Advertisement

Special Procedures

  • Julian Dobranowski
  • David A. Stringer
  • Sat Somers
  • Giles W. Stevenson

Abstract

Most sinus and fistula tracts can be examined by insertion of a small catheter (such as a 5 or 8 French neonatal feeding tube) into the orifice of the tract. The tube is inserted until resistance is felt, taking care that kinking of the catheter does not occur. Water-soluble contrast is then slowly injected, and spot films outlining the course of the sinus tract are obtained. These films should be taken in at least two projections (Fig. 6.1).

Keywords

Bile Duct Common Bile Duct Guide Wire Bile Duct Stone Percutaneous Transhepatic Cholangiography 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.

Preview

Unable to display preview. Download preview PDF.

Unable to display preview. Download preview PDF.

References

  1. 1.
    Baker HL, Hodgson JR (1960). Further studies on the accuracy of oral cholecystography. Radiology 74:239–245.PubMedGoogle Scholar
  2. 2.
    Ochsner SF (1970). Performance and reliability of cholecystography South Med J 63:1268–1272.PubMedCrossRefGoogle Scholar
  3. 3.
    Vas W, Salem S (1980). Cholecystosonography in diagnosis of cholelithiasis: pathologic and radiographic correlation. J Can Assoc Radiol 31:116–119.PubMedGoogle Scholar
  4. 4.
    Bartrum RJ, Harte CC, Foote SR (1977). Ultrasonic and radiographic cholecystography. N Engl J Med 296:538–541.PubMedCrossRefGoogle Scholar
  5. 5.
    Daly R, Arnaud JP, Turbelin JM, Adloff M (1981). Comparative study of sonography and oral cholecystography in gallbladder lithiasis detection. J Radiol 62:235–237.PubMedGoogle Scholar
  6. 6.
    Hessler PC, Hill DS, Detorie FM, Rocco AF (1981). High accuracy sonographic recognition of gallstones. AJR 136:517–520.PubMedGoogle Scholar
  7. 7.
    Lau SWL (1981). Diagnosis of cholelithiasis: comparison between oral cholyecystography and ultrasonography. Australas Radiol 25:48–51.PubMedCrossRefGoogle Scholar
  8. 8.
    Gelfand DW, Wolfman NT, Ott DJ, Watson NE, Chen YM, Dale WJ (1988). Oral cholecystography vs gallbladder sonography: a prospective, blinded reappraisal. AJR 151:69–72.PubMedGoogle Scholar
  9. 9.
    Sackmann M, Delius M, Sauerbruch T, Holl J, Weber W, Ippisch E, Hage-lauer U, Wess O, Hepp W, Brendel W, Paumgartner G (1988). Shock-wave lithotripsy of gallbladder stones: the first 175 patients. N Engl J Med 318:393–397.PubMedCrossRefGoogle Scholar
  10. 10.
    DeLacey G, Twomey B, Gajjar B, Levi J, Cox AG (1984). Should cholecystography or ultrasound be the primary investigation for gallbladder disease? Lancet i:205–207.CrossRefGoogle Scholar
  11. 11.
    Goldberg HI (1976). Operative and postoperative cholecystocholangiography. Semin Roentgenol 11:203–211.PubMedCrossRefGoogle Scholar
  12. 12.
    Messmer JM, Bradley JJ, Cho SR, Turner MA (1986) Bacteraemia following T-tube cholangiography: hand injection vs. gravity infusion technique. Gastrointest Radiol 11:298 (Abstr).Google Scholar
  13. 13.
    Lieberman RP, Sledor PR (1986). Pain control after percutaneous biliary drainage: local infiltration with bupivacaine and adrenaline. AJR 146:595–596.PubMedGoogle Scholar
  14. 14.
    Roesch J, Lakin PC, Antonovic R (1973). Transjugular approach to liver biopsy and transhepatic cholangiography. N Engl J Med 289:227–231.CrossRefGoogle Scholar
  15. 15.
    Gamble P, Colapinto RF, Stronell RD, Colman JC, Blendis L (1985). Transjugular liver biopsy: a review of 461 biopsies. Radiology 157:589–593.PubMedGoogle Scholar
  16. 16.
    Ferrucci JT, Mueller PR, Harbin WP (1980). Percutaneous transhepatic biliary drainage: technique, results, and applications. Radiology 135:1–13.PubMedGoogle Scholar
