The sensitivity of radiography of the postoperative stomach

Journal Article · Wed Sep 01 00:00:00 EDT 1982 · Radiology; (United States)

DOI:https://doi.org/10.1148/radiology.144.4.7111718· OSTI ID:6942857

Ott, D J; Munitz, H A; Gelfand, D W; Lane, T G; Wu, W C

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.

• Research Organization: Wake Forest Univ., Winston-Salem, NC
• OSTI ID: 6942857
• Journal Information: Radiology; (United States), Vol. 144:4
• Country of Publication: United States
• Language: English

Related Subjects

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-)