Abetalipoproteinemia

Bassen-Kornzweig Syndrome

Pictures

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VI Conclusion and Summary Enteroclysis What is it and why do we do it

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Half of this measurement is the thickness of a single loop The wall thickness is the same throughout the small bowel A wall thickness greater than 2 mm is considered abnormal Small Bowel diseases

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joining the bowel wall in the form of rounded corners At times in the ileum the folds may crowd together on the concave side of a bowel loop creating a triangular fold pattern

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folds are normally 1 8 mm thick in the jejunum and 1 5 mm thick in the ileum When the thickness exceeds 2 5 mm in the jejunum or 2 0 in the ileum it is considered a pathologic finding

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to 3 5 in the lower jejunum and 2 0 cm to 2 8 cm in the ileum Abnormal diameters are anything that exceeds 4 5 cm in the upper jejunum 4 0 cm in the distal jejunum and 3 0 in the ileum

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It has low diffusivity with compatible barium suspensions and thus preserves an interface between the dense barium coating the mucosa and the water density of the distended lumen

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The Radiologist will then pull the catheter back slowly while holding the guide wire in place this will cause the tip of the catheter to straighten slightly and point to the pylorus 3 The catheter is being held up at the pylorus When this occurs rolling the patient to the left LPO will widen the bulb allowing the catheter to advance into the duodenum

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If the polyp grows too large in can impede the normal peristalsis of the intestines or small polyps can pull part of the adjoining sections together resulting in intussusception Carcinoid tumors are cancers that are found in the digestive tact The majority of carcinoid tumors is slow growing and can be treated and often cured Metastasis from carcinoid tumors is

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view of the terminal ileum You will notice the Radiologist paying very close attention to this area and they will take spot films of it during the first bolus of barium into the cecum A supine and prone or bilateral oblique abdominal film may be taken when the methylcellulose has reached the terminal ileum If the distal bowel loops are not visualized a 35 degree

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1 The catheter coils in the fundus of the stomach When this occurs rolling the patient onto their right side will allow gravity to point the catheter into the body of the stomach 2 The catheter doubles back into the antrum of the stomach The Radiologist will then pull the catheter back slowly while holding the guide wire in place this will cause the tip of the

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is worth mentioning that the height of the folds may vary considerably within the same segment of the bowel thus the Radiologist visualizes the entire segment for the height of the folds

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3 The catheter is being held up at the pylorus When this occurs rolling the patient to the left LPO will widen the bulb allowing the catheter to advance into the duodenum 4 The catheter stops at the inferior duodenal flexure When this occurs it is helpful to apply pressure from a lead glove or compression paddle in order to advance the catheter toward

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Infusion of Barium

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inferior duodenal flexure When this occurs it is helpful to apply pressure from a lead glove or compression paddle in order to advance the catheter toward the superior duodenal flexure 5 The catheter has difficulties passing through the duodenojejunal junction Rolling the patient laterally left and then into a slight posterior oblique position will allow the jejunum

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Oldest Living American Passes Away October 5 2003 Trenton NJ AP Mrs Elana Slough of New Jersey documented as the nation s oldest person died Sunday at the nursing home where her Daughter died

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Rolling the patient laterally left and then into a slight posterior oblique position will allow the jejunum to fall forward and cause it to widen allowing the catheter to advance Finally the patient should be placed supine and the position of the enteroclysis catheter should be checked under fluoroscopy Once the catheter has been confirmed to be in proper

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It propels the barium into the distal ileum and the colon

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need to be manipulated any more Encourage them to take a few deep breaths to help them relax The placement of the enteroclysis catheter can be an unpleasant experience for the patient

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It distends the lumen straightens the circular folds and distends each segment Non distended loops can give a false impression of nodulation

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