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S E Rubesin

Publications and source records attributed to S E Rubesin.

107 records · Page 6Linked to original sources
PubMed1987

Lines of the pharynx.

This superbly illustrated article is an invaluable guide to the interpretation of double contrast pharyngograms.

Barium Sulfate↗
PubMed1986

Gastric involvement by omental cakes: radiographic findings.

Six cases of malignancy (3 ovarian, 1 endometrial, 1 cecal, and 1 breast) were collected in which upper gastrointestinal (UGI) examinations revealed mass effect, nodularity, flattening, and/or spiculated mucosal folds on the greater curvature of the stomach due to contiguous spread of tumor from the greater omentum. Carcinoma of the transverse colon invading the stomach via the gastrocolic ligament may produce identical radiographic findings. In 3 cases, however, barium enema (BE) examinations revealed simultaneous involvement of the transverse colon by omental tumor as well as other evidence of intraperitoneal seeding. When a UGI examination suggests gastric involvement by omental metastases or so-called omental "cakes," a BE should be performed to demonstrate associated colonic involvement and to rule out a carcinoma of the transverse colon as the cause of these radiographic findings.

Adult↗
PubMed1986

The effect of barium suspension viscosity on the delineation of areae gastricae.

The viscosity of a barium suspension is an important and controllable variable that influences the quality of mucosal detail demonstrated by double-contrast upper gastrointestinal examination. High-density barium suspensions show a notable viscosity response to seemingly trivial changes in the amount of water added. A double-blind trial involving 600 patients used E-Z-HD of the same batch number suspended with 65-70 ml water. Overall, areae gastricae covering at least 25% of the stomach surface were seen in 68.3%; no or minimal areae gastricae were seen in 31.7%. The corresponding figures for the suspension of optimal viscosity were 80% and 20%, respectively.

Barium Sulfate↗
PubMed1985

Omental cakes: colonic involvement by omental metastases.

The authors describe 7 cases of pelvic malignancy (4 ovarian, 1 bladder, 1 cervical, and 1 endometrial) in which pathological examination demonstrated involvement of the transverse colon by contiguous spread from the greater omentum. Most patients had a pelvic mass at the time of presentation. All also had evidence of intraperitoneal seeding in the anterior rectosigmoid, the superior border of the sigmoid, or the medial border of the cecum, ascending colon, or ileum. Barium-enema examination showed predominant involvement of the superior border of the transverse colon with a mass effect, nodularity, and tethered mucosal folds, although focal or diffuse areas of circumferential narrowing were also identified. This appearance may be indistinguishable from direct extension of gastric carcinoma via the gastrocolic ligament; however, a pelvic mass or intraperitoneal colonic seeding should alert the radiologist to possible malignant spread from the greater omentum.

Aged↗
PubMedDate not supplied

Esophageal stricture caused by a Motrin tablet (ibuprofen).

A 37-year-old man experienced acute odynophagia after ingesting a single tablet of Motrin (ibuprofen, 800 mg). Because the pill was swallowed without water, a transient delay in its passage through the esophagus resulted in localized mucosal inflammation and a drug-induced stricture.

Adult↗
PubMedDate not supplied

Cervical esophageal webs: association with gastroesophageal reflux.

BACKGROUND: We investigated whether there is a significant association between cervical esophageal webs and gastroesophageal reflux on pharyngoesophagography. METHODS: We studied 50 patients with cervical esophageal webs on pharyngoesophagrams and 50 control subjects. The control group was matched to the webs group for age, sex, and symptomatology. Patients with cervical esophageal webs and controls were compared to determine the prevalence of gastroesophageal reflux, hiatal hernias, reflux esophagitis, and abnormal esophageal motility. Pearson's chi-square test was used to determine any statistically significant differences in the frequencies of these findings between groups. RESULTS: Thirty-nine (78%) of 50 patients with cervical esophageal webs versus 27 (54%) of 50 patients in the control group had gastroesophageal reflux (p = 0.01). When patients were classified based on degree of gastroesophageal reflux, 22 (44%) of 50 patients with cervical esophageal webs versus 21 (42%) of 50 controls had mild reflux (p = 0.84), whereas 17 (34%) of 50 patients with webs versus six (12%) of 50 controls (p < 0.009) had moderate/marked reflux. Thus, the prevalence of moderate/marked gastroesophageal reflux was significantly greater in patients with webs than in the controls. However, no significant differences were found in the prevalence of mild gastroesophageal reflux, hiatal hernias, reflux esophagitis, or abnormal esophageal motility. CONCLUSION: We found a significant association between cervical esophageal webs and gastroesophageal reflux independent of age, sex, or symptomatology. Radiologists should be aware of this association, so that patients with cervical esophageal webs on pharyngoesophagography are evaluated for gastroesophageal reflux at the time of the barium study or advised to undergo further testing for gastroesophageal reflux disease.