  17. 17.
    Fraser GM, Cruikshank JG, Sumerling MD, Buist TA (1978) Percutaneous transhepatic cholangiography with the Chiba needle. Clin Radiol 29:101–112.PubMedCrossRefGoogle Scholar
  18. 18.
    Harbin WP, Mueller PR, Ferrucci JT (1980). Transhepatic cholangiography: complications and use patterns of the fine-needle technique. Radiology 135:15–22.PubMedGoogle Scholar
  19. 19.
    Jain S, Long RG, Scott J, Dick R, Sherlock S (1977). percutaneous transhepatic cholangiography using the ‘Chiba’ needle—80 cases. Br J Radiol 50:175–180.CrossRefGoogle Scholar
  20. 20.
    Azouz EM, Hassell P, Nogrady MB, DiPaolo M (1982). Bowel opacification using ‘Telebrix 38’ for CT scanning. J Can Assoc Radiol 33:233–235.PubMedGoogle Scholar
  21. 21.
    Mitchell DG, Bjorgvinsson E, ter Meulen D, Lane P, Greberman M, Friedman AC (1985). Gastrografin versus dilute barium for colonic CT examination: a blind, randomised study. J Comput Assist Tomogr 9:451–453.PubMedCrossRefGoogle Scholar
  22. 22.
    McCarthy S, Moss AA (1984). The use of a flow rate injector for contrastenhanced computer tomography. Radiology 151:800.PubMedGoogle Scholar
  23. 23.
    Shepard JO, Dedrick CG, Spizarny DL, McLoud TC (1986). Dynamic incremental computed tomography of the pulmonary hila using a flow-rate injector. J Comput Assist Tomogr 10:369–371.PubMedCrossRefGoogle Scholar
  24. 24.
    Meyers MA (1986). Computed Tomography of the Gastrointestinal Tract, Including the Peritoneal Cavity and Mesentery. New York: Springer-Verlag, p. 7.Google Scholar
  25. 25.
    Sanders RC, McNeil BJ, Finberg HJ, Hessel SJ, Siegelman SS, Adams DF, Alderson PO, Abrams HL (1983). A preoperative study of computed tomography and ultrasound in the detection and staging of pelvic masses. Radiology 146:439–442.PubMedGoogle Scholar
  26. 26.
    Fitzsimons P, Shorvon P, Frost RA, Stevenson GW (1987). A comparison of Golytely and standard preparation for barium enema. J Can Assoc Radiol 38:109–112.Google Scholar
  27. 27.
    Megibow AJ, Zerhouni EA, Hulnick DH, Beranbaum ER, Balthazar EJ (1984). Air insufflation of the colon as an adjunct to computed tomography of the pelvis. J Comput Assist Tomogr 8:797–800.PubMedCrossRefGoogle Scholar
  28. 28.
    Megibow AJ, Balthazar EJ (1986). Computed Tomography of the Gastrointestinal Tract. St. Louis: Mosby, p. 23.Google Scholar
  29. 29.
    Foley WD, Berland CC, Lawson TC, Smith DR, Thorsen MK (1983). Contrast enhancement technique for dynamic hepatic computed tomographic scanning. Radiology 147:797–803.PubMedGoogle Scholar
  30. 30.
    Megibow AJ, Balthazar EJ (1986). Computed Tomography of the Gastrointestinal Tract. St. Louis: Mosby, p. 14.Google Scholar
  31. 31.
    Hosoki T (1983). Dynamic CT of pancreatic tumors. AJR 140:959–965.PubMedGoogle Scholar
  32. 32.
    Feczko PJ, Simms SM, Iorio J, Halpert R (1983). Gastroduodenal response to low dose glucagon. AJR 140:935–940.PubMedGoogle Scholar
  33. 33.
    Miller RE, Chernish SM, Greenman GF, Maglinte DDT, Rosenak BD, Brunelle RL (1982). Gastroduodenal response to minute doses of glucagon. Radiology 143:317–320.PubMedGoogle Scholar

Copyright information

© Springer-Verlag New York Inc. 1990

Authors and Affiliations

  • Julian Dobranowski
    • 1
  • David A. Stringer
    • 2
  • Sat Somers
    • 3
  • Giles W. Stevenson
    • 4
  1. 1.St. Joseph’s HospitalMcMaster UniversityHamiltonCanada
  2. 2.University of TorontoTorontoCanada
  3. 3.Department of RadiologyMcMaster UniversityHamiltonCanada
  4. 4.Department of RadiologyChedoke-McMaster Hospitals and McMaster UniversityHamiltonCanada

Personalised recommendations