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Best Paper Award

This to certify that International Research and Publications in Medical Sciences (IRPMS) editorial team has considered to present the best paper award to the corresponding author Dr. Balram Sharma and Dr. Shruti Sharma for publishing his outstanding research paper in IRPMS, Volume-2, Issue-4, Oct-Dec entitled as 8. NEONATAL DIABETES MELLITUS- A REVIEW.

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Abstract

5. COMPARATIVE STUDY OF IMAGING EVALUATION IN SUSPECTED BOWEL OBSTRUCTION

D. Sunil, Narendra Kardam, Kushal Gehlot, Alsaba Khan

ABSTRACT

Introduction: Intestinal obstruction is responsible for approximately 20% of surgical admissions for acute abdominal conditions. The early diagnosis of obstruction is critical. Aims & Objectives: The aim of our study is to calculate and compare sensitivity, specificity and accuracy of plain films, USG and CT scan in suspected cases of bowel obstruction, and determining the level and cause of obstruction. Methodology: In this prospective study, 67 patients between 8-85 years of age with clinical suspicion of bowel obstruction were included, who underwent plain radiography, USG and CT scan Examination in M. B. Hospital, Udaipur. Result: 61 of 67 patients had obstruction, out of whom 46 (75%) had small bowel and 15 (25%) had a large bowel obstruction. Adhesion (28%) and neoplasm (66.7%) were the commonest cause of obstruction in small bowel and large bowel, respectively. Our study showed that CT has higher sensitivity, specificity and accuracy than USG and plain radiographs in detecting cause and the level of obstruction. Conclusion: Our study showed that CT is the modality of choice in evaluating suspected bowel obstruction. However, in a developing country like India, where CT is less available and costly than USG, significant contribution can be made by USG in patients with suspected bowel obstruction.

Key-words: Bowel Obstruction, CT, USG.


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