[Fundoplication and additional gastric vagotomy in the treatment of reflux disease. Preliminary results (proceedings)].
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Biomedical subjects
Publications and source records attributed to S Realini.
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Radiology has a permanent role to play in the diagnosis of tumors of the small bowel. The barium meal remains the examination of choice, arteriography of the celiac and superior mesenteric arteries being an important complementary procedure. The experience and clinical sense of the examiner play a predominant part in the differential diagnosis of a tumoral lesion of the small bowel, but a precise radiological technique retains its value.
Study of 100 cases of duodenal ulcer has revealed disagreement between radiologic and endoscopic findings. In 20 percent of cases the disagreement was minor (e.g. deformed duodenum - ulcer, deformed duodenum - scar, etc.). In 5 percent of cases they were major (e.g. normal - ulcer). The percentage of discrepancies, which were to the advantage of endoscopy, was lower than in the reports of JENNI and KAWAI, probably because our heterogeneous radiologic material was reviewed beforehand by two radiologists. The specific merit of endoscopy is that it makes it possible to observe superficial and sub-radiologic lesions of the mucosa, localize the ulcer with greater precision and detect deformation of the pylorus. Radiology affords better evidence of certain deformations.
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