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1. Neoadjuvant Chemotherapy Followed by Simultaneous Robotic Radical Trachelectomy and Reversal of Tubal Sterilization in Stage IB2 Cervical Cancer

Author

Giuseppe Del Priore, Marguerite K. Shepard, Dean D.T. Maglinte, Sandra R. Ding, and Ali Hassan Hamed

Subjects
Adult, medicine.medical_specialty, Robotic-assisted radical trachelectomy, animal structures, Sterilization, Tubal, medicine.medical_treatment, Biopsy, Uterine Cervical Neoplasms, Trachelectomy, Antineoplastic Agents, Case Reports, Cervix Uteri, Hysterectomy, Neoadjuvant chemotherapy, medicine, Humans, Neoplasm Staging, Cervical cancer, Chemotherapy, business.industry, technology, industry, and agriculture, Robotics, Case description, medicine.disease, Magnetic Resonance Imaging, female genital diseases and pregnancy complications, Neoadjuvant Therapy, Surgery, body regions, Tubal anastomosis, Cervical cancer stage, Sterilization (medicine), Female, business, human activities, Follow-Up Studies
Abstract

Robotic trachelectomy after neoadjuvant chemotherapy with simultaneous tubal anastomosis may be an option in stage IB2 cervical cancer patients., Introduction: The aim of this study was to report a case of cervical cancer stage IB2 treated with neoadjuvant chemotherapy, followed by simultaneous robotic-assisted radical trachelectomy and reversal of tubal sterilization. Case Description: This case occurred in a university hospital involving a 31-y-old woman with stage IB2 cervical cancer treated using neoadjuvant chemotherapy, robotic surgery, and tubal anastomosis to determine cancer disease status and achieve restoration of tubal patency. Discussion: A successful radical trachelectomy with patent tubes was done bilaterally. Cancer and fertility procedures can be simultaneously implemented and achieved.

Published
2012

2. Double-contrast barium enema technique

Author

Stephen E. Rubesin and Dean D.T. Maglinte

Subjects
medicine.medical_specialty, business.industry, Fluoroscope, Air, Patient Selection, health care facilities, manpower, and services, education, Contrast Media, Enema, Insufflation, General Medicine, Double-contrast barium enema, digestive system diseases, Colonic Diseases, surgical procedures, operative, Fluoroscopy, health services administration, Humans, Medicine, Radiology, Nuclear Medicine and imaging, Radiology, Barium Sulfate, business, Barium enema
Abstract

During a double-contrast barium enema the radiologist interacts with the patient, the controls of the fluoroscope, and the image on the television monitor. The radiologist paints an image of the colon; the barium is the paint, the colon is the canvas. The radiologist manipulates the barium pool, the air column, and the patient to create images. Although the radiologist may have a plan going into the examination, the game plan is altered by the patient's ability to tolerate and perform the study, the length of the colon, and pathology encountered. If the radiologist understands the goals to be achieved, the studied can be tailored to fit what is happening in the fluoroscopic suite.

Published
2003
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3. Current Status of CT Enteroclysis

Author

Dean D.T. Maglinte, Darel E. Heitkamp, and John C. Lappas

Subjects
CT enteroclysis, medicine.medical_specialty, Text mining, business.industry, medicine, Radiology, Nuclear Medicine and imaging, Radiology, Current (fluid), business
Published
2003
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5. Contributors

