Clinical Radiology
Volume 64, Issue 4 , Pages 373-380 , April 2009

Sensitivity and specificity of eight CT signs in the preoperative diagnosis of internal mesenteric hernia following Roux-en-Y gastric bypass surgery

  • J.D. Iannuccilli

      Affiliations

    • Department of Diagnostic Imaging, Rhode Island Hospital, Warren Alpert Medical School of Brown University, Providence, Rhode Island, USA
    • Corresponding Author InformationGuarantor and correspondent: J. D. Iannuccilli, Rhode Island Hospital, Department of Diagnostic Imaging, 593 Eddy St, Providence, RI 02903, USA. Tel.: +1 401 258-8968; fax: +1 401 444-5017.
    • ,
  • D. Grand

      Affiliations

    • Department of Diagnostic Imaging, Rhode Island Hospital, Warren Alpert Medical School of Brown University, Providence, Rhode Island, USA
    • ,
  • B.L. Murphy

      Affiliations

    • Department of Diagnostic Imaging, Rhode Island Hospital, Warren Alpert Medical School of Brown University, Providence, Rhode Island, USA
    • ,
  • P. Evangelista

      Affiliations

    • Department of Diagnostic Imaging, Rhode Island Hospital, Warren Alpert Medical School of Brown University, Providence, Rhode Island, USA
    • ,
  • G.D. Roye

      Affiliations

    • Department of Surgery, Rhode Island Hospital, Warren Alpert Medical School of Brown University, Providence, Rhode Island, USA
    • ,
  • W. Mayo-Smith

      Affiliations

    • Department of Diagnostic Imaging, Rhode Island Hospital, Warren Alpert Medical School of Brown University, Providence, Rhode Island, USA

Received 13 August 2008 ,Revised 14 October 2008 ,Accepted 26 October 2008.

References 

  1. Lockhart ME, Tessler FN, Canon CL, et al. Internal hernia after gastric bypass: sensitivity and specificity of seven CT signs with surgical correlation and controls. AJR Am J Roentgenol. 2007;188:745–750
  2. Reddy SA, Yang C, McGinnis LA, et al. Diagnosis of transmesocolic internal hernia as a complication of retrocolic gastric bypass: CT imaging criteria. AJR Am J Roentgenol. 2007;189:52–55
  3. NIH Consensus Panel. NIH Conference . Gastrointestinal surgery for severe obesity. Consensus Development Conference Panel. Ann Intern Med. 1991;115:956–961
  4. Scheirey CD, Scholz FJ, Shah PC, et al. Radiology of the laparoscopic Roux-en-Y gastric bypass procedure: conceptualization and precise interpretation of results. Radiographics. 2006;26:1355–1371
  5. Blachar A, Federle MP, Pealer KM, et al. Gastrointestinal complications of laparoscopic Roux-en-Y gastric bypass surgery: clinical and imaging findings. Radiology. 2002;223:625–632
  6. Filip JE, Mattar SG, Bowers SP, et al. Internal hernia formation after laparoscopic Roux-en-Y gastric bypass for morbid obesity. Am Surg. 2002;68:640–643
  7. Eckhauser A, Torquati A, Youssef Y, et al. Internal hernia: postoperative complication of Roux-en-Y gastric bypass surgery. Am Surg. 2006;72:581–585
  8. Blachar A, Federle MP, Brancatelli G, et al. Radiologist performance in the diagnosis of internal hernia by using specific CT findings with emphasis on transmesenteric hernia. Radiology. 2001;221:422–428
  9. Landis JR, Koch GG. The measurement of observer agreement for categorical data. Biometrics. 1977;33:159–174
  10. Paroz A, Calmes JM, Giusti V, et al. Internal hernia after laparoscopic Roux-en-Y gastric bypass for morbid obesity: a continuous challenge in bariatric surgery. Obes Surg. 2006;16:1482–1487
  11. Iannelli A, Facchiano E, Gugenheim J. Internal hernia after laparoscopic gastric bypass for morbid obesity. Obes Surg. 2006;16:1265–1271

PII: S0009-9260(08)00438-8

doi: 10.1016/j.crad.2008.10.008

Clinical Radiology
Volume 64, Issue 4 , Pages 373-380 , April 2009

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