Radiology of the gastrointestinal tract

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Sprache:English
Veröffentlicht: Philadelphia [u.a.] Saunders 1995
Schriftenreihe:Gastroenterology clinics of North America 24,2
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Datensatz im Suchindex

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adam_text RADIOLOGY OF THE GASTROINTESTINAL TRACT CONTENTS Preface xi Igor Laufer Helical (Spiral) Computed Tomography: Implications for Imaging of the Abdomen 183 Robert K. Zeman, Paul M. Silverman, Cirrelda Cooper, David I. Welrman, Susan M. Ascher, and Richard H. Patt Advances in computed tomography technology and computer science have allowed dramatic improvements in the ability to image the abdomen. This article reviews the specific technical advances in CT scanning and those applications that are clinically relevant for the gastroenterologist. Transjugular Intrahepatic Portosystemic Shunts for Portal Hypertension 201 Sue A. Crecelius and Michael C. Soulen Transjugular intrahepatic portosystemic shunt (TIPS) has rapidly become a widely disseminated procedure. It is both feasible and safe. TIPS has proved effective for treatment of acute variceal bleeding and is probably an effective therapy for intractable asci tes. Nonetheless, it is important to define the appropriate subpop ulation best suited for TIPS. Given the poor long term patency of TIPS and the need for close follow up, TIPS is not optimal therapy for an unreliable patient who is not a candidate for liver trans¬ plantation. TIPS is especially useful in the patient anticipating liver transplantation soon after TIPS. Further study is needed to define the optimal use for TIPS. GASTROENTEROLOGY CLINICS OF NORTH AMERICA VOLUME 24 • NUMBER 2 • JUNE 1995 V Magnetic Resonance Cholangiography 221 Thomas J. Meakem III and Mitchell D. Schnall Magnetic resonance cholangiography offers a noninvasive method of obtaining images of the biliary system without the use of a contrast agent. The diagnostic accuracy of MR cholangiogra¬ phy approaches that of direct cholangiography, suggesting that in some patients MR cholangiography might be used either in¬ stead of endoscopic retrograde cholangiography or percutaneous transhepatic cholangiography or to direct therapeutic techniques. When combined with conventional MR imaging, MR angiogra phy, MR spectroscopy, and perhaps MR guided biopsy, a com¬ prehensive workup of the patient with hepatobiliary disease is possible in approximately 1 hour. Imaging After Laparoscopic Cholecystectomy 239 Ellen M. Ward Imaging studies after laparoscopic cholecystectomy are done if postoperative complications are suspected. Bile duct injuries re¬ quire cholangiography to classify the injury and to exclude other problems such as cystic duct remnant leak or choledocholithiasis. Computed tomography and sonography are good screening ex¬ aminations for suspected abscess, hematoma, or bowel perfora¬ tion. Gallery of Double Contrast Terminology 259 Stephen E. Rubesin This article visually defines the descriptive terms commonly used in double contrast gastrointestinal radiology. The terms are orga¬ nized by whether they primarily refer to mucosal, wall, or extrin¬ sic abnormalities. Role of the Double Contrast Upper Gastrointestinal Series in the 1990s 289 Marc S. Levine The double contrast upper gastrointestinal series makes medical and economic sense as a cost effective alternative to endoscopy for evaluating patients with dyspepsia or other upper GI symp¬ toms who fail to respond to an empiric trial of medical therapy. These studies are capable of detecting most clinically significant disease in the upper GI tract. Data indicate that double contrast studies also can achieve a high sensitivity in the diagnosis of malignant lesions without exposing an inordinate number of pa¬ tients to unnecessary endoscopy. Guide to Imaging of the Small Bowel 309 Hans Herlinger The small intestine is a difficult organ to image. Its considerable length, the changing location of its many overlapping coils, and vi CONTENTS the often adverse effect of luminal fluids on the coating ability of barium necessitate the use of special techniques employing spe¬ cial barium formulations. Oral and Pharyngeal Dysphagia 331 Stephen E. Rubesin The swallowing tract extends from the lips to the gastric cardia. The barium swallow provides a global view of oral, pharyngeal, and esophageal motility and pharyngeal and esophageal mor¬ phology. Barium pharyngography is the best test to assess the functional capabilities of the pharynx. The barium swallow may be used as the sole diagnostic examination or as a guide to what procedure or intervention should be forthcoming. Radiologic Investigation of Acute Inflammatory and Infectious Bowel Disease 353 Richard M. Gore and Gary G. Ghahremani Patients with acute inflammatory and infectious bowel disease require prompt diagnosis and management to relieve their symp¬ toms and to minimize potential complications. Although defini¬ tive diagnosis of infectious or idiopathic bowel disease ultimately rests on histologic and bacteriologic documentation, radiologic studies can play a crucial role in determining the initial site and extent of intestinal involvement, therapeutic response, and fol¬ low up of complications. This article reviews the radiologic ap¬ proach to patients with acute enterocolitis and provides differen¬ tial diagnostic guidelines. Endoscopic Ultrasonography of the Gastrointestinal Tract 385 Jose F. Botet and Charles Lightdale Endoscopic ultrasonography (EUS) combines the advantages of conventional endoscopy with the capabilities of ultrasonography. EUS allows clinicians to see through the wall of the gastrointesti¬ nal tract. The close proximity allows the use of relatively high frequencies with the resulting increase in tissue contrast and resolution. Despite some limitations, this new modality does open new horizons in the diagnosis and characterization of upper gastrointestinal diseases. Gastrointestinal Manifestations of AIDS 413 Judy Yee and Susan D. Wall As the AIDS epidemic continues to grow, it becomes increasingly important that physicians are aware of the gastrointestinal and abdominal diseases specific to this group of patients. Most AIDS patients exhibit gastrointestinal symptoms at some time during the course of their disease. Clinical AIDS is often determined by identifying an opportunistic infection or neoplasm of the gastroin CONTENTS Vii
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publishDate 1995
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publisher Saunders
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series Gastroenterology clinics of North America
series2 Gastroenterology clinics of North America
spellingShingle Radiology of the gastrointestinal tract
Gastroenterology clinics of North America
Gastrointestinale Krankheit (DE-588)4114483-1 gnd
Röntgendiagnostik (DE-588)4139158-5 gnd
Gastrointestinaltrakt (DE-588)4074445-0 gnd
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title Radiology of the gastrointestinal tract
title_auth Radiology of the gastrointestinal tract
title_exact_search Radiology of the gastrointestinal tract
title_full Radiology of the gastrointestinal tract Igor Laufer guest ed.
title_fullStr Radiology of the gastrointestinal tract Igor Laufer guest ed.
title_full_unstemmed Radiology of the gastrointestinal tract Igor Laufer guest ed.
title_short Radiology of the gastrointestinal tract
title_sort radiology of the gastrointestinal tract
topic Gastrointestinale Krankheit (DE-588)4114483-1 gnd
Röntgendiagnostik (DE-588)4139158-5 gnd
Gastrointestinaltrakt (DE-588)4074445-0 gnd
Radiologische Diagnostik (DE-588)4048214-5 gnd
topic_facet Gastrointestinale Krankheit
Röntgendiagnostik
Gastrointestinaltrakt
Radiologische Diagnostik
Aufsatzsammlung
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