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Computed Tomography Imaging Pathophysiology

  • Roberto Di Mizio
  • Fenesia D’Amario
  • Veronica Di Mizio
  • Mari Antonietta Colasante
  • Giampiero D’Amico
  • Simone Altobelli
  • Paolo Innocenti
  • Mariano Scaglione

Abstract

The main clinical and radiological problem consists of differentiating the obstruction with a purely occlusive risk from the obstruction in which vascular risk is added. The pure obstruction allows for elective surgery and a restoration of a more complete hydroelectrolytic equilibrium. Nasogastric intubation may avoid urgent surgical intervention. An additional benefit is that the tone and motility of the bowel loops and their intramural condition may improve with aspiration. The lower tension reduces stasis, intestinal diameter and intraperitoneal fluid, and it may sometimes completely resolve the occlusive condition. On the other hand, the obstruction with vascular risk does not show significant clinical improvement after nasogastric tube placement. Deliberation and delayed surgery must be avoided.

Keywords

Peritoneal Fluid Bowel Loop Paralytic Ileus Intraperitoneal Fluid Nasogastric Intubation 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.

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Copyright information

© Springer-Verlag Italia 2007

Authors and Affiliations

  • Roberto Di Mizio
    • 1
  • Fenesia D’Amario
    • 2
  • Veronica Di Mizio
    • 3
  • Mari Antonietta Colasante
    • 4
  • Giampiero D’Amico
    • 5
  • Simone Altobelli
    • 5
  • Paolo Innocenti
    • 6
  • Mariano Scaglione
    • 7
  1. 1.Radiology Department“San Massimo” HospitalPenne (PE)Italy
  2. 2.Radiology Service“San Massimo” HospitalPenne (PE)Italy
  3. 3.Department of Clinical Sciences and Bioimages Section of Radiology“G. D’Annunzio” UniversityChietiItaly
  4. 4.Health DistrictASL PescaraPenne (PE)Italy
  5. 5.Division of General Surgery“San Massimo” HospitalPenne (PE)Italy
  6. 6.Department of Surgical Sciences General and Laparoscopic Surgery“G. D’Annunzio” UniversityChietiItaly
  7. 7.Emergency and Trauma CT Section Department of Diagnostic Imaging“A. Cardarelli” HospitalNaplesItaly

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