COMPREHENSIVE ULTRASOUND DIAGNOSTICS IN DETECTING ADHESIVE INTESTINAL OBSTRUCTION IN CHILDREN: RESEARCH EXPERIENCE AND OUTCOMES
Keywords:
ultrasound diagnostics, adhesive bowel obstruction, children, Doppler, B-modeAbstract
Comprehensive ultrasound examination is a highly informative, safe, and dynamic method for diagnosing adhesive small bowel obstruction (ASBO) in children. The study included 60 patients aged 1 month to 17 years. Key sonographic signs included bowel loop dilation >25 mm (80%), absent or bidirectional peristalsis (66%), bowel wall thickening >3 mm (58%), the “keyboard sign” (52%), and free fluid (45%). Ultrasound demonstrated 90% sensitivity and 85% specificity, outperforming plain radiography. Conservative treatment was effective in 50% of cases, while the remaining 50% required surgery. The findings highlight the crucial role of comprehensive ultrasound in early diagnosis and management decision-making in pediatric ASBO.
References
Лазаренко В.А., Липатов В.А., Сотников А.С., Ефременков А.М. Диагностика и лечение острой кишечной непроходимости у детей. Детская хирургия. 2020;24(6):325–332.
Кондратович Л.М. Спайкообразование после хирургических вмешательств на органах брюшной полости. Хирургия. 2016;(7):34–39.
Чухриенко Д.П. Классификация спаечной кишечной непроходимости: клиническое значение. Український журнал хірургії. 2013;1:45–49.
Mahajan R., Bharathi R.S. Adhesive small bowel obstruction in children: clinical profile and outcome. Afr J Paediatr Surg. 2020;17(4):198–203.
Di Saverio S., Coccolini F., Galati M., et al. Bologna guidelines for diagnosis and management of adhesive small bowel obstruction (ASBO): 2017 update. World J Emerg Surg. 2018;13:24.
Daneman A., Navarro O. Intussusception part 2: an update on the evolution of management. Pediatr Radiol. 2004;34(2):97–108.
Sato M., Nakajima Y., Kato S. et al. Usefulness of Doppler sonography for the evaluation of bowel ischemia in pediatric patients. J Ultrasound Med. 2019;38(3):627–635.
Kosiak W., Piskunowicz M., Batko T. et al. Sonography in the diagnosis of small bowel obstruction in children: systematic review and meta-analysis. Eur Radiol. 2017;27:4784–4795.
Власов П.Н., Губайдуллина Т.В. Эхографическая диагностика острой спаечной кишечной непроходимости. Ультразвуковая и функциональная диагностика. 2019;(4):59–64.
Boudiaf M., Jaff A., Soyer P., et al. Small-bowel diseases: prospective evaluation of multi- detector row helical CT enteroclysis in 107 consecutive patients. Radiology. 2004;233:338– 344.