Author

Jalil Afnan, Jeffrey A. Alexander, Lauren F. Alexander, Surabhi Bajpai, Mark E. Baker, Stephen R. Baker, Aparna Balachandran, Dennis M. Balfe, Emil J. Balthazar, Stuart A. Barnard, Ahmed Ba-Ssalamah, Genevieve L. Bennett, Senta Berggruen, Jonathan W. Berlin, George S. Bissett, Roi M. Bittane, Michael A. Blake, Peyman Borghei, Kevin P. Boyd, Warren M. Brandwein, David H. Bruining, James L. Buck, Carina L. Butler, Selim R. Butros, Laura R. Carucci, Wei-Chou Chang, Raj R. Chinnappan, Byung Ihn Choi, Peter L. Cooperberg, Abraham H. Dachman, Alexander Ding, Carolyn K. Donaldson, Ronald L. Eisenberg, Sukru Mehmet Erturk, Thomas A. Farrell, Kate A. Feinstein, Sandra K. Fernbach, Hector Ferral, Florian J. Fintelmann, Elliot K. Fishman, Joel G. Fletcher, Kathryn J. Fowler, Aletta A. Frazier, Ann S. Fulcher, Helena Gabriel, Ana Maria Gaca, Kirema Garcia-Reyes, Gabriela Gayer, Gary G. Ghahremani, Seth N. Glick, Margaret D. Gore, Richard M. Gore, Sofia Gourtsoyianni, Nicholas C. Gourtsoyiannis, Jared R. Green, Gianfranco Gualdi, Rajan T. Gupta, Ravi Guttikonda, Robert A. Halvorsen, Nancy A. Hammond, Mukesh G. Harisinghani, Sandeep S. Hedgire, Frederick L. Hoff, Caroline L. Hollingsworth, Karen M. Horton, Steven Y. Huang, James E. Huprich, Aleksandar M. Ivanovic, Jill E. Jacobs, Bruce R. Javors, Bronwyn Jones, Naveen Kalra, Avinash Kambadakone, Mariam M. Kappil, Ana L. Keppke, David H. Kim, Stanley Taeson Kim, Douglas R. Kitchin, Michael L. Kochman, Dow-Mu Koh, J. Satheesh Krishna, Naveen Kulkarni, John C. Lappas, Igor Laufer, Fred T. Lee, Jr, Jeong Min Lee, Marc S. Levine, Angela D. Levy, Jennifer E. Lim-Dunham, Mark D. Little, Russell N. Low, Dean D.T. Maglinte, Abdullah Mahmutoglu, Maria A. Manning, Charles S. Marn, Gabriele Masselli, Shaunagh McDermott, Alec J. Megibow, Uday K. Mehta, Vincent M. Mellnick, Christine O. Menias, Joseph Meranda, James M. Messmer, Arthur B. Meyers, Morton A. Meyers, Frank H. Miller, Tara Morgan, Koenraad J. Mortele, Peter R. Mueller, Brian P. Mullan, Vamsi Narra, Albert A. Nemcek, Jr, Geraldine Mogavero Newmark, Jennifer L. Nicholas, Paul Nikolaidis, David J. Ott, Joseph Owen, Orhan S. Ozkan, Nickolas Papanikolaou, Mikin V. Patel, Pritesh Patel, Erik K. Paulson, Christine M. Peterson, Perry J. Pickhardt, Aliya Qayyum, David N. Rabin, Siva P. Raman, Peter M. Rodgers, Pablo R. Ros, Stephen E. Rubesin, Tara Sagebiel, Dushyant V. Sahani, Sanjay Saini, Martha Cotsen Saker, Riad Salem, Kumar Sandrasegaran, Rupan Sanyal, Christopher D. Scheirey, Francis J. Scholz, Adeel R. Seyal, Martin J. Shelly, Linda C. Sherbahn, Ali Shirkhoda, Ana Catarina Silva, Paul M. Silverman, Stuart G. Silverman, Robert I. Silvers, Ajay K. Singh, Jovitas Skucas, Gail S. Smith, Sat Somers, Anthony W. Stanson, Allison L. Summers, Richard A. Szucs, Mark Talamonti, Andrew J. Taylor, Darshit J. Thakrar, Kiran H. Thakrar, Yee Liang Thian, Ruedi F. Thoeni, Stephen Thomas, William Moreau Thompson, Temel Tirkes, Mary Ann Turner, Jennifer W. Uyeda, Fauzia Q. Vandermeer, Robert L. Vogelzang, Patrick M. Vos, Natasha Wehrli, Daniel R. Wenzke, Ellen L. Wolf, Jade J. Wong-You-Cheong, Cecil G. Wood, Michael A. Woods, Vahid Yaghmai, and Benjamin M. Yeh

Published
2015
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7. SMALL BOWEL CANCER

Author

Dean D.T. Maglinte and Benedicto L. Reyes

Subjects
Radiology, Nuclear Medicine and imaging, General Medicine
Published
1997
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8. Contributors

