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Examination of the small intestine by means of duodenal intubation.

Author: J L Sellink
Publisher: Leiden, Stenfert Kroese, 1971 [1972]
Edition/Format:   Print book : EnglishView all editions and formats

Our knowledge of the diseases of the small intestine has increased greatly since the second world war. diseases with local, usually rather gross mucosal abnormalities: leukemia, Hodgkin's disease,  Read more...


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Document Type: Book
All Authors / Contributors: J L Sellink
ISBN: 9020702971 9789020702972
OCLC Number: 517105
Description: vi, 150 pages with illustrations 28 cm
Contents: I Introduction.- II History.- III Anatomy.- IV Physiology.- 1. Innervation of the small intestine.- 2. Tone and peristalsis.- 3. Function of the pyloric muscle.- 4. Influence of nutrients on gastric emptying time and rate of transit through the small intestine.- 5. Influence of the volume of the contrast meal on the gastric emptying time.- 6. Effect of the absorption of fluids from the contrast column in the distal ileum.- 7. Obstructions in the small intestine.- V The Contrast Medium.- General considerations.- 1. Sedimentation of the contrast medium.- 2. Flocculation of the contrast fluid.- 3. Segmentation of the contrast column.- 4. Additives to the contrast medium for the purpose of improving stability and adhesion.- 5. Relationship between viscosity, particle size and adhesion of the barium suspension.- 6. Specific gravity of the contrast fluid.- 7. Comparative studies with different brands.- 8. Contrast media other than barium sulfate.- Barium carbonate.- Disadvantages of barium suspensions 41 Suspensions of an organic iodine compound.- Aqueous iodine solutions.- Gastrografine-barium mixtures.- VI Methods of Examination.- 1. `Physiological' examination of the small intestine.- 2. Single administration of the contrast medium.- Normal amount.- Small amounts.- Large amounts.- 3. Fractional administration of the contrast medium.- Method of Pansdorf.- Modification of Weitz.- Modification of Naumann.- Fractionation by the pyloric muscle.- 4. Administration of cold fluids with the contrast medium.- Method of Weintraub and Williams.- Simplified variations.- 5. Administration of the contrast medium through a tube directly into the small intestine (enteroclysis).- 6. Retrograde administration of the contrast fluid.- 7. Combined methods of examination.- 8. Laxation before the examination and the use of the right lateral position.- 9. Use of drugs to accelerate transit.- Prostigmin.- Sorbitol.- Metoclopramide (Primperan).- Laxatives.- VII Review and Conclusion.- VIII The Enteral Contrast Infusion.- 1. Preparation of patients.- 2. Duodenal intubation.- 3. Administration of the contrast medium.- 4. Radiological examination.- 5. Supplementary administration of air or water.- IX discussion of Patients.- 1. General considerations.- 2. Patients.- X Summary and Conclusion.
Responsibility: [By] J.L. Sellink.


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