By Günther Antes M.D., Franz Eggemann M.D. (auth.)
This publication offers often with approach, reports and result of the biphasic small bowel enema (enteroclysis) with barium and methylcellulose. the tactic permits the evaluate of either, morphology and serve as of the small bowel. The advent describes the exam procedure, easy styles, interpretation and symptoms, whereas the atlas exhibits a wide spectrum of small bowel ailments (Crohn's illness, different inflammatory illnesses, tumors, motility issues, obstructions and malformations). the probabilities of small bowel radiology are validated on the subject of scientific findings and differential diagnoses.
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Extra info for Small Bowel Radiology: Introduction and Atlas
The patient suffered no malresorption or diarrhea 42 Diverticula Fig. -15. Numerous jejunal and duodenal diverticula localized partly on the mesenteric and partly on the anti mesenteric border of the bowel fistular tracts and so-called fox-earth fistulae. e. those which are to be filled from the small intestine into the large bowel, are probably functionally effective. On the other hand, fistulae which can be filled retrograde from the colon during barium enema are mostly functionally ineffective.
3). In adolescents, particularly, there are numerous folds. The folds run circularly and are perpendicular to the longitudinal axis of the intestine. Sometimes, in the middle of the small bowel, there is a triangular arrangement of folds. The fold pattern of the duodenum is different from that of a normal small bowel. There is a netlike arrangement of folds in this region. In ideal double contrast, the intestinal villi of the mucosa are recognizable (Fig. -4). 31 Normal Findings and Variations Fig.
Fig. -1. Normal jejunal folds. Circular arrangement of folds. Fold thickness is less than 2 mm. Rounded corners are shown in profile Fig. -2. Irregular, thickened folds with omega-like configuration (---» due to inflammatory infiltration in eosinophilic enteritis 35 Small Bowel Folds and Wall Thickness, Surface Changes Fig. -3. Irregular, thickened folds in the entire small bowel in Whipple's disease Fig. -4. Irregular, thickened folds with narrowing of the lumen in chronic radiation enteritis Fig.