Diagnostic efficacy of high-frequency ultrasound and X-ray contrast enema in colonic strictures after necrotizing enterocolitis: a retrospective study
Objective To compare the efficacy of high-frequency ultrasound and X-ray contrast enema in the diagnosis of colonic strictures after necrotizing enterocolitis. Methods This study included pediatric patients who developed progressive abdominal distension or constipation after conservative treatment f...
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description | Objective
To compare the efficacy of high-frequency ultrasound and X-ray contrast enema in the diagnosis of colonic strictures after necrotizing enterocolitis.
Methods
This study included pediatric patients who developed progressive abdominal distension or constipation after conservative treatment for necrotizing enterocolitis at our hospital between June 2012 and April 2020. All patients had high-frequency ultrasounds and X-ray contrast enema, and we used surgery, pathology, and telephone return visits as the reference standard. Patients with colonic strictures were confirmed by surgery and pathology. A patient was considered without colonic stricture if no stricture was reported or did not have related symptoms during telephone return visits. The areas under the Receiver operating characteristic (ROC) curves were used as evaluation indexes to compare the differential efficacy of high-frequency ultrasound and X-ray contrast enema.
Results
A total of 81 patients have been included in this study. Among them, 49 patients were diagnosed with colonic strictures after necrotizing enterocolitis. The AUCs for high-frequency ultrasound and X-ray contrast enema were 0.990 vs 0.938, respectively (
p
> 0.05).
Conclusion
The diagnostic efficacy of high-frequency ultrasound was similar to that of X-ray contrast enema, furthermore this study also demonstrates the benefits of using high-frequency ultrasound to identify colonic strictures after necrotizing enterocolitis. |
doi_str_mv | 10.1007/s00383-022-05278-w |
format | Article |
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To compare the efficacy of high-frequency ultrasound and X-ray contrast enema in the diagnosis of colonic strictures after necrotizing enterocolitis.
Methods
This study included pediatric patients who developed progressive abdominal distension or constipation after conservative treatment for necrotizing enterocolitis at our hospital between June 2012 and April 2020. All patients had high-frequency ultrasounds and X-ray contrast enema, and we used surgery, pathology, and telephone return visits as the reference standard. Patients with colonic strictures were confirmed by surgery and pathology. A patient was considered without colonic stricture if no stricture was reported or did not have related symptoms during telephone return visits. The areas under the Receiver operating characteristic (ROC) curves were used as evaluation indexes to compare the differential efficacy of high-frequency ultrasound and X-ray contrast enema.
Results
A total of 81 patients have been included in this study. Among them, 49 patients were diagnosed with colonic strictures after necrotizing enterocolitis. The AUCs for high-frequency ultrasound and X-ray contrast enema were 0.990 vs 0.938, respectively (
p
> 0.05).
Conclusion
