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  • 4 -3 (89) 2026 - Choriev Kh.K., Mustafakulov I.B. - A COMPREHENSIVE DIAGNOSTIC ALGORITHM FOR ACUTE ADHESIVE SMALL BOWEL OBSTRUCTION: THE ROLE OF IMAGING, ULTRASONOGRAPHY, AND LABORATORY MARKERS

4 -3 (89) 2026 - Choriev Kh.K., Mustafakulov I.B. - A COMPREHENSIVE DIAGNOSTIC ALGORITHM FOR ACUTE ADHESIVE SMALL BOWEL OBSTRUCTION: THE ROLE OF IMAGING, ULTRASONOGRAPHY, AND LABORATORY MARKERS

A COMPREHENSIVE DIAGNOSTIC ALGORITHM FOR ACUTE ADHESIVE SMALL BOWEL OBSTRUCTION: THE ROLE OF IMAGING, ULTRASONOGRAPHY, AND LABORATORY MARKERS

Choriev Kh.K. - Samarkand State Medical University, Termez Branch of Tashkent State Medical University

Mustafakulov I.B. - Samarkand State Medical University, Termez Branch of Tashkent State Medical University

Juraeva Z.A. - Samarkand State Medical University, Termez Branch of Tashkent State Medical University

Resume

Early diagnosis of Acute Adhesive Small Bowel Obstruction (ASBO) remains a challenging task, as clinical manifestations at the onset of the disease may be nonspecific, while ischemic changes in the intestinal wall remain occult. Plain abdominal radiography revealed Kloiber’s cups (air-fluid levels) in 83.6% of patients. Contrast-enhanced MSCT was recognized as the most accurate diagnostic method (93–100%). Post-treatment duplex ultrasound scanning revealed statistically significant differences in Vmax and Vmin between patients with localized and extensive adhesions (p<0.001). A comprehensive diagnostic algorithm for ASBO improves the accuracy of early disease detection, helps assess the severity of ischemia, and facilitates the selection of an optimal therapeutic strategy.

Keywords: ASBO, diagnostic algorithm, radiography, MSCT, ultrasound, duplex scanning, MDA, DC, IL-6, TNF-α, serotonin.

First page

24

Last page

28

For citation:Choriev Kh.K., Mustafakulov I.B., Juraeva Z.A. - A COMPREHENSIVE DIAGNOSTIC ALGORITHM FOR ACUTE ADHESIVE SMALL BOWEL OBSTRUCTION: THE ROLE OF IMAGING, ULTRASONOGRAPHY, AND LABORATORY MARKERS//New Day in Medicine 3(89)2026 24-28 https://newdayworldmedicine.com/en/new_day_medicine/3-89-2026

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