Digestive Organs

Download e-book for kindle: Advanced Imaging of the Abdomen by Jovitas Skucas

By Jovitas Skucas

ISBN-10: 1852339926

ISBN-13: 9781852339920

Complicated Imaging of the stomach is worthy to the practicing radiologist, and the extra senior radiology resident and fellow, who's searching for a heritage reference resource while discussing a steered imaging process with the referring surgeon. The booklet contains broad lists, tables, line drawings and illustrations - ultrasonography, computed tomography, magnetic resonance photos, scintigraphy. It bridges the interface among the referring clinician and radiologist whilst confronted with a sufferer suspected of getting a posh or more odd stomach situation.

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Tumor volume can be calculated from CT scans by combining adjacent measured tumor areas on each 1-cm slice. The accuracy of this method is similar to results obtained from resected tumor weight and water displacement measurements. Complications of Therapy: A gastroesophageal anastomotic leak is not uncommon after cancer resection. Most of these leaks are detected by a barium study shortly after surgery, and most smaller ones are managed medically and close spontaneously. Larger ones or those not healing with conservative therapy are amenable to esophageal stenting.

Extensive mediastinal fibrosis does lead to esophageal stricture. Generally these strictures have a smooth appearance and tapering margins. Self-expanding stents have been helpful in relieving acute dysphagia in these patients. Tumors Nonneoplastic Sebaceous Glands Normally sebaceous glands do not exist in the esophagus, although ectopic sebaceous glands have been described. They vary in size; some appear as irregular, lobulated nodules, while a rare patient has multiple rounded polyps arranged in rows.

Incomplete upper esophageal sphincter relaxation is associated with achalasia—a finding rare in most other motility disorders. In general, the primary abnormality in achalasia is incomplete relaxation of the lower esophageal sphincter, although achalasia patients with a normal lower esophageal sphincter relaxation have been described. Dilation and aperistalsis of the more proximal esophagus develop subsequently. For some reason esophageal bezoars are uncommon in achalasia. Pathologically, patients with achalasia have few or no ganglion cells, but show myenteric inflammation, neural fibrosis, and often a ganglionitis (101); the number of remaining ganglion cells is inversely related to degree of myenteric fibrosis.

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Advanced Imaging of the Abdomen by Jovitas Skucas

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