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Radiographic Evaluation

  • Chapter
Operative Strategies in Inflammatory Bowel Disease

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Abstract

Radiologic studies are frequently used in patients with inflammatory bowel disease. Although endoscopy has replaced luminal contrast exams in many patients, especially in evaluation of the colon, imaging continues to play an important role in diagnosis and management of patients with these diseases. The purpose of this chapter is to discuss our approach to imaging in patients with inflammatory bowel disease rather than provide an exhaustive review of the potential radiologic tests used. We are radiologists who perform barium studies, ultrasound, computed tomography (CT), and magnetic resonance imaging (MRI) on patients with gastrointestinal diseases. Philosophically, we are organ system, disease-oriented radiologists rather than radiologists focused on technology. Therefore, we will discuss the appropriate use of imaging vis-à-vis clinical presentations, such as suspected inflammatory bowel disease, a patient with a fistula, or a toxic patient, rather than the use of a particular technology in patients with these diseases. Lastly, we have definite biases. Since this is a chapter focused on “how we do it,” we will present those biases and make no apology in doing so. Unfortunately, the radiologie literature focuses on a technologic rather than a problem solving approach. As a result, there are very few, prospective studies to support our biases. We do best what works for us and what we do in large numbers. This chapter reflects what we do best.

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Authors
  1. Mark E. Baker
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  2. David M. Einstein
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Editor information

Editors and Affiliations

  1. Section of General Surgery, University of Chicago, Chicago, IL, 60637, USA

    Fabrizio Michelassi MD (Professor and Chief) (Professor and Chief)

  2. Division of Colon and Rectal Surgery, Mount Sinai Medical Center, New York, NY, 10029, USA

    Jeffrey W. Milsom MD (Professor and Chief) (Professor and Chief)

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© 1999 Springer Science+Business Media New York

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Baker, M.E., Einstein, D.M. (1999). Radiographic Evaluation. In: Michelassi, F., Milsom, J.W. (eds) Operative Strategies in Inflammatory Bowel Disease. Springer, New York, NY. https://doi.org/10.1007/978-1-4612-1396-3_6

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  • DOI: https://doi.org/10.1007/978-1-4612-1396-3_6

  • Publisher Name: Springer, New York, NY

  • Print ISBN: 978-1-4612-7130-7

  • Online ISBN: 978-1-4612-1396-3

  • eBook Packages: Springer Book Archive

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