Reappraisal of contrast media used to detect upper gastrointestinal perforations: comparison of ionic water-soluble media with barium sulfate

Radiology
M J FoleyL F Rogers

Abstract

Iodinated water-soluble compounds have been widely recommended as the most suitable contrast media for diagnosis of gastrointestinal perforations. However, the authors present 6 cases in which mucosal tears and transmural perforations of the upper gastrointestinal tract were either unrecognizable or inadequately shown during initial evaluation with methylglucamine diatrizoate. Re-examination with barium sulfate demonstrated the precise location and extent of the perforations. Reasons for the higher diagnostic yield of barium studies are explained on the basis of experimental and clinical observations.

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Related Concepts

Barium Sulfate (2: 1)
Radiographic contrast media
Hypaque
Verografin
Duodenal Ulcer
Esophageal Perforation
Intestinal Perforation
Models, Structural
Peptic Ulcer Perforation

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