The role of radiology in diagnosing gastrointestinal tract perforation.

Autor: Kulinna-Cosentini C; Deaprtement of Biomedical Imaging and Image-Guided Therapy, Medical University of Vienna, Austria. Electronic address: Christiane.Kulinna-Cosentini@meduniwien.ac.at., Hodge JC; Deaprtement of Biomedical Imaging and Image-Guided Therapy, Medical University of Vienna, Austria., Ba-Ssalamah A; Deaprtement of Biomedical Imaging and Image-Guided Therapy, Medical University of Vienna, Austria.
Jazyk: angličtina
Zdroj: Best practice & research. Clinical gastroenterology [Best Pract Res Clin Gastroenterol] 2024 Jun; Vol. 70, pp. 101928. Date of Electronic Publication: 2024 Jun 07.
DOI: 10.1016/j.bpg.2024.101928
Abstrakt: Spontaneous, iatrogenic or surgical perforation of the whole gastrointestinal wall can lead to serious complications, resulting in increased morbidity and mortality. Optimal patient management requires early clinical appraisal and prompt imaging evaluation. Both radiologists and referring clinicians should recognize the importance of choosing the ideal imaging modality and the usefulness of oral and rectal contrast medium. Surgeons and radiologists should be familiar with CT and fluoroscopy findings of the normal and pathologic anatomy after esophageal, stomach or colon surgery. Specifically, they should be able to differentiate innocuous from clinically-relevant, life-threatening postoperative complications to guide appropriate treatment. Advantages of esophagram, CT-esophagram, CT after rectal contrast enema and other imaging modalities are discussed.
Competing Interests: Declaration of competing interest The authors declare that they have no known competing financial interests or personal relationships that could have appeared to influence the work reported in this article.
(Copyright © 2024. Published by Elsevier Ltd.)
Databáze: MEDLINE
Externí odkaz: