Ileus x ray: Difference between revisions

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==Overview==
==Overview==


==X Ray==
==X Ray==
Abdominal radiographs demonstrate multiple air–fluid levels throughout the abdomen. Serial radiographs usually do not show progressive distention as they do in mechanical obstruction
An abdominal x-ray with barium meal (small bowel series) may be helpful in the diagnosis of ileus. Findings on an x-ray suggestive of ileus include:<ref name="pmid1352138">{{cite journal |vauthors=Tollesson PO, Cassuto J, Rimbäck G |title=Patterns of propulsive motility in the human colon after abdominal operations |journal=Eur J Surg |volume=158 |issue=4 |pages=233–6 |year=1992 |pmid=1352138 |doi= |url=}}</ref>
On a barium meal, (small bowel series) patient of ileus demonstrate slow movement of barium with a patent intestinal lumen.
*Multiple air–fluid levels throughout the abdomen.
*Multiple air-fluid levels
*Patients undergoing serial X rays have shown that resolution of ileus proceed from proximal to distally.
* return of propulsive activity to the right colon occurs earlier than to the transverse or left colon.<ref name="pmid1352138">{{cite journal |vauthors=Tollesson PO, Cassuto J, Rimbäck G |title=Patterns of propulsive motility in the human colon after abdominal operations |journal=Eur J Surg |volume=158 |issue=4 |pages=233–6 |year=1992 |pmid=1352138 |doi= |url=}}</ref>
*Dilatation of large and small bowel dilatation
*Elevated diaphragm
*Elevated diaphragm
*Ileus appears as copious gas dilatation of the small intestine and colon
*Dilatation of both large and small intestine.
*Slow movement of barium with a patent intestinal lumen.
*Serial x rays show non progressive distention as compared to progressive  distension seen in mechanical obstruction have.
*Serial x rays can also be used to detect the resolution of ileus which proceed in proximal to distally fasion. The return of propulsive activity to the right colon occurs earlier than to the transverse or left colon.


==References==
==References==

Revision as of 02:02, 31 January 2018

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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1];Associate Editor(s)-in-Chief: Akshun Kalia M.B.B.S.[2]

Overview

X Ray

An abdominal x-ray with barium meal (small bowel series) may be helpful in the diagnosis of ileus. Findings on an x-ray suggestive of ileus include:[1]

  • Multiple air–fluid levels throughout the abdomen.
  • Elevated diaphragm
  • Dilatation of both large and small intestine.
  • Slow movement of barium with a patent intestinal lumen.
  • Serial x rays show non progressive distention as compared to progressive distension seen in mechanical obstruction have.
  • Serial x rays can also be used to detect the resolution of ileus which proceed in proximal to distally fasion. The return of propulsive activity to the right colon occurs earlier than to the transverse or left colon.

References

  1. Tollesson PO, Cassuto J, Rimbäck G (1992). "Patterns of propulsive motility in the human colon after abdominal operations". Eur J Surg. 158 (4): 233–6. PMID 1352138.

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