Radiological Findings in Primary Intestinal Ischaemia

Acute Intestinal Ischemia Clinical Trial

Official title:

Preoperative Findings on Non-specific CT in Patients With Primary Acute Intestinal Ischaemia; a Case-control Study

Clinical Trial Details — Status: Completed

Administrative data

• NCT number: NCT04361110
• Other study ID #: Acute intestinal ischaemia
• Status: Completed
• Start date: January 1, 2006
• Est. completion date: December 31, 2009

Study information

• Verified date: April 2020
• Source: Aalborg University Hospital
• Contact: n/a
• Is FDA regulated: No
• Study type: Observational

Clinical Trial Summary

To investigate which findings on a non-specific CT scan that predict acute primary intestinal ischaemia.

Description:

48 patients with primary intestinal ischemia admitted in 4 consecutive years (2006-2009) in Department of Gastrointestinal Surgery, Aalborg University Hospital. Control group consists of 82 patients operated in the same department and in the same time range.

Abdominal CT scans are described with respect to intestinal diameter, changes in intestinal wall, extra intestinal changes and vessel pathology.

Recruitment information / eligibility

• Status: Completed
• Enrollment: 130
• Est. completion date: December 31, 2009
• Est. primary completion date: December 31, 2009
• Accepts healthy volunteers: No
• Gender: All
• Age group: N/A to 120 Years

Eligibility

Inclusion Criteria:

• Primary acute intestinal ischaemia in an abdominal operation.

• CT-scan within 48 hours preoperative.

Exclusion Criteria:

• Secondary intestinal ischaemia

• Intestinal ischaemia isolated intestinal mucosa.

• No CT-scan within 48 hours preoperative

Related Conditions & MeSH terms

• Acute Intestinal Ischemia
• Ischemia
• Mesenteric Ischemia

Intervention

Radiation:
• Computerized tomography scan of the abdomen
Non-specific abdominal ct´s with different phases and contrast +/-.

Locations

Country	Name	City	State
n/a

Sponsors (1)

Lead Sponsor	Collaborator
Aalborg University Hospital

References & Publications (5)

Aschoff AJ, Stuber G, Becker BW, Hoffmann MH, Schmitz BL, Schelzig H, Jaeckle T. Evaluation of acute mesenteric ischemia: accuracy of biphasic mesenteric multi-detector CT angiography. Abdom Imaging. 2009 May-Jun;34(3):345-57. doi: 10.1007/s00261-008-9392-8. — View Citation

Cudnik MT, Darbha S, Jones J, Macedo J, Stockton SW, Hiestand BC. The diagnosis of acute mesenteric ischemia: A systematic review and meta-analysis. Acad Emerg Med. 2013 Nov;20(11):1087-100. doi: 10.1111/acem.12254. Review. — View Citation

Kärkkäinen JM, Acosta S. Acute mesenteric ischemia (part I) - Incidence, etiologies, and how to improve early diagnosis. Best Pract Res Clin Gastroenterol. 2017 Feb;31(1):15-25. doi: 10.1016/j.bpg.2016.10.018. Epub 2017 Jan 4. Review. — View Citation

Menke J. Diagnostic accuracy of multidetector CT in acute mesenteric ischemia: systematic review and meta-analysis. Radiology. 2010 Jul;256(1):93-101. doi: 10.1148/radiol.10091938. Review. — View Citation

Tilsed JV, Casamassima A, Kurihara H, Mariani D, Martinez I, Pereira J, Ponchietti L, Shamiyeh A, Al-Ayoubi F, Barco LA, Ceolin M, D'Almeida AJ, Hilario S, Olavarria AL, Ozmen MM, Pinheiro LF, Poeze M, Triantos G, Fuentes FT, Sierra SU, Soreide K, Yanar H. ESTES guidelines: acute mesenteric ischaemia. Eur J Trauma Emerg Surg. 2016 Apr;42(2):253-70. doi: 10.1007/s00068-016-0634-0. — View Citation

Outcome

Type	Measure	Description	Time frame	Safety issue
Primary	Intestinal wall pathology	Incidense of CT findings in the radiological main group called "Intestinal wall pathology"	48 hours
Primary	Gastrointestinal vessel pathology	Incidense of CT findings in the radiological main group called "Gastrointestinal vessel pathologypathology"	48 hours
Primary	Intestinal diameter	Incidense of CT findings in the radiological main group called "Intestinal diameter"	48 hours
Primary	Extraintestinal pathology	Incidense of CT findings in the radiological main group called "Extraintestinal pathology"	48 hours