Abstract
There has been a slow but steady decline in the volume of barium studies performed in the world during the past 20 years. The recent literature shows a gradual replacement of the barium studies with endoscopy, capsule endoscopy, and new radiological methods (computed tomography enterography or magnetic resonance enterography) in most clinical situations, such as neoplasm, the screening of patients with familial polyposis, high-grade small bowel obstructions, and active or obscure GI bleeding. Moreover the clinical and diagnostic approach to the patient with abdominal pain has significantly changed with ultrasound being almost always the initial examination in a wide range of situations. However, barium studies are still the most common and accessible radiological methods, important particularly in situations when other new technologies are limited. The former allow correct diagnosis at a lower cost and fewer complications. For these reasons we decided to focus the chapter on two issues: intestinal malrotation and Crohn’s disease.
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References
Maglinte DDT, Rubesin S. Advances in intestinal imaging. Radiol Clin N Am. 2003;41:xi–xii.
Levine MS, Rubesin SE, Laufer I. Barium studies in modern radiology: do they have a role? Radiology. 2009;250:18–22.
DiSantis DJ. Gastrointestinal fluoroscopy: what are we still doing? AJR. 2008;191:1480–2.
Maglinte DDT, Herlinger H. Single contrast and biphasic enteroclysis. In: Herlinger H, Maglinte DDT, editors. Clinical radiology of the small intestine. Philadelphia: WB Sauders; 1989. p. 107–19.
Di Mizio R. Morbo di Crohn del tenue. Atlante di Radiologia. Rome: Verduci Editore; 2002.
Fanucci A, Cerro P, Fraracci L, Ietto F. Small bowel length measured by radiography. Gastrointest Radiol. 1984;9:349–51.
Casciani E, Masselli G, Di Nardio G. MR enterography versus capsule endoscopy in paediatric patients with suspected Crohn’s disease. Eur Radiol. 2011;21:823–31.
Masselli G, Casciani E, Polettini E, et al. Assessment of Crohn’s disease in the small bowel prospective comparison of magnetic resonance enteroclysis with conventional enteroclysis. Eur Radiol. 2006;16:2817–27.
Liangpunsakul S, Maglinte DD, Rex DK. Comparison of wireless capsule endoscopy and conventional radiologic methods in the diagnosis of small bowel disease. Gastrointest Endosc Clin N Am. 2004;14:43–50.
Hara AK, Leighton JA, Sharma VK, Fleischer DE. Small bowel: preliminary comparison of capsule endoscopy with barium study and CT. Radiology. 2004;230:260–5.
Costamagna G, Shah SK, Riccioni ME, et al. A prospective trial comparing small bowel radiographs and video capsule endoscopy for suspected small bowel disease. Gastroenterology. 2002;123:999–1005.
Pappalardo G, Gualdi G, Nunziale A, et al. Impact of magnetic resonance in the preoperative staging and the surgical planning for treating small bowel neoplasms. Surg Today. 2013;43:613–9.
Beggs AD, Latchford AR, Vasen HFA, et al. Peutze Jeghers syndrome: a systematic review and recommendations for management. Gut. 2010;59:975–86.
Ros PR, Huprich JE. ACR Appropriateness Criteria on suspected small-bowel obstruction. J Am Coll Radiol. 2006;3:838–41.
Artigas JM, Martì M, Soto J, et al. Multidetector CT angiography for acute gastrointestinal bleeding: technique and findings. Radiographics. 2013;33:1453–70.
Long FR, Kramer SS, Markowitz RI, Taylor GE. Radiographic patterns of intestinal malrotation in children. Radiographics. 1996;16:547–56.
Millar AJ, Rode H, Cywes S. Malrotation and volvulus in infancy and childhood. Semin Pediatr Surg. 2003;12:229–36.
Applegate KJ, Anderson JM, Klatte EC. Intestinal malrotation in children: a problem-solving approach to the upper gastrointestinal series. Radiographics. 2006;26:1485–500.
Lin JN, Lou CC, Wang KL. Intestinal malrotation and midgut volvulus: a 15-year review. J Formos Med Assoc. 1995;94(4):178–81.
Seashore JH, Touloukian RJ. Midgut volvulus: an ever-present threat. Arch Pediatr Adolesc Med. 1994;148:43–6.
Stephens LR, Donoghue V, Gillick J. Radiological versus clinical evidence of malrotation, a tortuous tale—10-year review. Eur J Pediatr Surg. 2012;22:238–42.
