Follow-Up Imaging in Patients with Blunt Splenic or Hepatic Injury Managed Nonoperatively.

Mebert, R Viola; Schnüriger, Beat; Candinas, Daniel; Haltmeier, Tobias (2018). Follow-Up Imaging in Patients with Blunt Splenic or Hepatic Injury Managed Nonoperatively. The American surgeon, 84(2), pp. 208-214. Southeastern Surgical Congress

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Nonoperative management of blunt splenic and hepatic injuries has become the standard of care for hemodynamically stable patients. However, nonoperative management may lead to delayed complications and appropriate follow-up is therefore crucial. The aim of this systematic literature review was to assess the role of different imaging modalities in the follow-up assessment of patients with blunt splenic or hepatic injuries using the PubMed database. Eighteen studies were found to be relevant to the topic. A total of 2725 patients were enrolled in the included studies. Both retrospective and prospective studies, but no randomized controlled trials were found. In these studies, CT, ultrasound, and contrast-enhanced ultrasound were discussed. CT was the most commonly used imaging modality. Taking into account all studies included, only one patient underwent intervention due to a complication diagnosed by follow-up CT scan in the absence of clinical signs and symptoms. This equates to a total of 920 CT scans performed to diagnose one clinically nonevident complication that required intervention. Based on the reviewed literature, routine imaging follow-up CT scans may not be indicated in asymptomatic patients with lower grade blunt splenic or hepatic injuries. Contrast-enhanced ultrasound is a promising alternative imaging modality for the follow-up of these patients.

Item Type:	Journal Article (Review Article)
Division/Institute:	04 Faculty of Medicine > Department of Gastro-intestinal, Liver and Lung Disorders (DMLL) > Clinic of Visceral Surgery and Medicine > Visceral Surgery 04 Faculty of Medicine > Pre-clinic Human Medicine > BioMedical Research (DBMR) > DBMR Forschung Mu35 > Forschungsgruppe Viszeralchirurgie 04 Faculty of Medicine > Pre-clinic Human Medicine > BioMedical Research (DBMR) > DBMR Forschung Mu35 > Forschungsgruppe Viszeralchirurgie 04 Faculty of Medicine > Department of Gastro-intestinal, Liver and Lung Disorders (DMLL) > Clinic of Visceral Surgery and Medicine
UniBE Contributor:	Schnüriger, Beat, Candinas, Daniel, Haltmeier, Tobias
Subjects:	600 Technology > 610 Medicine & health
ISSN:	1555-9823
Publisher:	Southeastern Surgical Congress
Language:	English
Submitter:	Lilian Karin Smith-Wirth
Date Deposited:	10 Apr 2019 14:57
Last Modified:	05 Dec 2022 15:25
PubMed ID:	29580347
URI:	https://boris.unibe.ch/id/eprint/125771