The diagnostic efficacy of high-frequency ultrasound was similar to that of X-ray contrast enema, furthermore this study also demonstrates the benefits of using high-frequency ultrasound to identify colonic strictures after necrotizing enterocolitis.</description><identifier>ISSN: 1437-9813</identifier><identifier>ISSN: 0179-0358</identifier><identifier>EISSN: 1437-9813</identifier><identifier>DOI: 10.1007/s00383-022-05278-w</identifier><identifier>PMID: 36542173</identifier><language>eng</language><publisher>Berlin/Heidelberg: Springer Berlin Heidelberg</publisher><subject>Child ; Colon ; Constipation ; Enema ; Enterocolitis, Necrotizing - complications ; Enterocolitis, Necrotizing - diagnostic imaging ; Enterocolitis, Necrotizing - therapy ; Female ; Fetal Diseases ; Gastrointestinal diseases ; Hospitals ; Humans ; Infant, Newborn ; Infant, Newborn, Diseases - therapy ; Intestinal Obstruction - diagnostic imaging ; Intestinal Obstruction - etiology ; Intestinal Obstruction - therapy ; Medical diagnosis ; Medicine ; Medicine & Public Health ; Necrosis ; Normal distribution ; Original Article ; Pathology ; Patients ; Pediatric Surgery ; Pediatrics ; Retrospective Studies ; Software ; Statistical analysis ; Surgery ; Ultrasonic imaging ; X-Rays</subject><ispartof>Pediatric surgery international, 2022-12, Vol.39 (1), p.56-56, Article 56</ispartof><rights>The Author(s), under exclusive licence to Springer-Verlag GmbH Germany, part of Springer Nature 2022. Springer Nature or its licensor (e.g. a society or other partner) holds exclusive rights to this article under a publishing agreement with the author(s) or other rightsholder(s); author self-archiving of the accepted manuscript version of this article is solely governed by the terms of such publishing agreement and applicable law.</rights><rights>2022. The Author(s), under exclusive licence to Springer-Verlag GmbH Germany, part of Springer Nature.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><cites>FETCH-LOGICAL-c326t-5617ed6ddef182367ac42cb27bfa6a63b831b809717f375fa0cc3e456ed6c4683</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://link.springer.com/content/pdf/10.1007/s00383-022-05278-w$$EPDF$$P50$$Gspringer$$H</linktopdf><linktohtml>$$Uhttps://link.springer.com/10.1007/s00383-022-05278-w$$EHTML$$P50$$Gspringer$$H</linktohtml><link.rule.ids>314,776,780,27901,27902,41464,42533,51294</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/36542173$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Hu, Yanxiu</creatorcontrib><creatorcontrib>Jia, Liqun</creatorcontrib><creatorcontrib>Wang, Yu</creatorcontrib><creatorcontrib>Xin, Yue</creatorcontrib><creatorcontrib>Wang, Xiaoman</creatorcontrib><title>Diagnostic efficacy of high-frequency ultrasound and X-ray contrast enema in colonic strictures after necrotizing enterocolitis: a retrospective study</title><title>Pediatric surgery international</title><addtitle>Pediatr Surg Int</addtitle><addtitle>Pediatr Surg Int</addtitle><description>Objective
To compare the efficacy of high-frequency ultrasound and X-ray contrast enema in the diagnosis of colonic strictures after necrotizing enterocolitis.
Methods
This study included pediatric patients who developed progressive abdominal distension or constipation after conservative treatment for necrotizing enterocolitis at our hospital between June 2012 and April 2020. All patients had high-frequency ultrasounds and X-ray contrast enema, and we used surgery, pathology, and telephone return visits as the reference standard. Patients with colonic strictures were confirmed by surgery and pathology. A patient was considered without colonic stricture if no stricture was reported or did not have related symptoms during telephone return visits. The areas under the Receiver operating characteristic (ROC) curves were used as evaluation indexes to compare the differential efficacy of high-frequency ultrasound and X-ray contrast enema.
Results
A total of 81 patients have been included in this study. Among them, 49 patients were diagnosed with colonic strictures after necrotizing enterocolitis. The AUCs for high-frequency ultrasound and X-ray contrast enema were 0.990 vs 0.938, respectively (
p
> 0.05).
