Diagnostic Value of Abdominal Free Air Detection on a Plain Chest Radiograph in the Early Postoperative Period: A Prospective Study in 648 Consecutive Patients Who Have Undergone Abdominal Surgery

Marco Milone, Matteo Nicola Dario Di Minno, Giuseppe Bifulco, Paola Maietta, Loredana Maria Sosa Fernandez, Mario Musella, Vittorio Iaccarino, Claudio Buccelli, Carmine Nappi, Francesco Milone

Research output: Contribution to journalArticle

Abstract

Background: To the best of our knowledge, this is the first study to evaluate the predictive value of free air (on a plain radiograph) for bowel perforation in a large prospective cohort of surgical patients. Methods: All consecutive patients undergoing abdominal surgery between January 2011 and June 2012 were screened for this study. We performed an upright chest radiograph on the second and third postoperative day. Thereafter, additional radiographic evaluations were performed every 2 days until the disappearance of abdominal free air. Results: Of the 648 subjects enrolled in our study, free abdominal air was found in 65 subjects on the first radiographic evaluation (2 days after surgery), 51 on the second (3 days after surgery), three on the third (5 days after surgery), and none on the fourth (7 days after surgery). The presence of free abdominal air was associated with an increased risk of gastrointestinal perforation. The presence of free air was associated with a hazard ratio (HR) of 21.54 (95% CI 9.66-48.01, p

Original languageEnglish
Pages (from-to)1673-1682
Number of pages10
JournalJournal of Gastrointestinal Surgery
Volume17
Issue number9
DOIs
Publication statusPublished - Sep 2013

Fingerprint

Ambulatory Surgical Procedures
Postoperative Period
Thorax
Air
Prospective Studies

Keywords

  • Free air
  • Perforation
  • Radiograph

ASJC Scopus subject areas

  • Surgery
  • Gastroenterology

Cite this

Diagnostic Value of Abdominal Free Air Detection on a Plain Chest Radiograph in the Early Postoperative Period : A Prospective Study in 648 Consecutive Patients Who Have Undergone Abdominal Surgery. / Milone, Marco; Di Minno, Matteo Nicola Dario; Bifulco, Giuseppe; Maietta, Paola; Sosa Fernandez, Loredana Maria; Musella, Mario; Iaccarino, Vittorio; Buccelli, Claudio; Nappi, Carmine; Milone, Francesco.

In: Journal of Gastrointestinal Surgery, Vol. 17, No. 9, 09.2013, p. 1673-1682.

Research output: Contribution to journalArticle

Milone, Marco ; Di Minno, Matteo Nicola Dario ; Bifulco, Giuseppe ; Maietta, Paola ; Sosa Fernandez, Loredana Maria ; Musella, Mario ; Iaccarino, Vittorio ; Buccelli, Claudio ; Nappi, Carmine ; Milone, Francesco. / Diagnostic Value of Abdominal Free Air Detection on a Plain Chest Radiograph in the Early Postoperative Period : A Prospective Study in 648 Consecutive Patients Who Have Undergone Abdominal Surgery. In: Journal of Gastrointestinal Surgery. 2013 ; Vol. 17, No. 9. pp. 1673-1682.
@article{fc0dc090920840e1b7f5e527e29ae26c,
title = "Diagnostic Value of Abdominal Free Air Detection on a Plain Chest Radiograph in the Early Postoperative Period: A Prospective Study in 648 Consecutive Patients Who Have Undergone Abdominal Surgery",
abstract = "Background: To the best of our knowledge, this is the first study to evaluate the predictive value of free air (on a plain radiograph) for bowel perforation in a large prospective cohort of surgical patients. Methods: All consecutive patients undergoing abdominal surgery between January 2011 and June 2012 were screened for this study. We performed an upright chest radiograph on the second and third postoperative day. Thereafter, additional radiographic evaluations were performed every 2 days until the disappearance of abdominal free air. Results: Of the 648 subjects enrolled in our study, free abdominal air was found in 65 subjects on the first radiographic evaluation (2 days after surgery), 51 on the second (3 days after surgery), three on the third (5 days after surgery), and none on the fourth (7 days after surgery). The presence of free abdominal air was associated with an increased risk of gastrointestinal perforation. The presence of free air was associated with a hazard ratio (HR) of 21.54 (95{\%} CI 9.66-48.01, p",
keywords = "Free air, Perforation, Radiograph",
author = "Marco Milone and {Di Minno}, {Matteo Nicola Dario} and Giuseppe Bifulco and Paola Maietta and {Sosa Fernandez}, {Loredana Maria} and Mario Musella and Vittorio Iaccarino and Claudio Buccelli and Carmine Nappi and Francesco Milone",
year = "2013",
month = "9",
doi = "10.1007/s11605-013-2282-6",
language = "English",
volume = "17",
pages = "1673--1682",
journal = "Journal of Gastrointestinal Surgery",
issn = "1091-255X",
publisher = "Springer New York LLC",
number = "9",

