The Value of Intra-abdominal Pressure Measurement in Patients with Acute Abdomen

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dc.authoridIbis, Cem/0000-0002-5602-375X
dc.authorwosidIbis, Cem/AAE-3388-2020
dc.contributor.authorIbis, Cem
dc.contributor.authorAltan, Aydin
dc.date.accessioned2024-06-12T10:50:31Z
dc.date.available2024-06-12T10:50:31Z
dc.date.issued2009
dc.departmentTrakya Üniversitesien_US
dc.description40th Congress of the European-Society-for-Surgical-Research -- MAY 25-28, 2005 -- Konya, TURKEYen_US
dc.description.abstractAIM: To find out the potential benefit of bladder pressure (BP) measurement as a diagnostic tool for acute abdomen. BACKGROUND: Acute abdomen is one of the most important clinical entities among general Surgical clinics. The diagnosis can be achieved by considering the patient's history, physical examination, laboratory analysis or by different imaging modalities. Abdominal compartment syndrome (ACS) occurs due to elevated intra-abdominal pressure (IAP), and can be diagnosed by measurement of BP. We observed in our clinical routine elevated IAP levels in patients with acute abdomen. METHODS: Two groups were established: one containing 65 consecutive patients diagnosed as having acute abdomen in the emergency room, and the control group of 10 consecutive patients with no acute abdominal complaints elected for laparoscopic operation. IAP measurements were performed before the operations. BP was measured in the supine position with 50 mL of sterile saline instilled into the bladder after the bladder had been emptied. The catheter was connected to a water manometer with the reference point being the symphisis pubis, BP levels greater than 7 cmH(2)O were accepted as abnormal and interpreted as a diagnostic criteria for acute abdomen. RESULTS: Sensitivity, specificity, positive predictive value, negative predictive value and the accuracy are calculated 95.4%, 80%, 96.9%, 72.7%, 93.3%, respectively. CONCLUSION: We found elevated IAP may support the physician's diagnosis of acute abdomen with approximately 27.3% false negative rate. [Asian J Surg 2009;32(1):33-8]en_US
dc.description.sponsorshipEuropean Soc Surg Resen_US
dc.identifier.doi10.1016/S1015-9584(09)60006-3
dc.identifier.endpage38en_US
dc.identifier.issn1015-9584
dc.identifier.issue1en_US
dc.identifier.pmid19321400en_US
dc.identifier.scopus2-s2.0-62949102803en_US
dc.identifier.scopusqualityQ2en_US
dc.identifier.startpage33en_US
dc.identifier.urihttps://doi.org/10.1016/S1015-9584(09)60006-3
dc.identifier.urihttps://hdl.handle.net/20.500.14551/18032
dc.identifier.volume32en_US
dc.identifier.wosWOS:000264662400006en_US
dc.identifier.wosqualityQ4en_US
dc.indekslendigikaynakWeb of Scienceen_US
dc.indekslendigikaynakScopusen_US
dc.indekslendigikaynakPubMeden_US
dc.language.isoenen_US
dc.publisherElsevier Singapore Pte Ltden_US
dc.relation.ispartofAsian Journal Of Surgeryen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/openAccessen_US
dc.subjectAcute Abdomenen_US
dc.subjectPeritonitisen_US
dc.subjectAbdominal Compartment Syndromeen_US
dc.titleThe Value of Intra-abdominal Pressure Measurement in Patients with Acute Abdomenen_US
dc.typeArticleen_US

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