WebSep 30, 2016 · The decision tree with the highest overall accuracy and sensitivity for diagnosis of internal hernia in patients who have undergone laparoscopic Roux-en-Y gastric bypass surgery included the mesenteric swirl sign and small bowel obstruction, the model with the highest specificity included superior mesenteric vein “beaking” and small bowel … WebPost gastric bypass anastomosis with marked mesenteric vessels swirling, engorgement and stretching distal to the jejuno-jejunal anastomosis, abrupt beaking of the distal jejunal loop and abnormal clustering of dilated small bowel segment measures about 3.8 cm diameter and 8 cm length showing small bowel fecal sign and mildly increased wall …
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WebJun 1, 2007 · Synopsis: Mesenteric swirl is the best indicator of internal hernia after laparoscopic Roux-en-Y gastric bypass, and even minor degrees of swirl should be considered suspicious. Source: Lockhart ME, et al. Internal hernia after gastric bypass: Sensitivity and specificity of seven CT signs with surgical correlation and controls. WebPatients were excluded if they had a known malignancy at the time of initial CT, CT or clinical history revealing a cause for the misty mesentery, or CT follow-up of less than 2 years. Results: Thirty-seven patients with misty mesentery were included. The mean time from the original CT to the latest follow-up was 3.8 years. hightower supply grand junction
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WebMar 4, 2024 · mesenteric cyst. Meckel diverticulum. Extrinsic causes. fibrous adhesions. the main cause in developed countries (75% of cases) almost all are related to post-operative adhesions with a small percentage secondary to peritonitis. diagnosis of exclusion as adhesive bands are not seen on CT WebJan 19, 2024 · Swirling of the bowel and mesenteric vessels, shown in a video, was noted on CT. Joseph Fernandez-Moure, M.D. Vadim Sherman, M.D. Houston Methodist Hospital, Houston, TX [email protected] WebNov 1, 2000 · Detection of bowel and mesenteric injury can be challenging in patients after blunt abdominal trauma. Early diagnosis and treatment are critical to decrease patient … small single sofa beds for small rooms