Effectiveness of X-ray film in diagnosing peptic ulcer perforation

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dc.contributor.authorCeylan, Cengiz
dc.contributor.authorBilen, Zafer
dc.contributor.authorAydın, Cemalettin
dc.date.accessioned2024-08-04T19:42:54Z
dc.date.available2024-08-04T19:42:54Z
dc.date.issued2024
dc.departmentİnönü Üniversitesien_US
dc.description.abstractPurpose: A retrospective case-control study was undertaken to assess the diagnostic efficacy of X-ray film in detecting peptic ulcer perforation (PUP). Materials and Methods: The study retrieved demographic data, perioperative observations, and postoperative results of 353 patients from the hospital repository. These individuals were categorized into two cohorts depending on the detection of intraperitoneal free air on X-ray imaging. Results: The study cohort exhibited a median age of 57 years (interquartile range: IQR 38-71), comprising predominantly males (82.4%). Intraperitoneal free air was evident in 73.1% of patients on X-ray imaging. In the multivariate analyses of the respective groups, time interval and diabetes mellitus (DM) emerged as independent risk factors. Notably, the sensitivity of X-ray film heightened with prolonged duration between symptom onset and emergency department admission, while specificity increased in the presence of DM. Conclusion: The imperative for supplementary imaging modalities in conjunction with clinical assessment is apparent in the diagnostic approach to PUP. Nonetheless, the fluctuation in sensitivity and specificity of X-ray film concerning DM and the duration from symptom onset to emergency department admission warrants careful consideration. Especially in cases where clinical suspicion of PUP exists despite the absence of intraperitoneal free air on X-ray, the utilization of advanced diagnostic techniques is advocated.en_US
dc.identifier.doi10.17826/cumj.1431057
dc.identifier.endpage370en_US
dc.identifier.issn2602-3032
dc.identifier.issn2602-3040
dc.identifier.issue2en_US
dc.identifier.startpage363en_US
dc.identifier.trdizinid1248684en_US
dc.identifier.urihttps://doi.org/10.17826/cumj.1431057
dc.identifier.urihttps://search.trdizin.gov.tr/yayin/detay/1248684
dc.identifier.urihttps://hdl.handle.net/11616/88773
dc.identifier.volume49en_US
dc.indekslendigikaynakTR-Dizinen_US
dc.language.isoenen_US
dc.relation.ispartofCukurova Medical Journalen_US
dc.relation.publicationcategoryMakale - Ulusal Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/openAccessen_US
dc.titleEffectiveness of X-ray film in diagnosing peptic ulcer perforationen_US
dc.typeArticleen_US

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