Author

Samuel Nathan Adler, Stephen R. Baker, Aparna Balachandran, Dennis M. Balfe, Emil J. Balthazar, Stuart A. Barnard, Clive Bartram, Genevieve L. Bennett, Jonathan W. Berlin, George S. Bissett, Peyman Borghei, James L. Buck, Carina L. Butler, Marc A. Camacho, Dina F. Caroline, Caroline W.T. Carrico, Richard I. Chen, Byung Ihn Choi, Howard B. Chrisman, Peter I. Cooperberg, Abraham H. Dachman, Susan Delaney, Gerald D. Dodd, Ronald L. Eisenberg, Sukru Mehmet Erturk, Sandra K. Fernbach, Julia R. Fielding, Elliot K. Fishman, Frans-Thomas Fork, Martin C. Freund, Ann S. Fulcher, Emma E. Furth, Helena Gabriel, Ana Maria, Gabriela Gayer, Gary G. Ghahremani, Seth N. Glick, Margaret D. Gore, Richard M. Gore, Nicholas C. Gourtsoyiannis, David Hahn, Robert A. Halvorsen, Nancy A. Hammond, Marjorie Hertz, Frederick L. Hoff, Caroline L. Hollingsworth, Karen M. Horton, Jill E. Jacobs, Werner R. Jaschke, Bruce R. Javors, Bronwyn Jones, Mannudeep K. Kalra, Ana L. Keppke, Stanley Taeson Kim, Michael L. Kochman, John C. Lapps, Thomas C. Lauenstein, Igor Laufer, Jeong Min Lee, Kang Hoon Lee, Marc S. Levine, Russell N. Low, Michael Macari, Robert L. MacCarty, Dean D.T. Maglinte, Charles S. Marn, Gabriele Masselli, Alan H. Maurer, Joseph Patrick Mazzie, Alec J. Megibow, Uday K. Mehta, James M. Messmer, Morton A. Meyers, Frank H. Miller, Koenraad J. Mortele, Karen A. Mourtzikos, Saravanan Namasivayam, Vamsi R. Narra, Rendon C. Nelson, Albert A. Nemcek, Geraldine Mogavero Newmark, Paul Nikolaidis, David J. Ott, Nickolas Papanikolaou, Erik K. Paulson, F. Scott Pereles, Christine M. Peterson, Vikram A. Rao, Richard D. Redvanly, Pablo R. Ros, Stephen E. Rubesin, Sanjay Saini, Riad Salem, Kumaresan Sandrasegaran, Kent T. Sato, Christopher D. Scheirey, Francis J. Scholz, Ali Shirkhoda, Paul M. Silverman, Stuart G. Silverman, Jovitas Skucas, William C. Small, Claire H. Smith, Robert H. Smith, Sat Somers, Allison L. Summers, Rajeev Suri, Richard A. Szucs, Mark Talamonti, Andrew J. Taylor, Ruedi F. Thoeni, William Moreau Thompson, Ranista Tongdee, Mitchell E. Tublin, Mary Ann Turner, Sean M. Tutton, Robert L. Vogelzang, Patrick M. Vos, Daphna Weinstein, Noel N. Williams, Stephanie R. Wilson, Ellen L. Wolf, Vahid Yaghmai, Silaja Yitta, and Rivka Zissin

Published
2010
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10. Contributors

