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학술연구/단체지원/교육 등 연구자 활동을 지속하도록 DBpia가 지원하고 있어요.
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연구자들이 자신의 연구와 전문성을 널리 알리고, 새로운 협력의 기회를 만들 수 있는 네트워킹 공간이에요.
논문 기본 정보
- 자료유형
- 학술저널
- 저자정보
- 저널정보
- 대한소아소화기영양학회 Pediatric Gastroenterology, Hepatology & Nutrition Pediatric Gastroenterology, Hepatology & Nutrition 제24권 제3호
- 발행연도
- 2021.1
- 수록면
- 279 - 287 (9page)
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초록· 키워드
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Purpose: The clinical implications of bowel wall thickening (BWT) on abdominal computed tomography (CT) among children are unknown. We aimed to suggest a new method for measuring BWT and determining its clinical significance in children. Methods: We retrospectively analyzed 423 patients with acute abdomen who underwent abdominal CT; 262 were classified into the BWT group. For this group, the pediatric radiologist described the maximal bowel wall thickness (MT), normal bowel wall thickness (mm) (NT), and their ratios for each segment of the bowel wall. Results: In the thickened bowel walls, the thickness differed significantly between the small bowel (6.83±2.14 mm; mean±standard deviation) and the colon (8.56±3.46 mm; p<0.001). The ratios of MT to NT in the small bowel (6.09±3.17) and the colon (7.58±3.70) were also significantly different (p<0.001). In the BWT group, 35 of 53 patients had positive fecal polymerase chain reaction results; 6 patients infected with viruses predominantly had BWT in the small intestine, while the terminal ileum and the colon were predominantly affected in 29 patients with bacterial infections. In the initially undiagnosed 158 patients with BWT, the symptoms improved spontaneously without progression to chronic gastrointestinal disease. Conclusion: This study provides a clinical reference value for BWT in the small intestine and colon using a new method in children. The BWT on abdominal CT in children might indicate nonspecific findings that can be observed and followed up without additional evaluation, unlike in adults.
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참고문헌 (15)
참고문헌 신청
Iyer R / 2018 / Child with abdominal pain / Indian J Pediatr 85:71~76
Min SB / 2013 / Thickened gastrointestinal wall findings on computed tomography in children: a reason for endoscopy? / J Pediatr Gastroenterol Nutr 57:305~310
d'Almeida M / 2018 / Bowel wall thickening in children : CT findings / Radiographics 28:727~746
Iadicola D / 2018 / Bowel wall thickening : inquire or not inquire? Our guidelines / G Chir 39:41~44
Wolff JH / 2008 / Clinical significance of colonoscopic findings associated with colonic thickening on computed tomography: is colonoscopy warranted when thickening is detected? / J Clin Gastroenterol 42:472~475
Min SB / 2013 / Thickened gastrointestinal wall findings on computed tomography in children: a reason for endoscopy? / J Pediatr Gastroenterol Nutr 57:305~310
d'Almeida M / 2018 / Bowel wall thickening in children : CT findings / Radiographics 28:727~746
Iadicola D / 2018 / Bowel wall thickening : inquire or not inquire? Our guidelines / G Chir 39:41~44
Wolff JH / 2008 / Clinical significance of colonoscopic findings associated with colonic thickening on computed tomography: is colonoscopy warranted when thickening is detected? / J Clin Gastroenterol 42:472~475
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