How and When to Use Barium for Diagnosis of Small Bowel Obstruction
Autor: | Han Sy, Laws Hl, Aldrete Js |
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Rok vydání: | 1979 |
Předmět: |
medicine.medical_specialty
Superior Mesenteric Artery Syndrome Posture Administration Oral chemistry.chemical_element Partial small bowel obstruction Intestine Small medicine Humans Technology Radiologic business.industry digestive oral and skin physiology Rapid transit Barium General Medicine medicine.disease digestive system diseases Barium meal Radiography Bowel obstruction medicine.anatomical_structure chemistry Abdomen Radiology Barium Sulfate business Intestinal Obstruction Superior mesenteric artery syndrome |
Zdroj: | Southern Medical Journal. 72:1519-1523 |
ISSN: | 0038-4348 |
Popis: | The diagnosis of intestinal obstruction is readily made when a patient presents with typical history and signs, and when plain films of the abdomen display characteristic findings. Some patients, however, constitute diagnostic problems because abdominal roentgenograms are still equivocal, even after repetition in four hours. In the unclear case, use of a barium meal will safely, promptly, and routinely prove or disprove small bowel obstruction. Intestinal obstruction in which the initial abdominal films tend to be either unrevealing or equivocal include high obstructions, including the superior mesenteric artery syndrome; presence of strangulation; partial small bowel obstruction; and fluid-filled proximal bowel. In intestinal obstruction, characteristic roentgenographic findings with use of barium meal are normal to rather rapid transit time to the point of obstruction; homogenous dilution of barium in dilated proximal loops; and inhomogenous, scattered, and fragmented collections of barium in the distal, collapsed loops. |
Databáze: | OpenAIRE |
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