Author

STEPHEN E. RUBESIN, SAMUEL NATHAN ADLER, STEPHEN R. BAKER, APARNA BALACHANDRAN, DENNIS M. BALFE, EMIL J. BALTHAZAR, STUART A. BARNARD, CLIVE BARTRAM, GENEVIEVE L. BENNETT, JONATHAN W. BERLIN, GEORGE S. BISSETT, PEYMAN BORGHEI, JAMES L. BUCK, CARINA L. BUTLER, MARC A. CAMACHO, DINA F. CAROLINE, CAROLINE W.T. CARRICO, RICHARD I. CHEN, BYUNG IHN CHOI, HOWARD B. CHRISMAN, PETER L. COOPERBERG, ABRAHAM H. DACHMAN, SUSAN DELANEY, GERALD D. DODD, RONALD L. EISENBERG, SUKRU MEHMET ERTURK, SANDRA K. FERNBACH, JULIA R. FIELDING, ELLIOT K. FISHMAN, FRANS-THOMAS FORK, MARTIN C. FREUND, ANN S. FULCHER, EMMA E. FURTH, HELENA GABRIEL, ANA MARIA GACA, GABRIELA GAYER, GARY G. GHAHREMANI, SETH N. GLICK, MARGARET D. GORE, RICHARD M. GORE, NICHOLAS C. GOURTSOYIANNIS, DAVID HAHN, ROBERT A. HALVORSEN, NANCY A. HAMMOND, MARJORIE HERTZ, FREDERICK L. HOFF, CAROLINE L. HOLLINGSWORTH, KAREN M. HORTON, JILL E. JACOBS, WERNER R. JASCHKE, BRUCE R. JAVORS, BRONWYN JONES, MANNUDEEP K. KALRA, ANA L. KEPPKE, STANLEY TAESON KIM, MICHAEL L. KOCHMAN, JOHN C. LAPPAS, THOMAS C. LAUENSTEIN, IGOR LAUFER, JEONG MIN LEE, KANG HOON LEE, MARC S. LEVINE, RUSSELL N. LOW, MICHAEL MACARI, ROBERT L. MACCARTY, DEAN D.T. MAGLINTE, CHARLES S. MARN, GABRIELE MASSELLI, ALAN H. MAURER, JOSEPH PATRICK MAZZIE, ALEC J. MEGIBOW, UDAY K. MEHTA, JAMES M. MESSMER, MORTON A. MEYERS, FRANK H. MILLER, KOENRAAD J. MORTELE, KAREN A. MOURTZIKOS, SARAVANAN NAMASIVAYAM, VAMSI R. NARRA, RENDON C. NELSON, ALBERT A. NEMCEK, GERALDINE MOGAVERO NEWMARK, PAUL NIKOLAIDIS, DAVID J. OTT, NICKOLAS PAPANIKOLAOU, ERIK K. PAULSON, F. SCOTT PERELES, CHRISTINE M. PETERSON, VIKRAM A. RAO, RICHARD D. REDVANLY, PABLO R. ROS, SANJAY SAINI, RIAD SALEM, KUMARESAN SANDRASEGARAN, KENT T. SATO, CHRISTOPHER D. SCHEIREY, FRANCIS J. SCHOLZ, ALI SHIRKHODA, PAUL M. SILVERMAN, STUART G. SILVERMAN, JOVITAS SKUCAS, WILLIAM C. SMALL, CLAIRE H. SMITH, ROBERT H. SMITH, SAT SOMERS, ALLISON L. SUMMERS, RAJEEV SURI, RICHARD A. SZUCS, MARK TALAMONTI, ANDREW J. TAYLOR, RUEDI F. THOENI, WILLIAM MOREAU THOMPSON, RANISTA TONGDEE, MITCHELL E. TUBLIN, MARY ANN TURNER, SEAN M. TUTTON, ROBERT L. VOGELZANG, PATRICK M. VOS, DAPHNA WEINSTEIN, NOEL N. WILLIAMS, STEPHANIE R. WILSON, ELLEN L. WOLF, VAHID YAGHMAI, SILAJA YITTA, and RIVKA ZISSIN

Published
2008
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12. Dynamic secretin-enhanced MR cholangiopancreatography

Author

Dean D.T. Maglinte, Glen A. Lehman, Stuart Sherman, M. Fatih Akisik, Alex A. Aisen, and Kumaresan Sandrasegaran

Subjects
Pancreatic duct, medicine.medical_specialty, medicine.diagnostic_test, business.industry, Pancreatic Diseases, Magnetic resonance imaging, Image Enhancement, digestive system, Magnetic Resonance Imaging, Secretin, Exocrine secretion, Mr cholangiopancreatography, medicine.anatomical_structure, Practice Guidelines as Topic, medicine, Humans, Radiology, Nuclear Medicine and imaging, Radiology, Practice Patterns, Physicians', Pancreas, business, hormones, hormone substitutes, and hormone antagonists, Cholangiography
Abstract

Secretin causes temporary dilatation of pancreatic ducts, principally by increasing pancreatic exocrine secretions, and thus allows better visualization of the ducts at magnetic resonance (MR) cholangiopancreatography. Secretin-enhanced MR cholangiopancreatography is useful for detection and diagnosis of a variety of congenital, inflammatory, and neoplastic conditions of the pancreas. Although MR cholangiopancreatography without secretin is a reliable method for evaluating the pancreatobiliary ductal system, the authors believe that secretin-enhanced MR cholangiopancreatography gives additional valuable functional and anatomic information about the pancreatic duct and pancreatic excretory capacity.

