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Table 2 Comparison of imaging studies for confirmation, cause and site of LBO

From: 2017 WSES guidelines on colon and rectal cancer emergencies: obstruction and perforation

 

Confirmation of LBO obstruction

Cause of LBO

Site of LBO

Sensitivity

Specificity

Sensitivity

Specificity

Sensitivity

Specificity

Plain X-ray

74–84% [26]

50–72% [26, 211, 212]

0

7% [212]

0

60% [212]

Abdominal US

88% [211]

76% [211]

0

23% [212]

0

70% [212]

Colonic enema

96% [26]

98% [26]

0

96% [26]

96% [26]

98% [26]

CT scan

93–96% [212, 213]

93–100% [212, 213]

0

66–87% [212, 214]

95% [213]

90–94% [29, 213]