By Pasquale Paolantonio, Visit Amazon's Clarisse Dromain Page, search results, Learn about Author Central, Clarisse Dromain,
The new sequence A-Z Notes in Radiological perform and Reporting presents useful courses for citizens and common radiologists, equipped alphabetically, basically in keeping with affliction or situation. All booklets are designed with a view to conceal a wide spectrum of issues concerning various anatomical areas of curiosity. Entries commonly contain a quick description of pathological and medical features, suggestions on choice of the main applicable imaging method, a schematic evaluation of capability diagnostic clues, and invaluable information and tips. the current e-book, enriched by means of illustrations and schemes, is dedicated to gastrointestinal imaging. significant issues in CT and MR imaging of the small bowel, colon, rectum, and anus are handled concisely in alphabetical order. for every subject a quick evaluate of medical gains and pathology is gifted, by way of a quick description of imaging method and a correct assessment of imaging findings and indicators that are priceless within the differential analysis of gastrointestinal sickness.
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Additional info for Imaging of Small Bowel, Colon and Rectum
In CT enteroclysis bowel distension is achieved by means of jejunal intubation and continuous fluid administration (usually water) at high flow rate to obtain reflex intestinal atony. 50 C On the other hand, CT enterography is a valid alternative to CT enteroclysis; it is less invasive since bowel distension is achieved by means of oral fluid overload using hypodense nonabsorbable or hyperosmolar solution (PEG or mannitol solution). 5 l of PEG solution administered 20 min before imaging acquisition is suggested to achieve adequate bowel distension.
The site of impaction can be at the level of the stomach, jejunum, or ileum. • At CT dilated small bowel loops with air–fluid levels are visible above the site of impaction. The bezoar itself is visible and an intraluminal material with fecaloid appearance. Intraluminal fecal material in the small bowel (“small bowel feces sign”) can be present also in case of long-standing small bowel obstruction (3–4 days) due to absorption of water of the intraluminal content by bowel mucosa and impaction of ingested fibers above the small bowel strictures.
Endoscopy represents a crucial test in patients with GI bleeding. However in large group of patients with negative or incomplete endoscopy, imaging plays an important role in patient management. Furthermore endoscopic study of the small bowel is not routinely performed in many centers, while an emerging test is represented by capsule endoscopy. 22 B • The imaging test of choice in patients with GI bleeding is represented by CTA of splanchnic vessels. Imaging should be performed when active bleeding is suspected.
Imaging of Small Bowel, Colon and Rectum by Pasquale Paolantonio, Visit Amazon's Clarisse Dromain Page, search results, Learn about Author Central, Clarisse Dromain,