Lim-Dunham JE, Ben-Ami T, Yousefzadeh DK. Manual epigastric compression during upper gastrointestinal examination of neonates: value in diagnosis of intestinal malrotation and volvulus. AJR. 1999;173:979–83.
Strouse PJ. Disorders of intestinal rotation and fixation (“malrotation”). Pediatric Radiol. 2004;34:837–51.
Molodecky NA, Soon IS, Rabi DM, et al. Increasing incidence and prevalence of the inflammatory bowel diseases with time, based on systematic review. Gastroenterology. 2012;142:46–54.
Van Assche G, Dignass A, Panes J, et al. The second European evidence-based consensus on the diagnosis and management of Crohn’s disease: definitions and diagnosis. J Crohn’s Colitis. 2010;4:7–27.
Panes J, Bouhnik Y, Reinisch W, et al. Imaging techniques for assessment of inflammatory bowel disease: joint ECCO and ESGAR evidence-based consensus guidelines. J Crohn’s Colitis. 2013;7:556–85.
Mylonaki M, Langmead L, Pantes A, et al. Enteric infection in relapse of inflammatory bowel disease: importance of microbiological examination of stool. Eur J Gastroenterol Hepatol. 2004;16:775–8.
Aloi M, Viola F, D’Arcangelo G, et al. Disease course and efficacy of medical therapy in structuring paediatric Crohn’s disease. Dig Liver Dis 2013;45:464–8.
Horsthuis K, Bipat S, Bennink RJ, Stoker J. Inflammatory bowel disease diagnosed with US, MR, scintigraphy, and CT: meta-analysis of prospective studies. Radiology. 2008;247:64–79.
Mackalski BA, Bernstein CN. New diagnostic imaging tools for inflammatory bowel disease. Gut. 2006;55:733–41.
Huprich JE, Rosen MP, Fidler JL, et al. ACR Appropriateness Criteria® on Crohn’s disease. J Am Coll Radiol. 2010;7:94–102.
Hafeez R, Greenhalgh R, Rajan J, et al. Use of small bowel imaging for the diagnosis and staging of Crohn's disease—a survey of current UK practice. Br J Radiol. 2011;84:508–17.
Maglinte DD, Kohli MD, Romano S, Lappas JC. Air (CO2) double-contrast barium enteroclysis. Radiology. 2009;252(3):633–41.
Levine MS, Rubesin SE, Laufer I. Pattern approach for diseases of mesenteric small bowel on barium studies. Radiology. 2008;249:445–60.
Makò EK, Mester AR, Tarjan Z, et al. Enteroclysis and spiral CT examination in diagnosis and evaluation of small bowel Crohn’s disease. Eur J Radiol. 2000;35:168–75.
Ott DJ, Chen YM, Gelfand DW, et al. Detailed per-oral small bowel examination vs. enteroclysis. Part I: expenditures and radiation exposure. Radiology. 1985;155:29–31.
Thoeni RF, Gould RG. Enteroclysis and small bowel series: comparison of radiation dose and examination time. Radiology. 1991;178:659–62.
Maglinte DDT, Gourtsoyiannis N, Rex D, et al. Classification of small bowel Crohn’s subtypes based on multimodality imaging. Radiol Clin N Am. 2003;41:285–303.
Patel DR, Levine MS, Rubesin S. Comparison of small bowel follow through and abdominal CT for detecting recurrent Crohn’s disease in neoterminal ileum. Eur J Radiol. 2013;82:464–71.
Gaca AM, Jaffe TA, Delaney S, et al. Radiation doses from small-bowel follow-through and abdomen/pelvis MDCT in pediatric Crohn disease. Pediatr Radiol. 2008;38:285–91.
Solem CE, Loftus Jr EV, Fletcher JG, et al. Small-bowel imaging in Crohn’s disease: a prospective, blinded, 4-way comparison trial. Gastrointest Endosc. 2008;68:255–66.
Triester SL, Leighton JA, Leontiadis GI, et al. A meta-analysis of the yield of capsule endoscopy compared to other diagnostic modalities in patients with non-stricturing small bowel Crohn’s disease. Am J Gastroenterol. 2006;101:954–64.
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Casciani, E., Cerro, P., Di Nardo, G., Oliva, S., Gualdi, G., Cucchiara, S. (2015). Barium Studies. In: Kozarek, R., Leighton, J. (eds) Endoscopy in Small Bowel Disorders. Springer, Cham. https://doi.org/10.1007/978-3-319-14415-3_2
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DOI: https://doi.org/10.1007/978-3-319-14415-3_2
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