Double Contrast Method and Radiological Diagnosis of the Small Bowel Shingo Kobayashi 1 1Department of Gastroenterology, Internal Medicine, Juntendo University, School of Medicine pp.705-713
Published Date 1985/7/25
DOI https://doi.org/10.11477/mf.1403109899
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 The double contrast method by means of duodenal intubation and administration of barium and air is best suited for diagnosis of the small bowel disease.

 Merits of this method are as follows.

 1) Examination time is shorter than follow through method.

 2) False positive findings by peristalsis can eliminated by injection of antispasmodics.

 3) Not only big but small and fine mucosal abnormalities can be well observed.

 The shapes of ulcerations of inflammatory bowel disease are divided to Point, Line and Area and for presumption of them, deformity of the wall is the most important indication to be looked for.

 The distribution pattern of ulcerative lesions is Single or multiple-Sporadic, Segmental or Diffuse.

 Characteristic findings can be found in each inflammatory disease by analysis of the shape of ulcerations and the distribution pattern.

 Inflammatory small bowel disease should be diagnosed by double contrast method by studying the shape and the distribution pattern of ulcerative lesions.

Copyright © 1985, Igaku-Shoin Ltd. All rights reserved.


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