Clinical features and management of post-necrotizing enterocolitis strictures in infants: A multicentre retrospective study
To explore the clinical features and management of post-necrotizing enterocolitis strictures.
Clinical data from 158 patients with post-necrotizing enterocolitis strictures were summarized retrospectively in 4 academic pediatric surgical centers between April 2014 and January 2019. All patients were treated conservatively in the internal medicine department. All patients underwent preoperative X-ray examinations, 146 patients underwent gastrointestinal contrast studies, and 138 patients underwent rectal mucosal biopsies. All of the patients were treated surgically.
Of the 158 patients, 40 of them had necrotizing enteroco...
Source: Medicine - May 1, 2020 Category: Internal Medicine Tags: Research Article: Observational Study Source Type: research
Transanal Endoscopic Microsurgery - Endoscopy assisted treatment of colorectal anastomotic stenosis.
We present the case of a 36 year-old woman with a diagnosis of Hirschsprung Disease that was submitted to a modified Duhamel operation. A postoperative barium enema showed a complete stricture of the anastomosis that was impossible to resolve by flexible endoscopic approach. Then an intraoperative endoscopic approach to facilitate the localization of pre-anastomotic colon was performed by a small colotomy and the colonic recanalization was obtained by the creation of a neo-anastomosis by TEM, under fluoroscopic-endoscopic control. The patient underwent a control barium enema showing regular retrograde transit of contrast m...
Source: Annals of Coloproctology - March 18, 2020 Category: Gastroenterology Tags: Ann Coloproctol Source Type: research
Low diagnostic sensitivity of cystoscopy and cystography of surgically confirmed vesicoenteric fistulae
ConclusionsIn clinical practice, the diagnostic work-up of VEF is variable. In the modern era of managed care, inclusion of cystoscopy and cystography in the evaluation of VEF does not contribute a substantial additive benefit over standard cross-sectional imaging. Cystoscopy and cystography could potentially be eliminated from the diagnostic evaluation of VEF, in the absence of a concern for malignancy, in an effort to minimize unnecessary invasive testing as well as health care expenditures. (Source: International Urology and Nephrology)
Source: International Urology and Nephrology - February 24, 2020 Category: Urology & Nephrology Source Type: research
Performance of radiographic imaging after incomplete colonoscopy for nonmalignant causes in clinical practice
CT colonography (CTC) or barium enema (BE) are commonly ordered to complete colorectal imaging after an incomplete colonoscopy. We evaluated the sensitivity of radiographic studies performed for this purpose in clinical practice outside of clinical trials. (Source: Gastrointestinal Endoscopy)
Source: Gastrointestinal Endoscopy - February 3, 2020 Category: Gastroenterology Authors: Nasim Parsa, Krishna C. Vemulapalli, Douglas K. Rex Source Type: research
Acquired segmental sigmoid hypoganglionosis: A case report
We report a case of a 48-year-old female from China who presented with symptoms of discontinuation of bowel movements for 2 months. A hard, round mass could be felt in her right lower abdomen.
Diagnosis:
The following examination methods diagnosed acquired segmental sigmoid hypoganglionosis. An abdominal computed tomography revealed a dilatation of the colon and suspicious wall thickening of the sigmoid colon. Anorectal manometry revealed relaxation of the anal sphincter. Histological examination revealed lower numbers and the degeneration of ganglion cells.
Interventions:
Sigmoidectomy and transverse colostomy.
Out...
Source: Medicine - January 1, 2020 Category: Internal Medicine Tags: Research Article: Clinical Case Report Source Type: research
Ureterocolic fistula as an incidental finding after barium enema
Abstract Iatrogenic lesion of the bile ducts is a relatively common occurrence during liver surgery, increasing morbidity and mortality rates. T2-weighted magnetic resonance cholangiography and gadoxetic acid-enhanced functional magnetic resonance cholangiography (fMRC) with administration of hepatobiliary-specific contrast medium (gadoxetic acid) are fundamental to the diagnostic imaging approach in patients with such lesions. Here, we present a review of the literature and suggest an imaging approach to biliary tract injury, focusing on clinical cases in which fMRC had an impact on the decision-making process for the man...
Source: Radiologia Brasileira - November 26, 2019 Category: Radiology Source Type: research
Rectal perforation after barium enema: A case report
Colorectal perforation after barium enema it is a rare complication, but has a high mortality rate. With the emergence of endoscopic examinations, barium enemas have fallen into disuse and doctors are less aware of its complications. This case is of the utmost importance as failure to recognize it could be fatal. AbstractColorectal perforation after barium enema it is a rare complication, but has a high mortality rate. With the emergence of endoscopic examinations, barium enemas have fallen into disuse and doctors are less aware of its complications. This case is of the utmost importance as failure to recognize it could be...
Source: Clinical Case Reports - November 21, 2019 Category: General Medicine Authors: Josiana de Oliveira Martins Duarte,
Paula Maria Lobato Pestana Pereira,
Ana Sofia Gon çalves Sobral,
João Pedro Rosa Oliveira,
Henrique José Barrelas Rita,
José António Sousa e Costa Tags: CASE REPORT Source Type: research
Preliminary Investigation of the Diagnosis of Neonatal Congenital Small Bowel Atresia by Ultrasound.
Conclusions: The typical ultrasonic features of SBA include dilation in proximal intestines, small intestines, and microcolon. US is a promising modality in the clinical diagnosis of SBA.