Published
2006

13. CT of acute biliopancreatic limb obstruction

Author

Kumaresan Sandrasegaran, Thomas J. Howard, J C Lappas, Arumugam Rajesh, and Dean D.T. Maglinte

Subjects
Male, medicine.medical_specialty, business.industry, General Medicine, Middle Aged, urologic and male genital diseases, medicine.disease, Biliopancreatic Diversion, Surgery, Bowel obstruction, High morbidity, Acute Disease, medicine, Afferent loop, Humans, Radiology, Nuclear Medicine and imaging, Female, Radiology, Ct imaging, business, Tomography, X-Ray Computed, Intestinal Obstruction, Aged, Retrospective Studies
Abstract

OBJECTIVE. Our objective was to report the CT features of biliopancreatic limb (afferent loop) obstruction.CONCLUSION. Acute biliopancreatic limb obstruction has typical CT features. Given its high morbidity and rate of reoperation, it is useful to make this specific diagnosis instead of reporting the findings as postoperative small bowel obstruction.

Published
2005

14. Distinguishing gelatin bioabsorbable sponge and postoperative abdominal abscess on CT

Author

Kumaresan Sandrasegaran, Arumugam Rajesh, Dean D.T. Maglinte, and Chandana Lall

Subjects
Male, Radiography, Abdominal, medicine.medical_specialty, food.ingredient, Abdominal Abscess, Fixed position, Contrast Media, Gelatin, Diagnosis, Differential, food, Postoperative Complications, medicine, Humans, Radiology, Nuclear Medicine and imaging, Ct findings, Postoperative Period, Abscess, Aged, Retrospective Studies, Aged, 80 and over, Hemostatic Agent, biology, business.industry, General Medicine, Middle Aged, biology.organism_classification, medicine.disease, Foreign Bodies, Gelatin Sponge, Absorbable, Surgery, Sponge, Female, Radiology, business, Tomography, X-Ray Computed
Abstract

OBJECTIVE. The objective of our study was to differentiate the CT findings of gelatin bioabsorbable sponges used as hemostatic agents from postoperative abdominal abscess.CONCLUSION. Gelatin absorbable sponge may mimic a postoperative abscess on CT. Findings that may help differentiate the hemostatic agent from abscess include linear arrangement of tightly packed gas bubbles, fixed position of gas bubbles on subsequent examinations, shape, lack of air–fluid level, and lack of enhancing wall.

Published
2005

15. Disconnected pancreatic duct syndrome: imaging findings and therapeutic implications in 26 surgically corrected patients

Author

Stuart Sherman, Dean D.T. Maglinte, Thomas J. Howard, Mark Tann, Evan L. Fogel, James A. Madura, and Glen A. Lehman

Subjects
Adult, Male, medicine.medical_specialty, Pancreatic pseudocyst, Jejunum, Pancreatic Pseudocyst, medicine, Humans, Radiology, Nuclear Medicine and imaging, Aged, Retrospective Studies, Pancreatic duct, Cholangiopancreatography, Endoscopic Retrograde, business.industry, Pancreatic Ducts, Retrospective cohort study, Syndrome, Middle Aged, medicine.disease, Extravasation, medicine.anatomical_structure, Pancreatic fistula, Etiology, Pancreatitis, Female, Radiology, business, Tomography, X-Ray Computed
Abstract