}

TY - JOUR

T1 - Diagnostic Value of Abdominal Free Air Detection on a Plain Chest Radiograph in the Early Postoperative Period

T2 - A Prospective Study in 648 Consecutive Patients Who Have Undergone Abdominal Surgery

AU - Milone, Marco

AU - Di Minno, Matteo Nicola Dario

AU - Bifulco, Giuseppe

AU - Maietta, Paola

AU - Sosa Fernandez, Loredana Maria

AU - Musella, Mario

AU - Iaccarino, Vittorio

AU - Buccelli, Claudio

AU - Nappi, Carmine

AU - Milone, Francesco

PY - 2013/9

Y1 - 2013/9

N2 - Background: To the best of our knowledge, this is the first study to evaluate the predictive value of free air (on a plain radiograph) for bowel perforation in a large prospective cohort of surgical patients. Methods: All consecutive patients undergoing abdominal surgery between January 2011 and June 2012 were screened for this study. We performed an upright chest radiograph on the second and third postoperative day. Thereafter, additional radiographic evaluations were performed every 2 days until the disappearance of abdominal free air. Results: Of the 648 subjects enrolled in our study, free abdominal air was found in 65 subjects on the first radiographic evaluation (2 days after surgery), 51 on the second (3 days after surgery), three on the third (5 days after surgery), and none on the fourth (7 days after surgery). The presence of free abdominal air was associated with an increased risk of gastrointestinal perforation. The presence of free air was associated with a hazard ratio (HR) of 21.54 (95% CI 9.66-48.01, p

AB - Background: To the best of our knowledge, this is the first study to evaluate the predictive value of free air (on a plain radiograph) for bowel perforation in a large prospective cohort of surgical patients. Methods: All consecutive patients undergoing abdominal surgery between January 2011 and June 2012 were screened for this study. We performed an upright chest radiograph on the second and third postoperative day. Thereafter, additional radiographic evaluations were performed every 2 days until the disappearance of abdominal free air. Results: Of the 648 subjects enrolled in our study, free abdominal air was found in 65 subjects on the first radiographic evaluation (2 days after surgery), 51 on the second (3 days after surgery), three on the third (5 days after surgery), and none on the fourth (7 days after surgery). The presence of free abdominal air was associated with an increased risk of gastrointestinal perforation. The presence of free air was associated with a hazard ratio (HR) of 21.54 (95% CI 9.66-48.01, p

KW - Free air

KW - Perforation

KW - Radiograph

UR - http://www.scopus.com/inward/record.url?scp=84883245701&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=84883245701&partnerID=8YFLogxK

U2 - 10.1007/s11605-013-2282-6

DO - 10.1007/s11605-013-2282-6

M3 - Article

C2 - 23877326

AN - SCOPUS:84883245701

VL - 17

SP - 1673

EP - 1682

JO - Journal of Gastrointestinal Surgery

JF - Journal of Gastrointestinal Surgery

SN - 1091-255X

IS - 9

ER -