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Commentary on Two Classic GI Studies

¹ Editorial Office, AJR, 500 22nd St. S, Whitaker Bldg., Ste.504A, Birmingham, AL 35233.

Address correspondence to R. J. Stanley (rstanley{at}uabmc.edu).

Keywords: abdomen • anastomotic strictures • fluoroscopy • gastrointestinal imaging

In numerous radiology departments, fluoroscopic contrast studies of the gastrointestinal (GI) tract are becoming a rarely performed examination. The reasons are numerous and include growing expertise in endoscopy by our gastroenterology colleagues, and the evolving availability of other imaging methods for evaluating the lumen of the GI tract. However, for some indications, the classic approach to evaluating the GI tract cannot be improved upon.

A group of authors at the University of Pennsylvania continues to expand our understanding of the postoperative GI tract at a time when many believe that there is nothing new left to report with regard to imaging in this area. New insights into nonanastomotic strictures of interposed colonic segments [1] and critical anastomatic strictures after total proctocolectomy and ileal pouch–anal anastomosis [2] add to our understanding of postoperative complications.

As a radiologist still very interested in the traditional way of studying the GI tract, I am delighted to say that these two studies will be most useful to me. At the University of Alabama, I am often involved in the evaluation of such postoperative patients. The insights provided by the University of Pennsylvania author group provide important and practical guidelines for assisting in the management of these complex patients.

References

1. Li DX, Levine MS, Rubesin SE, Laufer I. Nonanastomotic strictures after colonic interposition. AJR 2007;189 : 30-34[Abstract/Free Full Text]
2. Dolinsky D, Levine MS, Rubesin SE, Laufer I, Rombeau JL. Utility of contrast enema for detecting anastomotic strictures after total proctocolectomy and ileal pouch–anal anastomosis. AJR 2007; 189:25 -29[Abstract/Free Full Text]

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This Article Full Text (PDF) Alert me when this article is cited Alert me if a correction is posted Services Email this article to a friend Similar articles in this journal Alert me to new issues of the journal Download to citation manager Citing Articles Citing Articles via Google Scholar Google Scholar Articles by Stanley, R. J. Search for Related Content PubMed Articles by Stanley, R. J. Social Bookmarking                      What's this? Hotlight (NEW!) What's Hotlight?