Pelvic floor disorders are an underdiagnosed source of morbidity and significantly diminish the quality of life. Most patients are women. In any clinic that deals with pelvic floor disorders, about 80% of patients will be women between the ages of…
Barium enemas are not commonly performed in modern radiology practice because of greater use of other diagnostic tests such as colonoscopy, computed tomography (CT), and, most recently, CT colonography. As senior radiologists retire, it has become increasingly difficult for young…
Abnormalities of Small Bowel Development in Adults MECKEL’S DIVERTICULUM During embryologic development, the yolk sac is connected to the midgut by the omphalomesenteric duct, which is later obliterated during the seventh to eighth weeks of embryogenesis. Persistence of the entire…
Surgical treatment of small bowel disease requires the use of relatively few surgical techniques, and most are applicable to any segment of the jejunum and ileum. These techniques include enterotomy for removal of polyps or foreign bodies; enteroplasty for treatment…
Small bowel abnormalities continue to be a significant diagnostic challenge for clinicians and radiologists. Clinicians have historically struggled to diagnose many small bowel diseases because patients typically present with only nonspecific complaints such as abdominal pain, weight loss, or anemia.…
In patients with known or suspected small bowel obstruction (SBO), the radiologist is called on to answer the following questions: Is the bowel obstructed? If so, what is the level of obstruction? What is the cause of obstruction? What is…
Primary small bowel malignancy accounts for 0.6% of all new cancer cases, and 0.2% of cancer deaths in the United States. Despite the low incidence relative to other malignancies, the incidence of small bowel malignancy has been increasing from 1.1…
Clinical Considerations Despite a wide variety of histologic types, benign and malignant tumors of the small bowel constitute only 1% to 5% of all gastrointestinal (GI) neoplasms. , Nearly 75% of small bowel tumors discovered at autopsy are benign, while…
Anatomic Classification of Malabsorption Carbohydrate digestion requires a functioning pancreas and small bowel brush border enzymes. Normal protein digestion requires adequate gastric and pancreatic function and small bowel brush border enzymes. Fat digestion requires normal hepatic, biliary, exocrine, pancreatic, and…
The radiologist usually encounters infectious disease of the small intestine during the workup of patients with acute abdominal pain or diarrhea or with chronic diarrhea, malabsorption, and weight loss. If computed tomography (CT) reveals thickened ileal folds or regional mesenteric…