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 language | English |
|---|---|
| Pages (from-to) | 1673-1682 |
| Number of pages | 10 |
| Journal | Journal of Gastrointestinal Surgery |
| Volume | 17 |
| Issue number | 9 |
| DOIs | |
| Publication status | Published - Sep 2013 |
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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 journal › Article
}
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 -