Conclusion
The diagnostic efficacy of high-frequency ultrasound was similar to that of X-ray contrast enema, furthermore this study also demonstrates the benefits of using high-frequency ultrasound to identify colonic strictures after necrotizing enterocolitis.</description><subject>Child</subject><subject>Colon</subject><subject>Constipation</subject><subject>Enema</subject><subject>Enterocolitis, Necrotizing - complications</subject><subject>Enterocolitis, Necrotizing - diagnostic imaging</subject><subject>Enterocolitis, Necrotizing - therapy</subject><subject>Female</subject><subject>Fetal Diseases</subject><subject>Gastrointestinal diseases</subject><subject>Hospitals</subject><subject>Humans</subject><subject>Infant, Newborn</subject><subject>Infant, Newborn, Diseases - therapy</subject><subject>Intestinal Obstruction - diagnostic imaging</subject><subject>Intestinal Obstruction - etiology</subject><subject>Intestinal Obstruction - therapy</subject><subject>Medical diagnosis</subject><subject>Medicine</subject><subject>Medicine & Public Health</subject><subject>Necrosis</subject><subject>Normal distribution</subject><subject>Original Article</subject><subject>Pathology</subject><subject>Patients</subject><subject>Pediatric Surgery</subject><subject>Pediatrics</subject><subject>Retrospective Studies</subject><subject>Software</subject><subject>Statistical analysis</subject><subject>Surgery</subject><subject>Ultrasonic imaging</subject><subject>X-Rays</subject><issn>1437-9813</issn><issn>0179-0358</issn><issn>1437-9813</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2022</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>BENPR</sourceid><recordid>eNp9kc9uFSEYxYnR2Fp9gS4MiZtuUP7MANNdU6s1aeJGE3eEYT5uaebCFRib2wfxeeX21mpcuCCQw-8c-HIQOmb0LaNUvSuUCi0I5ZzQnitNbp-gQ9YJRQbNxNO_zgfoRSk3lFIt5PAcHQjZd5wpcYh-vg92FVOpwWHwPjjrtjh5fB1W18Rn-L5AbMoy12xLWuKEbVvfSLZb7FLcqRVDhLXFITZlTrEllZqDq0uGgq2vkHEEl1MNdyGuGt2U1NBQQznFFmeoOZUNuBp-QPMu0_YleubtXODVw36Evn64-HJ-Sa4-f_x0fnZFnOCykl4yBZOcJvBMcyGVdR13I1ejt9JKMWrBRk0HxZQXqveWOieg62UzuU5qcYRO9rmbnNqopZp1KA7m2UZISzFc9VJKPQy0oW_-QW_SkmP73T3VUyHYjuJ7qs1bSgZvNjmsbd4aRs2uNbNvzbTWzH1r5raZXj9EL-MapkfL75oaIPZAaVdxBfnP2_-J_QUEVKba</recordid><startdate>20221221</startdate><enddate>20221221</enddate><creator>Hu, Yanxiu</creator><creator>Jia, Liqun</creator><creator>Wang, Yu</creator><creator>Xin, Yue</creator><creator>Wang, Xiaoman</creator><general>Springer Berlin Heidelberg</general><general>Springer Nature B.V</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7RV</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>AZQEC</scope><scope>BENPR</scope><scope>CCPQU</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>K9-</scope><scope>K9.</scope><scope>KB0</scope><scope>M0R</scope><scope>M0S</scope><scope>M1P</scope><scope>NAPCQ</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>7X8</scope></search><sort><creationdate>20221221</creationdate><title>Diagnostic efficacy of high-frequency ultrasound and X-ray contrast enema in colonic strictures after necrotizing enterocolitis: a retrospective study</title><author>Hu, Yanxiu ; Jia, Liqun ; Wang, Yu ; Xin, Yue ; Wang, Xiaoman</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c326t-5617ed6ddef182367ac42cb27bfa6a63b831b809717f375fa0cc3e456ed6c4683</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2022</creationdate><topic>Child</topic><topic>Colon</topic><topic>Constipation</topic><topic>Enema</topic><topic>Enterocolitis, Necrotizing - complications</topic><topic>Enterocolitis, Necrotizing - diagnostic imaging</topic><topic>Enterocolitis, Necrotizing - therapy</topic><topic>Female</topic><topic>Fetal Diseases</topic><topic>Gastrointestinal diseases</topic><topic>Hospitals</topic><topic>Humans</topic><topic>Infant, Newborn</topic><topic>Infant, Newborn, Diseases - therapy</topic><topic>Intestinal Obstruction - diagnostic imaging</topic><topic>Intestinal Obstruction - etiology</topic><topic>Intestinal Obstruction - therapy</topic><topic>Medical diagnosis</topic><topic>Medicine</topic><topic>Medicine & Public Health</topic><topic>Necrosis</topic><topic>Normal distribution</topic><topic>Original Article</topic><topic>Pathology</topic><topic>Patients</topic><topic>Pediatric Surgery</topic><topic>Pediatrics</topic><topic>Retrospective Studies</topic><topic>Software</topic><topic>Statistical analysis</topic><topic>Surgery</topic><topic>Ultrasonic