastritis and recurrent ulceration in the post-operation stomach. The double-contrast technique does not offer significant improvement over the single-contrast method in evaluating these postoperative problems.

Authors:
; ; ; ;
Publication Date:
Research Org.:
Wake Forest Univ., Winston-Salem, NC
OSTI Identifier:
6942857
Resource Type:
Journal Article
Journal Name:
Radiology; (United States)
Additional Journal Information:
Journal Volume: 144:4
Country of Publication:
United States
Language:
English
Subject:
62 RADIOLOGY AND NUCLEAR MEDICINE; DIGESTIVE SYSTEM DISEASES; DIAGNOSIS; STOMACH; BIOMEDICAL RADIOGRAPHY; ACCURACY; PATIENTS; ULCERS; BODY; DIAGNOSTIC TECHNIQUES; DIGESTIVE SYSTEM; DISEASES; GASTROINTESTINAL TRACT; MEDICINE; NUCLEAR MEDICINE; ORGANS; PATHOLOGICAL CHANGES; RADIOLOGY; 550602* - Medicine- External Radiation in Diagnostics- (1980-)

Citation Formats

Ott, D.J., Munitz, H.A., Gelfand, D.W., Lane, T.G., and Wu, W.C. The sensitivity of radiography of the postoperative stomach. United States: N. p., 1982. Web. doi:10.1148/radiology.144.4.7111718.
Ott, D.J., Munitz, H.A., Gelfand, D.W., Lane, T.G., & Wu, W.C. The sensitivity of radiography of the postoperative stomach. United States. doi:10.1148/radiology.144.4.7111718.
Ott, D.J., Munitz, H.A., Gelfand, D.W., Lane, T.G., and Wu, W.C. Wed . "The sensitivity of radiography of the postoperative stomach". United States. doi:10.1148/radiology.144.4.7111718.
@article{osti_6942857,
title = {The sensitivity of radiography of the postoperative stomach},
author = {Ott, D.J. and Munitz, H.A. and Gelfand, D.W. and Lane, T.G. and Wu, W.C.},
abstractNote = {The results of radiology and endoscopy were compared in 140 patients who had undergone gastric surgery for ulcer disease. Of 74 patients who were examined with single-contrast radiography, 37 had abnormalities that were demonstrated endoscopically. The radiographic sensitivities in these patients were: gastritis 2/22 (9%); ulcer 3/5 (60%); obstruction 8/8 (100%); and miscellaneous abnormalities 2/2 (100%). The predictive accuracy of a diagnois of ulcer was 38%. Of the 66 patients who were examined with double-contrast radiography, 33 abnormalities were found with endoscopy. The radiographic sensitivities were: gastritis 3/13 (23%); ulcer 7/10 (70%); obstruction 4/4 (100%); and miscellaneous abnormalities 6/6 (100%). The predictive accuracy of a diagnosis of ulcer was 44%. Radiology appears to be unreliable in diagnosing gastritis and recurrent ulceration in the post-operation stomach. The double-contrast technique does not offer significant improvement over the single-contrast method in evaluating these postoperative problems.},
doi = {10.1148/radiology.144.4.7111718},
journal = {Radiology; (United States)},
number = ,
volume = 144:4,
place = {United States},
year = {1982},
month = {9}
}