Purpose: The lack of ductal continuity between a viable pancreatic tissue and the gastrointestinal tract results in the disconnected pancreatic duct syndrome (DPDS). The purpose of our study is to describe accurately the imaging features of CT scanning and endoscopic retrograde pancreatography (ERCP) that define the DPDS. Methods: We conducted a retrospective analysis of the computed tomography (CT) and ERCP examinations in 26 consecutive patients with surgically proven disconnected pancreatic ducts treated over a 5-year period at our institution. Two abdominal radiologists concurrently defined the imaging features (presence and size of fluid collection along the course of the pancreatic duct, upstream enhancing pancreatic parenchyma, and ERCP abnormalities) via consensus for both exams. Patient demographic , etiology of pancreatitis, surgical treatment, initial CT interpretation, and the delay between symptom onset to correct diagnosis were recorded. Results: A discrete, intrapancreatic fluid collection (average size = 27 cm 2 (range, 4-74 cm 2 ) along the course of the main pancreatic duct with upstream viable pancreatic parenchyma was identified by CT in 26 cases. ERCP showed ductal obstruction at the level of the intrapancreatic fluid collection in all patients with extravasation of contrast in 14 (54%). All patients were treated by operation: 15 (58%) by internal drainage into a Roux-en-Y limb of jejunum and 11 (42%) by distal pancreatic resection. No prior CT interpretation correctly identified DPDS. The average delay between symptom onset and definitive diagnosis was 9.3 months (range, 3-36 months). Conclusions: A discrete intrapancreatic fluid collection along the expected course of the main pancreatic duct with viable upstream pancreatic parenchyma suggests the diagnosis of DPDS. ERCP findings of ductal obstruction at the level of this fluid collection with or without contrast extravasation confirm this diagnosis. Treatment is surgical and requires either internal drainage or distal pancreatic resection for complete resolution.

Published
2003

16. Small Bowel Cancer

Author

John C. Lappas and Dean D.T. Maglinte

Subjects
medicine.medical_specialty, Colorectal cancer, business.industry, Internal medicine, parasitic diseases, medicine, population characteristics, medicine.disease, business, human activities, Gastroenterology
Abstract

IMAGING HIGHLIGHTS □ Small bowel malignant tumors are rare, accounting for 1 to 2% of cancers of the gastrointestinal (GI) tract.

Published
2002
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17. Contributors

Author

Carol L. Andrews, Susan M. Ascher, N. Cem Balci, Minerva Becker, George S. Bisset, Scott M. Boles, David G. Bragg, R. James Brenner, Chandra M. Burman, Susan Chang, Chusilp Charnsangavej, George T.Y. Chen, Gang Cheng, Cynthia T. Chin, Vincent F.H. Chong, Chen-Shou Chui, D. David Dershaw, William P. Dillon, Lane F. Donnelly, N. Reed Dunnick, Steven C. Eberhardt, Gregory K. Edmundson, John C. Egelhoff, Y.F. Fan, Girish Fatterpekar, Zvi Y. Fuks, Richard M. Gore, Michael B. Gotway, Simone K. Griff, Gary D. Grossfeld, Russell J. Hamilton, Anil Hari, Samuel Hellman, William R. Hendee, Hedvig Hricak, Margie A. Hunt, Patricia E. Hynes, Izumi Imaoka, David A. Jaffray, Reena C. Jha, Ferenc A. Jolesz, Frederick M. Kelvin, John C. Lappas, Jean S. Lee, Steven A. Leibel, Lydia Liao, C. Clifton Ling, Haisong Liu, Laurie A. Loevner, Thomas J. LoSasso, Gikas S. Mageras, Dean D.T. Maglinte, B.J. Manaster, Alvaro A. Martinez, Maya D. Meux, Frank H. Miller, William A. Mize, Suresh K. Mukherji, Reginald F. Munden, Kathleen A. Murray, Sara M. O'Hara, William Okuno, Charles A. Pelizzari, Philip Rubin, Richard C. Semelka, Michael B. Sharpe, Edward A. Sickles, Evan S. Siegelman, Frank T. Slovick, Stephan M. Stockberger, Daniel C. Sullivan, Murali Sundaram, James L. Tatum, Susan D. Wall, Antje Wefer, Jacqueline P. Williams, John W. Wong, Vahid Yaghmai, Di Yan, Fang-Fang Yin, Kyle K. Yu, Yan Yu, and Michael J. Zelefsky

Published
2002
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18. Discomfort during double-contrast barium enema examination: a placebo-controlled double-blind evaluation of the effect of glucagon and diazepam

