No abstract available.
Barium* ; Child* ; Diatrizoate Meglumine* ; Humans ; Intussusception*

PURPOSE: We compared the use of diluted gastrografin enema- and air enema CT for the evaluation of the diagnostic accuracy of preoperative lesion detection and the staging of colorectal carcinoma. MATERIALS AND METHODS: Forty-two patients (43 lesions) with colorectal carcinoma, diagnosed by barium enema and/or colonoscopy, underwent preoperative diluted (2.5%) gastrografin enema CT, and in another 26 patients (27 lesions) with colorectal carcinoma, air enema CT was performed. The presence or absence of lesion, its spread (T), and peritumoral lymph node (N) were analyzed. All patients underwent surgery and pathologic confirmation was obtained. RESULTS: Gastrografin enema CT and air enema CT demonstrated the primary tumor in 97.7% (42 of 43) and 96.3% of cases (26 of 27), respectively. A comparison of gastrografin enema CT and the pathologic results showed that the disease was correctly staged as T2 in five of six cases, as T3 in 28 of 31, and as T4 in two of five. Using air enema CT, the disease was correctly staged as T2 in three of three cases, as T3 in 17 of 21, and as T4 in one of two. Overall, carcinoma was correctly staged by gastrografin enema CT in 83% of cases (35 of 42) and by air enema CT in 81% (21 of 26). Nodal involvement was accurately detected in 64% of cases (27 of 42) using gastrografin enema CT and in 69% (18 of 26) using air enema CT. CONCLUSIONS: These findings suggest that the use of gastrografin enema or air enema CT does not significantly affect the diagnostic outcome.
Barium ; Colonoscopy ; Colorectal Neoplasms* ; Diatrizoate Meglumine ; Enema* ; Humans ; Lymph Nodes

PURPOSE: We compared the use of diluted gastrografin enema- and air enema CT for the evaluation of the diagnostic accuracy of preoperative lesion detection and the staging of colorectal carcinoma. MATERIALS AND METHODS: Forty-two patients (43 lesions) with colorectal carcinoma, diagnosed by barium enema and/or colonoscopy, underwent preoperative diluted (2.5%) gastrografin enema CT, and in another 26 patients (27 lesions) with colorectal carcinoma, air enema CT was performed. The presence or absence of lesion, its spread (T), and peritumoral lymph node (N) were analyzed. All patients underwent surgery and pathologic confirmation was obtained. RESULTS: Gastrografin enema CT and air enema CT demonstrated the primary tumor in 97.7% (42 of 43) and 96.3% of cases (26 of 27), respectively. A comparison of gastrografin enema CT and the pathologic results showed that the disease was correctly staged as T2 in five of six cases, as T3 in 28 of 31, and as T4 in two of five. Using air enema CT, the disease was correctly staged as T2 in three of three cases, as T3 in 17 of 21, and as T4 in one of two. Overall, carcinoma was correctly staged by gastrografin enema CT in 83% of cases (35 of 42) and by air enema CT in 81% (21 of 26). Nodal involvement was accurately detected in 64% of cases (27 of 42) using gastrografin enema CT and in 69% (18 of 26) using air enema CT. CONCLUSIONS: These findings suggest that the use of gastrografin enema or air enema CT does not significantly affect the diagnostic outcome.
Barium ; Colonoscopy ; Colorectal Neoplasms* ; Diatrizoate Meglumine ; Enema* ; Humans ; Lymph Nodes

Meconium plug syndrome (MPS) is the mildest and most common form of functional distal obstruction in the newborn. It is a transient obstruction of the distal colon and occasionally small bowel that is caused by inspissated immobile meconium. Neonates with MPS commonly presented with abdominal distension, bilious vomiting and problem with passage of meconium plugs. A plain abdominal radiograph often reveals generalized gaseous distention of the small bowel loops without an air-fluid level. A contrast enema is diagnostic, showing the outline of the meconium plug, and therapeutic if the plugs are passed out. In some cases of MPS there is failure to pass the meconium with the contrast enema, and emergent surgery is then required. We report here two cases of MPS that were diagnosed and treated by exploratory laparotomy and one case treated with Gastrografin enema.
Colon ; Diatrizoate Meglumine ; Enema ; Humans ; Infant, Newborn ; Laparotomy ; Meconium* ; Vomiting

Since 1929, the iodine compounds were used intravenous pyelogram by the Swick, it was accepted for the use of intravenous pyelogram in the worldwide. Nevertheless, it has several minor and major side reactions, also it has been used to IVP or cholecystography at X-ray room without prepared for side reaction or resuscitation. We have experienced a case of sever hypersensitivity reaction with the urografin during IVP at X-ray room. Here, we review with the several articles including its etiology, symptoms and treatments. Especially, we classified the mild and severe reactionsby David and Frederick from Table 1 Table 6. Furthermore we considered that t is necessary to prepared the resuscitating instruments during IVP with urografin under local or general anesthesia.
Anesthesia, General ; Cholecystography ; Diatrizoate Meglumine* ; Hypersensitivity* ; Iodine Compounds ; Resuscitation

