GetTheDiagnosis.org

Welcome, guest.
Login or Sign up to edit.

Add an entry

Search:
 

Tools

Add a finding for this diagnosis

Add prevalence for this diagnosis

Switch to calculator mode to see positive predictive value

Switch to likelihood ratios

Sort findings by Accuracy

Sort findings by Tag

Jump To

Untagged

Small Bowel Obstruction: Sensitivity and Specificity

Introduction: None written.

[Edit Diagnosis] [Merge dx] [Add prevalence]

Tags: Gastrointestinal Problem Tag this Diagnosis.

The sensitivity and specificity of findings for Small Bowel Obstruction are listed below. See the left navigation bar to change the display.

Untagged

Finding SensitivitySpecificity Comments, Study
Abdominal CT
Duplicate Edit
50%94%

Study: Radiology. 2007 Dec;245(3):661-71. PMID: 18024448

Abdominal CT
Duplicate Edit
88.1%77%

non-enhanced

Study: Eur J Radiol. 2009 Jul;71(1):135-40. PMID 18534800

Abdominal CT
Duplicate Edit
87.6%75%

with IV contrast

Study: Eur J Radiol. 2009 Jul;71(1):135-40. PMID 18534800

Abdominal Distension Edit 62.5%89.2%

for SBO as final diagnosis of abdominal pain

Study: Eur J Surg. 1998 Oct;164(10):777-84. PMID: 9840308

Abdominal Mass Edit 18.8%91.4%

for SBO as final diagnosis of abdominal pain

Study: Eur J Surg. 1998 Oct;164(10):777-84. PMID: 9840308

Abdominal Rigidity Edit 14.6%94.6%

for SBO as final dx of abdominal pain

Study: Eur J Surg. 1998 Oct;164(10):777-84. PMID: 9840308

Abdominal Tenderness Edit 35.4%93.1%

for SBO as final diagnosis of abdominal pain

Study: Eur J Surg. 1998 Oct;164(10):777-84. PMID: 9840308

Abdominal US Edit 83%100%

Study: Acta Radiol 1999 Jul;40(4):422-8. PMID 10394872

Abdominal X-Ray Edit 75%53%

many sources list sensitivity closer to 50%

Study: Am Surg. 1999 Oct;65(10):922-6. PMID: 10515535

Age Edit 60.4%73.1%

for SBO as final dx of abdominal pain

Study: Eur J Surg. 1998 Oct;164(10):777-84. PMID: 9840308

Clinical diagnosis Edit 75%99%

Study: Scand J Gastroenterol. 1994 Aug;29(8):715-21 PMID: 7973431

Colicky Pain Edit 31.2%89.4%

for SBO as final dx of abdominal pain

Study: Eur J Surg. 1998 Oct;164(10):777-84. PMID: 9840308

CT Enteroclysis Edit 89%100%

Study: Radiology. 2007 Dec;245(3):661-71. PMID: 18024448

Decreased Bowel Sounds Edit 22.9%92.8%

for SBO as final dx of abdominal pain

Study: Eur J Surg. 1998 Oct;164(10):777-84. PMID: 9840308

Elevated D-dimer Edit 60%68%

for strangulated SBO

Study: Medicina (Kaunas). 2007;43(11):850-4. PMID: 18084141

Elevated Serum Amylase Edit No accuracy specified.

Study: no study specified.

Elevated Serum Lactate Edit 90%87%

for ischemia

Study: Am J Surg 1994 Jun;167(6):575-8. PMID 8209931

Emesis Edit 75%65.3%

for SBO as final dx of abdominal pain

Emesis is more common in proximal small bowel obstruction than in distal small bowel obstruction

Study: Eur J Surg. 1998 Oct;164(10):777-84. PMID: 9840308

Enteroclysis Edit 100%88%

plain film enteroclysis

Study: Radiol Clin North Am. 2003 Mar;41(2):263-83, vi. PMID: 12659338

hearing loss Edit No accuracy specified.

Study: no study specified.

History of Abdominal Surgery Edit 68.8%74%

for SBO as final dx of abdominal pain

Study: Eur J Surg. 1998 Oct;164(10):777-84. PMID: 9840308

History of Constipation Edit 43.8%95%

for SBO as final dx of abdominal pain

Study: Eur J Surg. 1998 Oct;164(10):777-84. PMID: 9840308

Increased Bowel Sounds Edit 39.6%88.6%

Study: Eur J Surg. 1998 Oct;164(10):777-84. PMID: 9840308

Leukocytosis Edit No accuracy specified.

Study: no study specified.

Relief of Pain by Vomiting Edit 27.1%93.7%

for SBO as final dx of abdominal pain

Study: Eur J Surg. 1998 Oct;164(10):777-84. PMID: 9840308

Tachycardia Edit No accuracy specified.

Study: no study specified.

UGI/SBFT Edit No accuracy specified.

An upper GI and small bowel follow-through can differentiate between mechanical obstruction and an ileus

Study: no study specified.