[The value of imaging techniques in the diagnosis of non-specific abdominal pain in young patients].
In a retrospective study the use of imaging modalities in the diagnosis of non-specific abdominal pain in patients under 31 years was evaluated. 253 patients with primarily non-specific abdominal complaints were analysed. For further investigation one of the following methods had to be applied: abdominal sonography and/or upper gastrointestinal tract roentgenograms and/or enteroclysis and/or barium enema. In 66% (167/253) of all cases abdominal pain remained non-specific. Clinical history and physical examination led to the final diagnosis in 66/86 (76.7%) of patients with pathologic findings. 21/561 (3.7%) radiographic examinations revealed abnormalities of clinical importance. In 10/253 (4%) patients the final diagnosis could be established only with the help of radiologic and/or endoscopic examinations. The low efficacy of conventional radiology justifies the demand for a stricter indication in the young patient suffering from non-specific abdominal pain.
Kreitner
K F
KF
Radiologische Klinik mit Poliklinik, Johannes Gutenberg-Universität, Mainz.
Mildenberger
P
P
Maurer
M
M
Heintz
A
A
D015746:Abdominal Pain / Q000453:epidemiology / Q000209:etiology*; D000293:Adolescent; D000328:Adult; D001064:Appendicitis / Q000175:diagnosis / Q000453:epidemiology; D002648:Child; D002675:Child, Preschool; D003952:Diagnostic Imaging; D004751:Enteritis / Q000175:diagnosis / Q000453:epidemiology; D005260:Female; D005756:Gastritis / Q000175:diagnosis / Q000453:epidemiology; D005831:Genital Diseases, Female / Q000175:diagnosis / Q000453:epidemiology; D005858:Germany / Q000453:epidemiology; D006801:Humans; D008297:Male; D012189:Retrospective Studies; D000267:Tissue Adhesions / Q000175:diagnosis / Q000453:epidemiology
Wertigkeit bildgebender Verfahren bei der Diagnostik unspezifischer abdomineller Beschwerden junger Patienten.