By Emil J. Balthazar, MD
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Medical and radiologic examinations can't reliably distinguish benign or inflammatory pancreatic affliction from carcinoma. The elevated use of pancreatic nice needle aspiration (FNA) in addition to advances in imaging ideas and the creation of endoscopic ultrasound counsel have resulted in a lot better detection and popularity of pancreatic lots.
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Barium sulfate: a new (old) contrast agent for diagnosis of postoperative esophageal leaks. Radiology 1997;202:360 – 2.  Rubesin SE, Beatty SM. The postoperative esophagus. Semin Roentgenol 1994;29:401 – 18.  Rubesin SE, Ruiz C, Levine MS. Principles of performing a barium swallow. Westbury, NY: E-Z-EM; 2003. p. 1 – 31.  Dodds WJ, Stewart ET, Vlymen WJ. Appropriate contrast media for evaluation of esophageal disruption. Radiology 1982;144:439 – 41.  Ahga FP, Orringer MB, Amendola MA.
Wall thickening may be of increased attenuation, reflecting blood within the lamina propria and submucosa . Absent or delayed enhancement of the bowel wall may be detected after injection of intravenous contrast material . The small bowel mesentery may also have increased attenuation caused by vascular engorgement or obstruction or leaking of intestinal contents into the interloop spaces. If a closed loop obstruction is the cause of the ischemia, CT may demonstrate the twisting of the bowel at the site of the adhesive band or internal hernia.
10. An 82-year-old man with 30-lb weight loss and mild upper mid-abdominal pain. (A,B) Two images from a CT scan at the level of the pancreatic head (h) show that the wall of the duodenum is mildly thickened and of low attenuation. ’’ In retrospect, there is stranding of the periduodenal fat (thin white arrows) and a small amount of fluid posterior to the duodenum (thick white arrow). A tiny bubble of gas is seen medially (black arrows). (C) Endoscopy was negative. 5-cm ulcer (arrow) just proximal to the papilla of Vater and thickened folds throughout the second part of the duodenum.