Study of Colon by Use of High-Kilovoltage Spot-Compression Technique

Figiel, Steven J.

doi:10.1001/jama.1958.02990110005002

Cited by 14 publications

(4 citation statements)

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“…The relative merits of the double contrast enema technique and the high kilovoltage spot pressure roentgenographic approach have not been settled. It seems that in America the trend is to relegate the double contrast enema merely to a confirmatory role in selective cases [1,10,14].…”

Section: Diagnosis Of Colon Lesionsmentioning

confidence: 99%

“…Over the years, many modifications were made in technique, but the principal effective ones were those introduced by Fischer [2] in the form of the double contrast enema and by Gianturco [9] in the use of high kilovoltage spot compression techniques. It is curious how long it takes for such improvements to become generally adopted [1,2, 5,17]. What is still not everywhere appreciated is the fact that many small lesions, especially polyps and diverticula of the colon, cannot always be seen by fluoroscopic examination and that it requires good roentgenographic techniques to disclose them [8].Adequate preparation of the colon prior to a barium enema study is another subject which has received much attention [1,12,18].…”

mentioning

confidence: 99%

“…It is curious how long it takes for such improvements to become generally adopted [1,2, 5,17]. What is still not everywhere appreciated is the fact that many small lesions, especially polyps and diverticula of the colon, cannot always be seen by fluoroscopic examination and that it requires good roentgenographic techniques to disclose them [8].Adequate preparation of the colon prior to a barium enema study is another subject which has received much attention [1,12,18]. Purgatives and cleansing enemas are generally agreed to be necessities [16].…”

mentioning

confidence: 99%

“…Adequate preparation of the colon prior to a barium enema study is another subject which has received much attention [1,12,18]. Purgatives and cleansing enemas are generally agreed to be necessities [16].…”

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confidence: 99%

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A Review of Current X-ray Techniques for the Examination of the Colon

Gershon-Cohen

Hermel

1959

Proceedings of the Royal Society of Medicine

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Supplement 59 spread and cause disease. When the nursing is good most types of staphylococci will not spread from patient to patient: spreading infection with us has been confined to a few epidemic types.Based on these findings our policy for the control of staphylococcal cross-infection-including enterocolitis-has been the isolation, if possible, of patients infected with or carrying tetracycline-resistant staphylococci. We have found it to be successful, although for type-80 -strains of staphylococci and possibly others, isolation of infected patients only has not been sufficient; isolation of carriers has also been required. Our patients have been isolated in the ward side rooms, and nursed with a strict barrier technique. Some other workers have found isolation to fail. A possible reason for the discrepancy is the direction of flow of air currents. In our ward air was sucked from the open ward along the approach passage until it reached the main hospital corridor. In passing it eddied into the side wards, and on emerging rejoined the stream flowing away from the ward. Tests based on the isolation of staphylocovci liberated in the ward or side room confirmed the direction of the airflow.Wounds at operation can be infected by airborne staphylococci and it is accepted that faulty ventilation in the operation theatre may be responsible for sepsis. It is probable that in the ward effective isolation of patients with staphylococci will require air movements whose course is known and perhaps controlled. WHEN it was first recognized that physiologic inert barium sulfate could be used for enema studies of the colon, the diagnostic possibilities soon became apparent. Over the years, many modifications were made in technique, but the principal effective ones were those introduced by Fischer [2] in the form of the double contrast enema and by Gianturco [9] in the use of high kilovoltage spot compression techniques. It is curious how long it takes for such improvements to become generally adopted [1,2, 5,17]. What is still not everywhere appreciated is the fact that many small lesions, especially polyps and diverticula of the colon, cannot always be seen by fluoroscopic examination and that it requires good roentgenographic techniques to disclose them [8].Adequate preparation of the colon prior to a barium enema study is another subject which has received much attention [1,12,18]. Purgatives and cleansing enemas are generally agreed to be necessities [16]. Some advise the use of tannic acid, both for the preparatory enema and contrast air studies in order to reduce mucous secretions and to stimulate good evacuation [12].

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Section: Diagnosis Of Colon Lesionsmentioning

confidence: 99%

mentioning

confidence: 99%

mentioning

confidence: 99%

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confidence: 99%

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