PURPOSE: The significant drastic complications of performing laparoscopic sleeve gastrectomy (LSG) in morbidly obese patients are gastric staple line leakage and bleeding. The aim of our study is to evaluate the efficacy of the clinical data for detecting postoperative complications after LSG. METHODS: The study enrolled 150 consecutive patients who underwent LSG from January 2003 to July 2006. When abnormal data (heart rate > or = 10/min, or temperature > or = 7.5degrees C) was detected on postoperative day 1, then laboratory tests (blood, urine, chest X-ray and abdominal sonogram) and water soluble gastrografin UGIS were performed to detect the postoperative complications after LSG (group A). The patients who had normal postoperative clinical data (group B) were compared with group A. RESULTS: Of the 150 patients who underwent LSG, 9 patients (6%) had postoperative complications. Two patients had major complications: 1 case of leakage (0.6%) and 1 case of delayed bleeding (0.6%), and 4 patients had minor complications in group A. But no major complications were detected in group B (P<0.01). The heart rate and body temperature in group A were significantly faster and higher than those in group B (P<0.01). Especially, 2 patients who had major complications had severe tachycardia over 120 beats per minute (bpm). However, when the body temperature of a patient was elevated, there was no high grade fever in all the cases ( > 39degrees C). CONCLUSION: Evidence of tachycardia or a high body temperature may be useful to detect major complications after LSG. We also recommend performing laboratory test and UGIS when clinically indicated.
Body Temperature ; Diatrizoate Meglumine ; Fever ; Gastrectomy ; Heart Rate ; Hemorrhage ; Humans ; Obesity, Morbid ; Postoperative Complications ; Tachycardia ; Thorax

Intestinal obstruction is not uncommon in infants. The common causes of intestinal obstruction in the neonatal period are Hirschsprung disease, intestinal atresia, meconium ileus, and intussusception. However, small bowel obstruction caused by a congenital band is very rare. We report a 27-day-old baby who was admitted with abdominal distension and fever. The abdominal X-ray revealed massive bowel dilatation and the contrast gastrografin enema suggested a distal small bowel obstruction. The explolaparotomy showed small bowel entrapment due to an unusual anomalous congenital band.
Diatrizoate Meglumine ; Dilatation ; Enema ; Fever ; Hirschsprung Disease ; Humans ; Ileus ; Infant ; Intestinal Atresia ; Intestinal Obstruction ; Intussusception ; Meconium

PURPOSE: To measure, using spiral CT, the time interval between intraperitoneal injection of gastrografin and its renal excretion, and to demonstrate sequential change in the urinary bladder. MATERIALS AND METHODS: Five rats underwent serial CT scanning at one minute and every three minutes after the intraperitoneal injection of 0.5ml of 33 % gastrografin until opacification of the urinary bladder occurred. The procedure was repeated 15, 30, and 60mins later. We analyzed sequential change in the attenuation coefficient of the urinary bladder, as seen on CT scans and measured the time interval between gastrografin administration and opacification of the renal collecting system. RESULTS: All rats which received an intraperitoneal injection (n=5) showed opacification of the renal collecting system and urinary bladder 3 -9mins and 6.7 -1 2 .8mins, respectively, after gastrografin administration. The attenuation coefficient increased continuously until 1 hr after administration; its mean maximal level was 1 7 5 1 .6HU. CONCLUSION: The mean period required for opacification of the renal collecting system and of the urinary bladder, as seen on CT scans, was 6 mins and 9 mins, respectively, after intraperitoneal administration of gastro-grafin. The attenuation coefficient of the bladder increased continuously until 1 hr after injection.
Animals ; Diatrizoate Meglumine* ; Injections, Intraperitoneal ; Rats* ; Tomography, Spiral Computed ; Tomography, X-Ray Computed ; Urinary Bladder

BACKGROUND: During coronary angiography, some electrocardiographic changes occured due to contrast media, which do life threatening influences. METHODS: We compared the electrocardiographic changes which were induced by injection of three radiopaque contrast media during selective coronary angiography in 49 patients with chest pain. One of the contrast media was high osmolar ionic(Urografin_76) and the another was low osmolar ionic(Hexabrix) and the last was non-ionic(Ioversol). Electrocardiograms were obtained before, during and after selective coronary angiography. RESULTS: The changes of S-T segment or T were decreased in non-ionic group rather than high osmolar or ionic group. And there was significant Q-Tc interval prolongation among all three groups except comparision of low osmolar ionic contrast dye and non-ionic contrast dye in left coronary angiography. CONCLUSION: Non-ionic low osmolar contrast media was safer than high osmolar or ionic contrast medial because of lesser change of Q-Tc interval during selective coronary angiography.
Chest Pain ; Contrast Media* ; Coronary Angiography* ; Diatrizoate Meglumine ; Electrocardiography* ; Humans ; Ioxaglic Acid ; Osmolar Concentration

Percutaneous endoscopic gastrostomy (PEG) has become a safe and effective technique for enteral feeding. Colocutaneous fistula, which is a rare complication of PEG, is thought to be formed during insertion of the original PEG tube when the colon becomes interposed between the stomach and the abdominal wall. We present a patient who developed colocutaneous fistula after PEG tube exchange. Three years ago, a PEG tube for enteral feeding was placed in a 27-year-old male with cerebral palsy and severe scoliosis. Two months after PEG tube exchange, he was admitted to our hospital because fecal material was observed in the tube and exit site. The diagnosis of colocutaneous fistula was made after injection of gastrografin in the fistula opening of the abdominal wall. Endoscopic management for the fistula opening of the colon was successfully performed using metal-clips and we were able to avoid surgical therapy for the fistula.
Abdominal Wall ; Cerebral Palsy ; Colon ; Diatrizoate Meglumine ; Enteral Nutrition ; Fistula ; Gastrostomy ; Humans ; Male ; Scoliosis ; Stomach