By J.L. Sellink
Publication of this publication has been motivated through 15 played and duodenal abnormalities hence now not years adventure with distinction fluid irrigation visualised, happened often. ideas of the small gut and particularly All too usually failure to take care of the right kind via examinations played and evaluated by means of col infusion expense, by way of many erroneously absolutely less than legues. evaluated, had the outcome that disturbances within the category of the X-ray pathology has motility have been neglected. been prepared to provide a more desirable software extra and sometimes too early management in perform than is mostly present in present of water, a degree that's seldom indicated and handbooks. typically this category is adapt has a tendency to provide extra undesirable effects than solid, is ed to that of formal anatomic pathology and really often played as a type of panic inner drugs. during this publication the type response. The few symptoms for this approach relies at the radiological symptomatology. must be recognized and strictly undefined, tremendous therefore, frequently thoroughly unassociated stipulations fluous program charges extra time and explanations are came upon indexed as a potential reason for every pointless pain for the patient.
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Extra resources for X-Ray Differential Diagnosis in Small Bowel Disease: A Practical Approach
Part of the jejunum, however, the folds can sometimes be 2 1/2-3 mm thick - although no visible cause can be found. If these folds are normal in shape, they problably have no pathological significance. Even if there is marked stretching of the intestinal wall, the folds of Kerkring retain their thickness fairly well. The folds do become somewhat shorter and smoothed out, which implies Appearance offold pattern The margins of a normal fold of Kerkring extend in parallel into the intestinal lumen ; the transition from fold to intestinal wall can best be described as a rounded comer (fig.
2B). It is not always possible to explain an impression even though later films prove without a doubt that it is temporary (fig. 3). The most frequently encountered impression of one intestinal loop on another js that of the colon on the small intestine (fig. 5). The most likely explanation for this is the considerable difference in the viscosity of their contents. The most common impressions are of the cecum or sigmoid on the ileum (fig. 4ab). Occasionally an impression of the descending colon on the jejunum is noted (fig.
A distinguishing feature of gas shadows is that the contour of the bowel wall is uninterrupted; a feature not seen with villi, lymphfollicles or cobblestones. F. Motility of the bowel The enteroclysis technique, whereby the rate of flow of the contrast fluid is identical for all patients, has permitted comparison of the ability of various patients to propel this fluid stream in a distal direction. It has been found that if peristalsis is normal, the cecum is reached in 7-11 min with some 600-900 ml (average 700 ml) contrast fluid.