Author

Stanley M. Chernish, Dean D.T. Maglinte, F. M. Kelvin, John C. Lappas, and J. P. Hage

Subjects
Adult, Male, medicine.medical_treatment, Enema, Placebo, law.invention, Placebos, Randomized controlled trial, Double-Blind Method, Gastrointestinal Agents, law, Medicine, Humans, Hypnotics and Sedatives, Radiology, Nuclear Medicine and imaging, Barium enema, Diazepam, business.industry, digestive, oral, and skin physiology, Repeated measures design, Double-contrast barium enema, Middle Aged, Glucagon, digestive system diseases, Abdominal Pain, Anesthesia, Premedication, Female, Barium Sulfate, business, medicine.drug
Abstract

To evaluate the effectiveness of glucagon and diazepam as compared with placebo in decreasing abdominal discomfort in patients during double-contrast barium enema examination.Thirty-six men (n = 9) and women (n = 27) aged 21-62 years with "a lot or terrible discomfort" during double-contrast barium enema examination were randomized into double-blind groups of 12 patients each at the onset of examination. Each group received a placebo, glucagon (1 mg), or diazepam (5 mg) intravenously. Discomfort was scored on a four-point scale by the patients.Repeated measures analysis of variance findings indicated that those who received an active drug reported significantly (P = .001) greater relief of discomfort. Discomfort scores improved, on average, 2.2 in the glucagon, 2.0 in the diazepam, and 1.2 in the placebo groups. Colonic spasm did not correlate with abdominal discomfort.Discomfort during double-contrast barium enema examination can be statistically significantly diminished with a hypotonic agent or a sedative.

Published
1995

19. Diverticular disease: imaging with post-double-contrast sigmoid flush

Author

Dean D.T. Maglinte, John C. Lappas, E. M. Cockerill, Kenyon K. Kopecky, and Glen A. Lehman

Subjects
medicine.medical_specialty, Radiography, medicine.medical_treatment, chemistry.chemical_element, Enema, Diverticulum, Colon, digestive system, Colon, Sigmoid, Methods, medicine, Humans, Radiology, Nuclear Medicine and imaging, Prospective Studies, Prospective cohort study, Barium enema, Sigmoid Diseases, business.industry, digestive, oral, and skin physiology, Water, Sigmoid colon, Barium, Sigmoid function, digestive system diseases, medicine.anatomical_structure, chemistry, Diverticular disease, Radiology, Barium Sulfate, business
Abstract

In a prospective study, the effect of infusion of a low-density contrast material was evaluated as an adjunct to high-density, double-contrast imaging of the sigmoid colon. After double-contrast barium enema (DCBE) study, 52 consecutive patients with sigmoid diverticulosis received an additional 500-750-mL enema either with water or a 1.5% barium suspension for computed tomography. Rectosigmoid radiographs were evaluated for luminal distention, visualization of the interhaustral space, definition of diverticula, and interpretation of polypoid defects. While double-contrast views were excellent in 21% of patients, improvement in multiple factors by water or 1.5% barium flush resulted in improved sigmoid images in 65% and 75% of patients, respectively. Polyps were confirmed and artifactual defects confidently excluded. Sigmoid flush, particularly with low-density barium, is a simple adjunct to DCBE study that improves visualization of the diverticular sigmoid and increases interpretive confidence.

Published
1988
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20. Letters to the editor

Author

Frederick M. Kelvin, Dean D.T. Maglinte, John C. Lappas, Nicholas J. Petrelli, Lemuel Herrera, C. Pera, and J. Visa

Subjects
medicine.medical_specialty, business.industry, General surgery, medicine, Surgery, General Medicine, business, Retroperitoneal approach, Shunt (medical)
Published
1989
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22. Misleading Public Statements About COVID-19.

Author

Meltzer CC, Wiggins RH 3rd, Mossa-Basha M, Palasis S, Russell E, Mikulis D, Rhyner P, Anderson J, Peterson RB, Smirniotopoulos J, Barkovich AJ, Zimmerman RD, Filippi CG, Rowley HA, Koontz NA, Jay AK, Nickerson J, Hamilton B, Chow D, and Whitlow CT

Subjects
Humans, SARS-CoV-2, COVID-19, Communication
Published
2021
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