PMID: 31662992 [PubMed - in process] (Source: Biomed Res)
Source: Biomed Res - November 1, 2019 Category: Research Authors: Hao J, Zhang Y, Tianyu L, Bo S, Shu F, Feng S, Chao J, Ying H Tags: Biomed Res Int Source Type: research
From hype to hope to hard work: developing responsible AI for radiology
Change is inevitable and can be exciting, even if potentially daunting. There are always challenges to be faced and problems to be overcome. In my own generation of radiologists, we have faced many changes, from slide decks to PowerPoint, barium enemas to computed tomography (CT) colonography, floppy disks to cloud storage, hard-copy film to picture archiving and communication system (PACS), and fiddly tapes to voice recognition. Life in general has been changed immeasurably during the same period by the Internet, e-mails, and touch-screen mobile phones, all of which are now taken entirely for granted. (Source: Clinical Radiology)
Source: Clinical Radiology - October 28, 2019 Category: Radiology Authors: A. Rockall Tags: Editorial Source Type: research
Diagnosis and surgical approach of adult Hirschsprung's disease: about two observations and review of the literature. Case Series
ConclusionThe discovery of Hirschsprung's disease is rare in adulthood. Transanal endorectal pull-through procedure followed by delayed coloanal anastomosis with conventional surgery is a suitable option for the treatment of HD and gives a good result. (Source: Annals of Medicine and Surgery)
Source: Annals of Medicine and Surgery - October 26, 2019 Category: General Medicine Source Type: research
Patient-Friendly Summary of the ACR Appropriateness Criteria: LLQ Pain-Suspected Diverticulitis
The most common cause of left lower abdominal pain in adults is diverticulitis, an inflammation of outpouchings that can develop in the colon. It is usually appropriate to get a CT with intravenous (IV) contrast of the lower abdomen and pelvis to confirm the diagnosis. Other imaging tests that may be appropriate include CT without IV contrast, ultrasound of the abdomen, and MRI of the abdomen. Unless complications are suspected, barium enema, abdominal X-ray, and ultrasound of the pelvis are usually not appropriate as the first imaging test. (Source: Journal of the American College of Radiology : JACR)
Source: Journal of the American College of Radiology : JACR - September 10, 2019 Category: Radiology Authors: Susan Anemone, Nina S. Vincoff Tags: Appropriate use criteria Source Type: research
Patient-Friendly Summary of the ACR Appropriateness Criteria: Left Lower Quadrant Pain-Suspected Diverticulitis
The most common cause of left lower abdominal pain in adults is diverticulitis, an inflammation of outpouchings that can develop in the colon. It is usually appropriate to get a CT with intravenous (IV) contrast of the lower abdomen and pelvis to confirm the diagnosis. Other imaging tests that may be appropriate include CT without IV contrast, ultrasound of the abdomen, and MRI of the abdomen. Unless complications are suspected, barium enema, abdominal X-ray, and ultrasound of the pelvis are usually not appropriate as the first imaging test. (Source: Journal of the American College of Radiology : JACR)
Source: Journal of the American College of Radiology : JACR - September 10, 2019 Category: Radiology Authors: Susan Anemone, Nina S. Vincoff Tags: Appropriate use criteria Source Type: research
The IDEAL study: MRI for suspected deep endometriosis assessment prior to laparoscopy is equally reliable as radiological imaging as a complement to transvaginal ultrasonography.
CONCLUSIONS: In conclusion, complementary to an expert transvaginal ultrasound (TV-US) a 'one-stop' magnetic resonance imaging (MRI) predicts the intra-operative findings equally well as the standard radiological imaging (IVU and DCBE) in patients referred for endometriosis surgery in a tertiary care academic center. This article is protected by copyright. All rights reserved.
PMID: 31503381 [PubMed - as supplied by publisher] (Source: The Ultrasound Review of Obstetrics and Gynecology)
Source: The Ultrasound Review of Obstetrics and Gynecology - September 9, 2019 Category: Radiology Authors: Bielen D, Tomassetti C, Van Schoubroeck D, Vanbeckevoort D, De Wever L, Vanden Bosch T, D'Hooghe T, Bourne T, D'hoore A, Wolthuis A, Van Cleynenbreughel B, Meuleman C, Timmerman D Tags: Ultrasound Obstet Gynecol Source Type: research
High-Density Shadows in a Patient With Cryptogenic Multifocal Ulcerous Stenosing Enteritis After Capsule Endoscopy
A 30-year-old man visited our hospital for intermittent abdominal pain and diarrhea for 2.5 years. Inflammatory markers tested at local hospitals were repeatedly negative. Gastroscopy and colonoscopy showed no abnormality. Capsule endoscopy (CE) revealed multiple stenoses and ulcers in the small bowel. Being referred to our hospital, he undertook a double-contrast barium enema 18 days after CE, which showed the capsule being retained at one of the stenoses of ileum (Figure A). The patient chose to wait and watch. (Source: Clinical Gastroenterology and Hepatology)
Source: Clinical Gastroenterology and Hepatology - August 7, 2019 Category: Gastroenterology Authors: Yijun Wu, Xuan Wang, Jiaolin Zhou Tags: Electronic image of the month Source Type: research
Does Colonic Diverticulosis Raise the Risk of Colorectal Adenoma in Patients with Colorectal Cancer?
Conclusions: Colonic diverticulosis was associated with synchronous colorectal adenomas in patients with CRC, which is eventually increasing the risk of metachronous adenomas.
PMID: 31236110 [PubMed] (Source: Gastroenterology Research and Practice)
Source: Gastroenterology Research and Practice - June 27, 2019 Category: Gastroenterology Tags: Gastroenterol Res Pract Source Type: research
