Small Bowel Obstruction

The pivotal role of radiology in recognizing, classifying and answering specific questions that will directly affect the management of patients with small bowel disease.

Course ID: Q00299 Category:
Modalities: , , ,

1.5

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$24.00

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Targeted CE per ARRT’s Discipline, Category, and Subcategory classification:
[Note: Discipline-specific Targeted CE credits may be less than the total Category A credits approved for this course.]

Computed Tomography: 1.25
Procedures: 1.25
Abdomen and Pelvis: 1.25

Magnetic Resonance Imaging: 1.25
Patient Care: 0.50
Patient Interactions and Management: 0.50
Procedures: 0.75
Body: 0.75

Nuclear Medicine Technology: 1.25
Patient Care: 0.50
Patient Interactions and Management: 0.50
Procedures: 0.75
Gastrointestinal and Genitourinary Procedures: 0.75

Radiography: 1.25
Patient Care: 0.50
Patient Interactions and Management: 0.50
Procedures: 0.75
Thorax and Abdomen Procedures: 0.75

Registered Radiologist Assistant: 1.50
Procedures: 1.50
Abdominal Section: 1.50

Sonography: 1.25
Patient Care: 0.50
Patient Interactions and Management: 0.50
Procedures: 0.75
Abdomen: 0.75

Radiation Therapy: 1.50
Patient Care: 0.75
Patient and Medical Record Management: 0.75
Procedures: 0.75
Treatment Sites and Tumors: 0.75

Outline

  1. Introduction
  2. Imaging Work-up: Algorithmic Approach
  3. Findings at Plain Abdominal Radiography
  4. Findings at Sonography
  5. Findings at Multidetector CT
  6. Is the Small Bowel Obstructed
  7. How Severe Is the Obstruction
  8. Where Is the Transition Point
  9. What Is the Cause of the Obstruction
    1. Intrinsic Causes of SBO
      1. Disease
      2. Neoplasia
      3. Intussusception
      4. Radiation Enteritis
      5. Hematomas
      6. Vascular Causes
    2. Extrinsic Causes of SBO
      1. Hernias
      2. Endometriosis
    3. Intraluminal Causes of SBO
      1. Ileus
      2. Bezoar
      3. Distal Intestinal Obstruction Syndrome
      4. Other Intraluminal Casues
  10. Is the SBO Simple or Complicated
  11. Conclusions

Objectives

Upon completion of this course, students will:

  1. define small bowel obstruction
  2. know the questions radiology answers pertaining to SBO
  3. understand the typical first step in diagnosing SBO
  4. recognize limitations of sonography for assessing SBO
  5. learn the roles of each modality and understand which one excels for identifying strangulation
  6. recognize the signs and symptoms of a small bowel obstruction
  7. understand how often conventional abdominal radiography is non-specific and misleading for SBO
  8. learn when immediate surgical evaluation should be performed on SBO
  9. learn which patient population would benefit from CT enteroclysis
  10. understand the sonographic criteria to identify SBO
  11. learn which study is best for examining SBO associated with external hernia
  12. understand why multidetector CT plays a primary role in small bowel obstruction
  13. realize the questions multidetector CT can answer pertaining to SBO
  14. know the criteria that define a dilated bowel loop in CT
  15. learn the defining criteria and be able to recognize a high-grade obstruction
  16. learn how the effects of time affect the distal segment of a high-grade obstruction
  17. learn how positive oral contrast is used to grade the severity of an SBO
  18. define the transition point and understand how to identify it
  19. be familiar with the “small bowel feces” sign
  20. define the different types of small bowel obstructions
  21. understand how endoluminal obstructions can occur
  22. identify the top causes of SBO in Western society
  23. identify intrinsic causes of SBO
  24. be familiar with how often small bowel neoplasms are involved in SBO
  25. be familiar with radiation enteritis and its resulting effect
  26. identify extrinsic causes of SBO
  27. be familiar with gallstone ileus
  28. be familiar with the appearance of intraluminal obstructions
  29. be familiar with some of the causes of small bowel obstruction in children
  30. recognize what pneumatosis inestina, and the halo sign are indicative of