Radiology of the Small Bowel Modern Enteroclysis Technique and Atlas
This atlas is a selection of roentgenograms of patients who visited the radiology departments at the University Hospital in Leiden between 1970 and 1978, the Free University Hospital in Amsterdam in 1979, and the radiology department at the Indiana Univer
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SERIES IN RADIOLOGY
2
Other volumes in this series:
1. J. Odo op den Orth. The Standard Biphasic-Contrast Examination of the Stomach and Duodenum, ISBN 90-247-2460-0. 3. Roscoe E. Miller and Jovitas Skucas, The Radiological Examination of the Colon: Practical Diagnosis, ISBN 90-247-2666-2. 4. S. Forgacs, Bones and Joints in Diabetes Mellitus, ISBN 90-247-2395-7. 5. Gy. Nemeth and H. Kuttig, Isodose Atlas for Use in Radiotherapy, ISBN 90-247-2476-7. 6. Jacques Chermet, Atlas of Phlebography of the Lower Limbs, ISBN 90-247-2525-9. 7. B.K. Janevski. Series ISBN: 90-247-2427-9
RADIOLOGY OF THE SMALL BOWEL Modern Enteroclysis Technique and Atlas
JOHAN L. SELLINK, M.D. X-Ray Department, Westeinde Hospital, The Hague, The Netherlands (Visiting Professor at Indiana University School of Medicine, Indianapolis, Indiana, U.S.A., i977)
and ROSCOE E. MILLER, M.D. Distinguished Professor and Chief of Gastrointestinal Radiology indiana University School of Medicine, indianapolis, indiana, U.S.A.
III 1982
MARTINUS NIJHOFF PUBLISHERS THE HAGUE
I BOSTON I
LONDON
Distributors: for the United States and Canada
Kluwer Boston, Inc. 190 Old Derby Street Hingham, MA 02043 USA for all other countries
Kluwer Academic Publishers Group Distribution Center P.O. Box 322 3300 AH Dordrecht The Netherlands
Library of Congress Cataloging in Publication Data
Sellink, J. L. Radiology of the small bowel. (Series in radiology ; 2) Includes bibliographies and index. 1. Intestine, Small--Radiography--Atlases. 2. Contrast media. I. Miller, Roscoe E. II. Series.
RC804.R6S45
616.3'407572
ISBN-13: 978-94-009-7432-6 DOl: 10.1007/978-94-009-7430-2
81-9531
AACR2
e-ISBN-13: 978-94-009-7430-2
Photography: C.T. Ruygrok and M. Popkes, Leiden. Translation: G.P. Bieger-Smith, Wassenaar.
Copyright
© 1982 by Martinus Nijhoff Publishers, The Hague.
All rights reserved. No part of this publication may be reproduced, stored in a retrieval system, or transmitted in any form or by any means, mechanical, photocopying, recording, or otherwise, without the prior written permission of the publisher, Martinus Nijhoff Publishers, P.O. Box 566, 2501 CN The Hague, The Netherlands. Saftcover reprint. of the hardcover 1st edition 1982
CONTENTS
Preface
IX
1.
INTRODUCTION
2.
ANATOMY I. 2. 3. 4.
3.
3
Normal mucosa in the small intestine 3 Normal position of the intestine II Normal impressions on the intestine 17 Filling defects between the intestinal loops
PHYSIOLOGY
27
1. Innervation and motility 27 2. Gastric emptying and transit time
4.
THE CONTRAST MEDIUM I. 2. 3. 4. 5. 6. 7. 8.
5.
28
33
General considerations 33 Sedimentation of the contrast medium 33 Flocculation of the contrast fluid 34 Segmentation of the contrast column 39 Additives to the contrast medium for the purpose of improving stability and adhesion 42 Relationship between viscosity, particle size, and adhesion of the barium suspension 43 Specific gravity of the contrast fluid 45 Contrast media other than barium sulfate 54
METHODS OF EXAMINA nON I. 2. 3. 4. 5. 6. 7. 8.
59