imaging</topic><topic>X-Rays</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Hu, Yanxiu</creatorcontrib><creatorcontrib>Jia, Liqun</creatorcontrib><creatorcontrib>Wang, Yu</creatorcontrib><creatorcontrib>Xin, Yue</creatorcontrib><creatorcontrib>Wang, Xiaoman</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Nursing & Allied Health Database</collection><collection>Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Medical Database (Alumni Edition)</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>ProQuest Central (Alumni Edition)</collection><collection>ProQuest Central UK/Ireland</collection><collection>ProQuest Central Essentials</collection><collection>ProQuest Central</collection><collection>ProQuest One Community College</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>Consumer Health Database (Alumni Edition)</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Nursing & Allied Health Database (Alumni Edition)</collection><collection>Consumer Health Database</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>Medical Database</collection><collection>Nursing & Allied Health Premium</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>MEDLINE - Academic</collection><jtitle>Pediatric surgery international</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Hu, Yanxiu</au><au>Jia, Liqun</au><au>Wang, Yu</au><au>Xin, Yue</au><au>Wang, Xiaoman</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Diagnostic efficacy of high-frequency ultrasound and X-ray contrast enema in colonic strictures after necrotizing enterocolitis: a retrospective study</atitle><jtitle>Pediatric surgery international</jtitle><stitle>Pediatr Surg Int</stitle><addtitle>Pediatr Surg Int</addtitle><date>2022-12-21</date><risdate>2022</risdate><volume>39</volume><issue>1</issue><spage>56</spage><epage>56</epage><pages>56-56</pages><artnum>56</artnum><issn>1437-9813</issn><issn>0179-0358</issn><eissn>1437-9813</eissn><abstract>Objective
To compare the efficacy of high-frequency ultrasound and X-ray contrast enema in the diagnosis of colonic strictures after necrotizing enterocolitis.
Methods
This study included pediatric patients who developed progressive abdominal distension or constipation after conservative treatment for necrotizing enterocolitis at our hospital between June 2012 and April 2020. All patients had high-frequency ultrasounds and X-ray contrast enema, and we used surgery, pathology, and telephone return visits as the reference standard. Patients with colonic strictures were confirmed by surgery and pathology. A patient was considered without colonic stricture if no stricture was reported or did not have related symptoms during telephone return visits. The areas under the Receiver operating characteristic (ROC) curves were used as evaluation indexes to compare the differential efficacy of high-frequency ultrasound and X-ray contrast enema.
Results
A total of 81 patients have been included in this study. Among them, 49 patients were diagnosed with colonic strictures after necrotizing enterocolitis. The AUCs for high-frequency ultrasound and X-ray contrast enema were 0.990 vs 0.938, respectively (
p
> 0.05).
Conclusion
The diagnostic efficacy of high-frequency ultrasound was similar to that of X-ray contrast enema, furthermore this study also demonstrates the benefits of using high-frequency ultrasound to identify colonic strictures after necrotizing enterocolitis.</abstract><cop>Berlin/Heidelberg</cop><pub>Springer Berlin Heidelberg</pub><pmid>36542173</pmid><doi>10.1007/s00383-022-05278-w</doi><tpages>1</tpages></addata></record> |
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subjects | Child Colon Constipation Enema Enterocolitis, Necrotizing - complications Enterocolitis, Necrotizing - diagnostic imaging Enterocolitis, Necrotizing - therapy Female Fetal Diseases Gastrointestinal diseases Hospitals Humans Infant, Newborn Infant, Newborn, Diseases - therapy Intestinal Obstruction - diagnostic imaging Intestinal Obstruction - etiology Intestinal Obstruction - therapy Medical diagnosis Medicine Medicine & Public Health Necrosis Normal distribution Original Article Pathology Patients Pediatric Surgery Pediatrics Retrospective Studies Software Statistical analysis Surgery Ultrasonic imaging X-Rays |
title | Diagnostic efficacy of high-frequency ultrasound and X-ray contrast enema in colonic strictures after necrotizing enterocolitis: a retrospective study |
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