Small Bowel Radiology: Introduction and Atlas

ISBN-13: 9783642824753 / Angielski / Miękka / 2011 / 207 str.

G. Nther Antes; Franz Eggemann; Josef Lissner

Opis

This book deals mainly with technique, experiences and results of the biphasic small bowel enema (enteroclysis) with barium and methylcellulose. The method allows the evaluation of both, morphology and function of the small bowel. The introduction describes the examination technique, basic patterns, interpretation and indications, while the atlas shows a broad spectrum of small bowel diseases (Crohn's disease, other inflammatory diseases, tumors, motility disorders, obstructions and malformations). The possibilities of small bowel radiology are demonstrated with reference to clinical findings and differential diagnoses.

Spis treści

1 Introduction.- 2 Examination Technique.- 2.1 Patient Preparation.- 2.2 Instruments.- 2.3 Contrast Medium and Preparation.- 2.4 Intubation.- 2.5 X-ray Equipment and Filming.- 2.6 Flow Rate of Contrast Medium.- 2.7 Examination Procedure.- 2.8 Special Information.- 2.9 Artifacts.- 2.10 Other Examination Techniques.- 3 Indications.- 4 Basic Signs and Interpretation.- 4.1 Normal Findings and Variations.- 4.2 Small Bowel Folds and Wall Thickness.- 4.2.1 Small Bowel Folds (normal/ abnormal).- 4.2.2 Wall Thickness (normal/abnormal).- 4.3 Surface Changes.- 4.3.1 Mucosal Thickening.- 4.3.2 Polypoid Changes.- 4.3.3 Smooth Surface.- 4.3.4 Ulcerations.- 4.3.5 Fistulae.- 4.3.6 Diverticula.- 4.4 Ileocecal Valve.- 4.5 Motility Disorders.- 4.5.1 General Hyperperistalsis.- 4.5.2 General Hypoperistalsis.- 4.5.3 Nonpropulsive (Pendular) Peristalsis.- 4.5.4 Local Motility Disorders.- 4.6 Mucosal Coating.- 5 Atlas of Small Bowel Diseases.- 5.1 Crohn’s Disease.- 5.2 Inflammatory Diseases apart from Crohn’s Disease.- 5.2.1 Lymphofollicular Hyperplasia.- 5.2.2 Nonspecific Ileitis.- 5.2.3 Tuberculosis.- 5.2.4 Radiation Enteritis.- 5.2.5 Other Inflammatory Conditions.- 5.2.5.1 Bacterial and Viral Enteritis.- 5.2.5.2 Eosinophilic Enteritis.- 5.2.5.3 Whipple’s Disease.- 5.2.5.4 Small Bowel Ulcer.- 5.2.5.5 Parasites/Worms.- 5.2.5.6 Miscellaneous.- 5.3 Tumors.- 5.3.1 Benign Tumors.- 5.3.2 Primary Malignant Tumors.- 5.3.3 Secondary Tumors.- 5.4 Motility Disorders.- 5.4.1 Neurogenic and Humoral Factors.- 5.4.2 Malabsorption.- 5.4.3 Diseases of the Intestinal Wall.- 5.4.4 Vascular Changes.- 5.5 Obstructions.- 5.6 Malformations.- 5.6.1 Disturbed Rotation and Fixation.- 5.6.2 Internal Hernias.- 5.6.3 Duplications.- 5.6.4 Diverticula.- 5.6.5 Meckel’s Diverticulum.