Role of Multi-Slice CT in Diagnosis and Evaluation of Pa-tients with Small Bowel Obstruction.

Abstract

Background: For identifying the occurrence, the reason, and the location of intestinal blockage, multi-slice computed tomography (MSCT) scans are extremely sensitive and precise. Aim: To evaluate MSCT diagnostic efficacy in cases of small bowel obstruction, which lowers the disease's morbidity and death rates. Patients and methods: A cross-sectional analytical investigation was conducted at the CT unit-Radiology department of the Faculty of Medicine at Suez Canal University hospital in Ismailia, Egypt, on 34 patients who had reported to the emergency room with symptoms suggesting small bowel obstruction, during a period time from April 2022 to May 2023. Full history taking, radiological investigation, multi-slice computed tomography examination and classification of obstruction were done for all patients under study. Results: According to CT scans, 46.9%, 25%, and 28.1% of the patients in our research had total, high-grade, and low-grade small intestinal blockage. The X-ray had an 82.3% sensitivity and 100% specificity in identifying minor intestinal obstructions. While CT had a 94.1% sensitivity, 100% specificity, and 100% accuracy in detecting minor bowel obstructions. Conclusions: Using a comprehensive approach, multi-slice CT not only aids in accurately diagnosing intestinal obstruction but also has an impact on patient outcome. With confidence, this study has determined the function of MSCT in identifying small bowel obstruction reasons and modifying treatment regimens.