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Prediction of the Clinical Outcomes of Sigmoid Volvulus by Abdominal X-Ray: AXIS Classification System
المؤلفون المشاركون
Hirata, Yoshihiro
Yamada, Atsuo
Koike, Kazuhiko
Ishibashi, Rei
Obana, Nobuya
Fukuda, Sho
Tsuboi, Mayo
Aoki, Tomonori
Yoshida, Shuntaro
Niikura, Ryota
المصدر
Gastroenterology Research and Practice
العدد
المجلد 2018، العدد 2018 (31 ديسمبر/كانون الأول 2018)، ص ص. 1-5، 5ص.
الناشر
Hindawi Publishing Corporation
تاريخ النشر
2018-11-15
دولة النشر
مصر
عدد الصفحات
5
التخصصات الرئيسية
الملخص EN
Aim.
Early diagnosis and evaluation of the severity of sigmoid volvulus are necessary for management and early intervention.
We developed a new predictive classification system for sigmoid volvulus based on X-ray findings.
Methods.
We retrospectively analyzed 66 patients diagnosed with sigmoid volvulus using the electronic medical records at the Osaki Citizen’s Hospital and the University of Tokyo Hospital from 2008–2015.
We classified patients according to the coffee-bean sign mesenteric axis on X-ray (AXIS classification: group A, 0–90°; group B, 90–135°; and group C, >135°).
We examined the association between AXIS classification and severe sigmoid volvulus, intestinal necrosis, need for surgery, 30-day mortality, and length of stay using the Cochran–Armitage trend test.
Results.
In total, 66 patients were analyzed.
They had a mean age of 76.9 years, and 47 (71.0%) were male.
They were classified into three groups according to the AXIS classification system (group A, 40 patients; group B, 23 patients; and group C, 3 patients).
Group C had a significantly higher frequency of severe sigmoid volvulus (100%) compared to group B (30%) and group A (15%).
AXIS classification was significantly associated with the severity of sigmoid volvulus (p=0.003), necrosis (p=0.004), and need for surgery (p=0.001), but not with the 30-day mortality or the length of stay.
Conclusions.
We developed the AXIS classification system to predict the severity of sigmoid volvulus.
This new classification system may facilitate triage and therapeutic decision-making for sigmoid volvulus patients.
نمط استشهاد جمعية علماء النفس الأمريكية (APA)
Ishibashi, Rei& Niikura, Ryota& Obana, Nobuya& Fukuda, Sho& Tsuboi, Mayo& Aoki, Tomonori…[et al.]. 2018. Prediction of the Clinical Outcomes of Sigmoid Volvulus by Abdominal X-Ray: AXIS Classification System. Gastroenterology Research and Practice،Vol. 2018, no. 2018, pp.1-5.
https://search.emarefa.net/detail/BIM-1165704
نمط استشهاد الجمعية الأمريكية للغات الحديثة (MLA)
Ishibashi, Rei…[et al.]. Prediction of the Clinical Outcomes of Sigmoid Volvulus by Abdominal X-Ray: AXIS Classification System. Gastroenterology Research and Practice No. 2018 (2018), pp.1-5.
https://search.emarefa.net/detail/BIM-1165704
نمط استشهاد الجمعية الطبية الأمريكية (AMA)
Ishibashi, Rei& Niikura, Ryota& Obana, Nobuya& Fukuda, Sho& Tsuboi, Mayo& Aoki, Tomonori…[et al.]. Prediction of the Clinical Outcomes of Sigmoid Volvulus by Abdominal X-Ray: AXIS Classification System. Gastroenterology Research and Practice. 2018. Vol. 2018, no. 2018, pp.1-5.
https://search.emarefa.net/detail/BIM-1165704
نوع البيانات
مقالات
لغة النص
الإنجليزية
الملاحظات
Includes bibliographical references
رقم السجل
BIM-1165704
قاعدة معامل التأثير والاستشهادات المرجعية العربي "ارسيف Arcif"
أضخم قاعدة بيانات عربية للاستشهادات المرجعية للمجلات العلمية المحكمة الصادرة في العالم العربي
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