MARC details
| 000 -LEADER |
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| fixed length control field |
03159nam a22003737a 4500 |
| 008 - FIXED-LENGTH DATA ELEMENTS--GENERAL INFORMATION |
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| fixed length control field |
180928s20182018 xxu||||| |||| 00| 0 eng d |
| 022 ## - INTERNATIONAL STANDARD SERIAL NUMBER |
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| International Standard Serial Number |
2163-0755 |
| 024 ## - OTHER STANDARD IDENTIFIER |
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| Standard number or code |
10.1097/TA.0000000000002070 [doi] |
| 040 ## - CATALOGING SOURCE |
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| Original cataloging agency |
Ovid MEDLINE(R) |
| 099 ## - LOCAL FREE-TEXT CALL NUMBER (OCLC) |
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| PMID |
30211848 |
| 245 ## - TITLE STATEMENT |
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| Title |
Traumatic rectal injuries: Is the combination of computed tomography and rigid proctoscopy sufficient?. |
| 251 ## - Source |
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| Source |
The Journal of Trauma and Acute Care Surgery. 2018 Sep 11 |
| 252 ## - Abbreviated Source |
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| Abbreviated source |
J Trauma Acute Care Surg. 2018 Sep 11 |
| 253 ## - Journal Name |
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| Journal name |
The journal of trauma and acute care surgery |
| 260 ## - PUBLICATION, DISTRIBUTION, ETC. |
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| Year |
2018 |
| 260 ## - PUBLICATION, DISTRIBUTION, ETC. |
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| Manufacturer |
FY2019 |
| 265 ## - SOURCE FOR ACQUISITION/SUBSCRIPTION ADDRESS [OBSOLETE] |
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| Publication status |
aheadofprint |
| 266 ## - Date added to catalog |
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| Date added to catalog |
2018-09-28 |
| 501 ## - WITH NOTE |
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| Local holdings |
Available online from MWHC library: 1995 - present, Available in print through MWHC library: 1999 - 2006 |
| 520 ## - SUMMARY, ETC. |
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| Abstract |
BACKGROUND: There are no clear guidelines for the best test or combination of tests to identify traumatic rectal injuries. We hypothesize that computed tomography (CT) and rigid proctoscopy (RP) will identify all injuries. |
| 520 ## - SUMMARY, ETC. |
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| Abstract |
CONCLUSION: As stand-alone tests, neither CT nor RP can adequately identify traumatic rectal injuries. However, the combination of both test demonstrates a sensitivity of 97%. Intraperitoneal injuries may be missed by both CT and RP, so patients with a high index of suspicion and/or indirect evidence of rectal injury on CT scan may necessitate laparotomy for definitive diagnosis. |
| 520 ## - SUMMARY, ETC. |
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| Abstract |
LEVEL OF EVIDENCE: IV, diagnostic. |
| 520 ## - SUMMARY, ETC. |
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| Abstract |
METHODS: American Association for the Surgery of Trauma multi-institutional retrospective study (2004-2015) of patients who sustained a traumatic rectal injury. Patients with known rectal injuries who underwent both CT and RP as part of their diagnostic workup were included. Only patients with full thickness injuries (AAST grade II-V) were included. CT findings of rectal injury, perirectal stranding, or rectal wall thickening and RP findings of blood, mucosal abnormalities, or laceration were considered positive. |
| 520 ## - SUMMARY, ETC. |
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| Abstract |
RESULTS: 106 patients were identified. Mean age was 32 years, 85(79%) were male, and 67(63%) involved penetrating mechanisms. A total of 36 (34%) and 100 (94%) patients had positive CT and RP findings, respectively. Only 3 (3%) patients had both a negative CT and negative RP. On further review, each of these three patients had intraperitoneal injuries and had indirect evidence of rectal injury on CT scan including pneumoperitoneum or sacral fracture. |
| 546 ## - LANGUAGE NOTE |
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| Language note |
English |
| 650 ## - SUBJECT ADDED ENTRY--TOPICAL TERM |
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| Topical term or geographic name entry element |
IN PROCESS -- NOT YET INDEXED |
| 651 ## - SUBJECT ADDED ENTRY--GEOGRAPHIC NAME |
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| Institution |
MedStar Washington Hospital Center |
| 656 ## - INDEX TERM--OCCUPATION |
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| Department |
Surgery/Trauma Surgery |
| 657 ## - INDEX TERM--FUNCTION |
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| Medline publication type |
Journal Article |
| 700 ## - ADDED ENTRY--PERSONAL NAME |
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| Local Authors |
Sava, Jack |
| 790 ## - Authors |
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| All authors |
AAST Contemporary Management of Rectal Injuries Study Group, Andrew Hopper H, Bendix PG, Bohan P, Brown CVR, Bruns B, Bui E, Burlew C, Coimbra R, Cross AM, Curtis EE, Eastridge B, Gale S, Haan J, Holcomb J, John Vanhorn, Musonza T, Sava J, Schellenberg M, Sharpe JP, Truitt M, Trust MD, Vasak R, Veith J, Vercuysse G |
| 856 ## - ELECTRONIC LOCATION AND ACCESS |
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| DOI |
<a href="https://dx.doi.org/10.1097/TA.0000000000002070">https://dx.doi.org/10.1097/TA.0000000000002070</a> |
| Public note |
https://dx.doi.org/10.1097/TA.0000000000002070 |
| 942 ## - ADDED ENTRY ELEMENTS (KOHA) |
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| Koha item type |
Journal Article |
| Item type description |
Article |