Case-Control Studies↗
PubMedDate not supplied

Gastritis from NSAIDS to Helicobacter pylori.

Gastritis is a histologic diagnosis. To understand gastritis, the radiologist must have some working knowledge of gastric histology and pathology. Therefore, this article first describes normal histologic and radiologic anatomy. The pathology of gastritis is then presented to give the radiologist a basis for understanding the radiologic findings. Finally, gastritis is discussed from a clinical and radiologic perspective.

Anti-Inflammatory Agents, Non-Steroidal↗
PubMedDate not supplied

Value of barium studies for predicting primary versus secondary non-Hodgkin's gastrointestinal lymphoma.

BACKGROUND: To determine the predictive value of a single lesion versus multifocal disease for differentiating primary and secondary gastrointestinal (GI) lymphoma on barium studies. METHODS: Our study group consisted of 90 cases of non-Hodgkin's GI lymphoma from the radiologic archives of the Armed Forces Institute of Pathology in which barium studies had been performed. Each of those studies was reviewed jointly by two of the authors to determine in a blinded fashion whether the patients had a single lesion or multifocal disease (defined as two or more discrete lesions). Medical and pathologic records were then reviewed to determine whether these patients had primary (defined as lymphoma arising in the GI tract) or secondary (defined as disseminated lymphoma with associated GI tract involvement) GI lymphoma. The final clinical diagnosis was then correlated with the radiographic findings to test the hypothesis that a single lesion is more likely to be associated with primary GI lymphoma and that multifocal disease is more likely to be associated with secondary GI lymphoma. RESULTS: Sixty-eight patients had a single lesion in the GI tract on barium studies; 52 (76%) of these patients had primary GI lymphoma and 16 (24%) had secondary GI lymphoma. Another 22 patients had multifocal disease on barium studies; 20 (91%) of these patients had secondary GI lymphoma and two (9%) had primary GI lymphoma. CONCLUSION: The predictive value of a single lesion for primary GI lymphoma on barium studies was 76%, and the predictive value of multifocal disease for secondary GI lymphoma was 91%. Thus, our data suggest that it is often possible to differentiate these two forms of GI lymphoma on the basis of the radiographic findings.

Barium Sulfate↗
PubMedDate not supplied

Total proctocolectomy and ileoanal pouch: the role of contrast studies for evaluating postoperative leaks.

BACKGROUND: To assess the role of contrast enemas for the evaluation of leaks in symptomatic and asymptomatic patients after the first stage of restorative proctocolectomy. METHODS: We reviewed the findings of 59 contrast enemas in 40 patients who underwent total proctocolectomy with creation of an ileoanal pouch and a proximal diverting ileostomy. Thirty-seven patients initially underwent routine contrast studies of the ileoanal pouch, and three underwent contrast studies because of suspected fistulas or obstruction. Medical records were also reviewed to determine the clinical presentation and course of these patients. RESULTS: Of 37 patients who underwent routine postoperative contrast enemas, 33 (89%) had normal studies, three (8%) had clinically silent leaks (including two blind-ending tracks from the ileoanal anastomosis and one from the pouch), and one (3%) had pouchitis. In all three patients with unsuspected leaks, ileostomy closure was delayed. In two other patients with abdominal pain and fever, contrast enemas revealed leaks from the ileoanal pouch and distal ileum, respectively. The remaining patient had a contrast enema because of abdominal pain and distention; this patient had a distal ileal obstruction due to adhesions. CONCLUSIONS: Routine postoperative contrast studies revealed clinically silent leaks from the ileal J pouch or ileoanal anastomosis in three of 37 patients (8%) after the first stage of restorative proctocolectomy. Our findings suggest that routine contrast enema can detect clinically silent leaks after this surgery.

Adolescent↗
PubMedDate not supplied

Computed tomography vs barium studies in the acutely symptomatic patient with Crohn disease.

Gastrointestinal contrast studies and CT performed on 43 patients with known Crohn disease with acute symptoms were retrospectively reviewed to assess the ability of each study to define the location and extent of disease. In 39 of 43 (91%) patients the contrast studies and CT agreed on the location of active disease. However, in 15 of 43 (35%) patients, contrast studies demonstrated additional areas of mucosal disease remote from the major area of activity that were not suggested by CT. In addition to demonstrating more extensive mucosal disease, contrast studies proved superior in demonstrating enteroenteric fistulae, sinus tracts, strictures, postsurgical anatomy, and relation of recurrence to anastomosis. Computed tomography proved superior in demonstrating mesenteric inflammation, abscesses, enterovesical and enterocutaneous fistulae, fistula to iliopsoas muscle and to sacrum. We conclude that in the patient with suspected abscess, enterovesical or enterocutaneous fistula, CT is the study of choice. In other clinical circumstances both CT and contrast studies should be performed since they are complementary.

Acute Disease↗