{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,11]],"date-time":"2026-06-11T11:08:21Z","timestamp":1781176101266,"version":"3.54.1"},"reference-count":27,"publisher":"MDPI AG","issue":"22","license":[{"start":{"date-parts":[[2025,11,12]],"date-time":"2025-11-12T00:00:00Z","timestamp":1762905600000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["JCM"],"abstract":"<jats:p>Background\/objectives: Strangulated small bowel obstruction (SSBO) is a life-threatening condition that often requires emergency surgery. Identifying preoperative computed tomography (CT) findings indicative of bowel resection may improve diagnostic accuracy and inform surgical decision-making. Methods: We retrospectively analyzed patients diagnosed with SSBO who underwent contrast-enhanced abdominal CT and emergency surgery between January 2022 and April 2024. Patients were divided into two groups according to the surgical outcomes: those who underwent bowel resection and those who did not. CT images were independently reviewed by a radiologist blinded to surgical outcomes, and CT findings were compared between the resection and non-resection groups. Variables significant in the between-group comparisons (p &lt; 0.05) were entered into a multivariable logistic regression to identify indicators for bowel resection. Results: Fifty-two patients were identified, sixteen (30.8%) of whom required bowel resection. The most reliable indicator was absent bowel wall enhancement on contrast-enhanced CT, with a sensitivity of 75.0% and specificity of 86.1%. It was also independently associated with bowel resection [odds ratio (OR) 19.7; 95% confidence interval: 3.43\u2013113.4]. In contrast, ascites, beak sign, and mesenteric edema were commonly observed in both groups and lacked specificity. Of note, bowel resection was avoided in 5 of 17 patients with absent bowel wall enhancement based on intraoperative assessment using indocyanine green (ICG) fluorescence imaging. Conclusions: Absent bowel wall enhancement on contrast-enhanced CT is an independent preoperative indicator for bowel resection in SSBO.<\/jats:p>","DOI":"10.3390\/jcm14228027","type":"journal-article","created":{"date-parts":[[2025,11,14]],"date-time":"2025-11-14T16:46:22Z","timestamp":1763138782000},"page":"8027","update-policy":"https:\/\/doi.org\/10.3390\/mdpi_crossmark_policy","source":"Crossref","is-referenced-by-count":1,"title":["Diagnostic Utility of CT Findings as Indicators for Bowel Resection in Strangulated Small Bowel Obstruction"],"prefix":"10.3390","volume":"14","author":[{"given":"Takashi","family":"Okumura","sequence":"first","affiliation":[{"name":"Department of Surgery, Division of Gastroenterologic Surgery, Tohoku Medical and Pharmaceutical University, Sendai 983-8536, Miyagi, Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-8554-3869","authenticated-orcid":false,"given":"Shingo","family":"Tsujinaka","sequence":"additional","affiliation":[{"name":"Department of Surgery, Division of Gastroenterologic Surgery, Tohoku Medical and Pharmaceutical University, Sendai 983-8536, Miyagi, Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0001-7335-362X","authenticated-orcid":false,"given":"Nozomi","family":"Satani","sequence":"additional","affiliation":[{"name":"Division of Radiology, Tohoku Medical and Pharmaceutical University, Sendai 983-8536, Miyagi, Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kuniharu","family":"Yamamoto","sequence":"additional","affiliation":[{"name":"Department of Surgery, Division of Hepato-Biliary and Pancreatic Surgery, Tohoku Medical and Pharmaceutical University, Sendai 983-8536, Miyagi, Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Toru","family":"Nakano","sequence":"additional","affiliation":[{"name":"Department of Surgery, Division of Gastroenterologic Surgery, Tohoku Medical and Pharmaceutical University, Sendai 983-8536, Miyagi, Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Takayuki","family":"Yamada","sequence":"additional","affiliation":[{"name":"Division of Radiology, Tohoku Medical and Pharmaceutical University, Sendai 983-8536, Miyagi, Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yu","family":"Katayose","sequence":"additional","affiliation":[{"name":"Department of Surgery, Division of Hepato-Biliary and Pancreatic Surgery, Tohoku Medical and Pharmaceutical University, Sendai 983-8536, Miyagi, Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Chikashi","family":"Shibata","sequence":"additional","affiliation":[{"name":"Department of Surgery, Division of Gastroenterologic Surgery, Tohoku Medical and Pharmaceutical University, Sendai 983-8536, Miyagi, Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1968","published-online":{"date-parts":[[2025,11,12]]},"reference":[{"key":"ref_1","doi-asserted-by":"crossref","unstructured":"Xu, W.X., Zhong, Q.H., Cai, Y., Zhan, C.H., Chen, S., Wang, H., Lin, L., Geng, Y.Q., Hou, P., and Chen, X.Q. 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