From:
"Sukie Crandall"
Date: 2007-01-25 05:34:13 UTC
Subject: [ferrethealth] detection of bowel perforations
To: ferrethealth@yahoogroups.com
This is a press release on new human med work but maybe down the line it wi=
ll also help
ferrets who are so prone to eating what they should not, including items th=
at cause
perforation:
BEGIN QUOTE
Contact: Necoya Lightsey
necoya@arrs.org
703-858-4304
American Roentgen Ray Society
MDCT accurately locates bowel perforation avoiding need for exploratory sur=
gery
Multidetector CT (MDCT) without the use of contrast media can show the prec=
ise site of a
bowel perforation, avoiding the need for surgeons to do exploratory surgery=
of the
patient's gastrointestinal tract to locate the problem, a new study shows.
In the past, the best way to find a perforation in the bowel was to adminis=
ter oral or rectal
contrast media then watch to see if and where the contrast media leaked fro=
m the bowel,
said Bernard Hainaux, MD of Centre Hospitalier Universitaire St.-Pierre in =
Brussels,
Belgium. Dr. Hainaux was lead author of the study. If there was a leak, the=
n that was
assumed to be the site of the perforation, however, this method was not ver=
y sensitive , he
said. In addition, it is often difficult to administer oral or rectal contr=
ast media to a patient
with acute abdominal pain or with penetrating injuries, Dr. Hainaux said.
The study found that MDCT without contrast media could accurately show the =
site of
bowel perforation in 73 of 85 patients, Dr. Hainaux said. Radiologists shou=
ld look for
three things on the MDCT image =96 gas bubbles near the bowel wall, a defec=
t in the bowel
wall and thickening of the bowel wall=97they all point to the location of t=
he bowel
perforation, he added.
It is very beneficial for surgeons to know in advance where the bowel is pe=
rforated, Dr.
Hainaux said. "MDCT allows us to quickly image the patient, then reformat t=
he images so
we can look at them from many different angles, making this technique parti=
cularly
suitable for the assessment of abdominal abnormalities," he said.
###
The study appeared in a recent issue of the American Journal of Roentgenolo=
gy, published
by the American Roentgen Ray Society.
END QUOTE
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