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An Effort to Develop an Algorithm to Target Abdominal CT Scans for Patients After Gastric Bypass.
Pernar, Luise I M; Lockridge, Ryan; McCormack, Colleen; Chen, Judy; Shikora, Scott A; Spector, David; Tavakkoli, Ali; Vernon, Ashley H; Robinson, Malcolm K.
Affiliation
  • Pernar LI; Center for Metabolic and Bariatric Surgery, Department of Surgery, Brigham and Women's Hospital, 75 Francis Street, Boston, MA, 02115, USA.
  • Lockridge R; Center for Metabolic and Bariatric Surgery, Department of Surgery, Brigham and Women's Hospital, 75 Francis Street, Boston, MA, 02115, USA.
  • McCormack C; Center for Metabolic and Bariatric Surgery, Department of Surgery, Brigham and Women's Hospital, 75 Francis Street, Boston, MA, 02115, USA.
  • Chen J; Center for Metabolic and Bariatric Surgery, Department of Surgery, Brigham and Women's Hospital, 75 Francis Street, Boston, MA, 02115, USA.
  • Shikora SA; Center for Metabolic and Bariatric Surgery, Department of Surgery, Brigham and Women's Hospital, 75 Francis Street, Boston, MA, 02115, USA.
  • Spector D; Center for Metabolic and Bariatric Surgery, Department of Surgery, Brigham and Women's Hospital, 75 Francis Street, Boston, MA, 02115, USA.
  • Tavakkoli A; Center for Metabolic and Bariatric Surgery, Department of Surgery, Brigham and Women's Hospital, 75 Francis Street, Boston, MA, 02115, USA.
  • Vernon AH; Center for Metabolic and Bariatric Surgery, Department of Surgery, Brigham and Women's Hospital, 75 Francis Street, Boston, MA, 02115, USA.
  • Robinson MK; Center for Metabolic and Bariatric Surgery, Department of Surgery, Brigham and Women's Hospital, 75 Francis Street, Boston, MA, 02115, USA. mkrobinson@partners.org.
Obes Surg ; 26(10): 2543-6, 2016 10.
Article in En | MEDLINE | ID: mdl-27523471
ABSTRACT
Abdominal CT (abdCT) scans are frequently ordered for Roux-en-Y gastric bypass (RYGB) patients presenting to the emergency department (ED) with abdominal pain, but often do not reveal intra-abdominal pathology. We aimed to develop an algorithm for rational ordering of abdCTs. We retrospectively reviewed our institution's RYGB patients presenting acutely with abdominal pain, documenting clinical and laboratory data, and scan results. Associations of clinical parameters to abdCT results were examined for outcome predictors. Of 1643 RYGB patients who had surgery between 2005 and 2015, 355 underwent 387 abdCT scans. Based on abdCT, 48 (12 %) patients required surgery and 86 (22 %) another intervention. No clinical or laboratory parameter predicted imaging results. Imaging decisions for RYGB patients do not appear to be amenable to a simple algorithm, and patient work-up should be based on astute clinical judgment.
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Full text: 1 Collection: 01-internacional Database: MEDLINE Main subject: Gastric Bypass / Tomography, X-Ray Computed / Abdominal Pain / Obesity Type of study: Observational_studies / Prognostic_studies / Risk_factors_studies Limits: Female / Humans / Male Language: En Journal: Obes Surg Journal subject: METABOLISMO Year: 2016 Document type: Article Affiliation country:
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Full text: 1 Collection: 01-internacional Database: MEDLINE Main subject: Gastric Bypass / Tomography, X-Ray Computed / Abdominal Pain / Obesity Type of study: Observational_studies / Prognostic_studies / Risk_factors_studies Limits: Female / Humans / Male Language: En Journal: Obes Surg Journal subject: METABOLISMO Year: 2016 Document type: Article Affiliation country: