Computed Tomography Enterography
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Computed Tomography Enterography
Computed tomography enterography (CT enterography, CTE) is a medical imaging technique which uses CT scan, computed tomography scanner and Contrast agent, contrast media to examine the Small intestine, small bowel. It was first introduced by Raptopoulos et al. in 1997. CT Enterography can be used to assess a variety of problems involving the small bowel, however it is mainly used to diagnosis and assess severity of Crohn's disease. ''CT enterography'' should not be confused with ''CT enteroclysis''. In CT enterography contrast media is given orally, and in CT enteroclysis contrast media is administered through a fluoroscopy-guided positioned Feeding tube, nasojejunal tube. Advantages CTE provides enough distention of the bowel not present during normal CT imaging to increase the ability to examine in lumen and internal lining of the small intestines. When the small bowel is not properly distended it can be difficult to see if there is a problem in that area. CTE also provides b ...
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Radiology
Radiology ( ) is the medical discipline that uses medical imaging to diagnose diseases and guide their treatment, within the bodies of humans and other animals. It began with radiography (which is why its name has a root referring to radiation), but today it includes all imaging modalities, including those that use no electromagnetic radiation (such as ultrasonography and magnetic resonance imaging), as well as others that do, such as computed tomography (CT), fluoroscopy, and nuclear medicine including positron emission tomography (PET). Interventional radiology is the performance of usually minimally invasive medical procedures with the guidance of imaging technologies such as those mentioned above. The modern practice of radiology involves several different healthcare professions working as a team. The radiologist is a medical doctor who has completed the appropriate post-graduate training and interprets medical images, communicates these findings to other physicians ...
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Adenoma
An adenoma is a benign tumor of epithelial tissue with glandular origin, glandular characteristics, or both. Adenomas can grow from many glandular organs, including the adrenal glands, pituitary gland, thyroid, prostate, and others. Some adenomas grow from epithelial tissue in nonglandular areas but express glandular tissue structure (as can happen in familial polyposis coli). Although adenomas are benign, they should be treated as pre-cancerous. Over time adenomas may transform to become malignant, at which point they are called adenocarcinomas. Most adenomas do not transform. However, even though benign, they have the potential to cause serious health complications by compressing other structures (mass effect) and by producing large amounts of hormones in an unregulated, non-feedback-dependent manner (causing paraneoplastic syndromes). Some adenomas are too small to be seen macroscopically but can still cause clinical symptoms. Histopathology Adenoma is a benign tumor of ...
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MR Enterography
Magnetic resonance enterography is a magnetic resonance imaging technique used to evaluate bowel wall features of both upper and lower gastro-intestinal tract, although it is usually used for small bowel evaluation. It is a less invasive technique with the advantages of no ionizing radiation exposure, multiplanarity and high contrast resolution for soft tissue. The term MR enterography and MR enteroclysis are similar, but the first is referred to a MR exam with orally administered enteric contrast media, and the second to a more invasive technique in which enteric contrast media is administered through the fluoroscopy-guided positioned nasojejunal tube. The need for imaging assessment of small bowel diseases comes from the limits of traditional endoscopy in evaluating ileum loops, as other modern techniques such as capsule endoscopy are not routinely performed as it is seldom available in most centers. Over the past several years assessment of small bowel diseases was performed ...
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Magnetic Resonance Enterography
Magnetic resonance enterography is a magnetic resonance imaging technique used to evaluate bowel wall features of both upper and lower gastro-intestinal tract, although it is usually used for small bowel evaluation. It is a less invasive technique with the advantages of no ionizing radiation exposure, multiplanarity and high contrast resolution for soft tissue. The term MR enterography and MR enteroclysis are similar, but the first is referred to a MR exam with orally administered enteric contrast media, and the second to a more invasive technique in which enteric contrast media is administered through the fluoroscopy-guided positioned nasojejunal tube. The need for imaging assessment of small bowel diseases comes from the limits of traditional endoscopy in evaluating ileum loops, as other modern techniques such as capsule endoscopy are not routinely performed as it is seldom available in most centers. Over the past several years assessment of small bowel diseases was performed ...
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Bowel Obstruction
Bowel obstruction, also known as intestinal obstruction, is a mechanical or Ileus, functional obstruction of the Gastrointestinal tract#Lower gastrointestinal tract, intestines which prevents the normal movement of the products of digestion. Either the Small intestine, small bowel or Large intestine, large bowel may be affected. Signs and symptoms include abdominal pain, vomiting, abdominal bloating, bloating and not passing flatulence, gas. Mechanical obstruction is the cause of about 5 to 15% of cases of acute abdomen, severe abdominal pain of sudden onset requiring admission to hospital. Causes of bowel obstruction include Adhesion (medicine), adhesions, hernias, volvulus, endometriosis, inflammatory bowel disease, appendicitis, Neoplasm, tumors, diverticulitis, ischemic colitis, ischemic bowel, tuberculosis and intussusception (medical disorder), intussusception. Small bowel obstructions are most often due to adhesions and hernias while large bowel obstructions are most often ...
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Vasa Recta (intestines)
''For the kidney structure, see straight arterioles of kidney'' Vasa recta are straight capillaries coming off from arcades in the mesentery of the jejunum and ileum, and heading toward the intestines. The arcades are anastomoses of the jejunal and ileal arteries, branches of superior mesenteric artery. The vasa recta of the jejunum are long and few, compared to the ileum where they are numerous and short. See also * Intestinal arteries The intestinal arteries arise from the convex side of the superior mesenteric artery. They are usually from twelve to fifteen in number, and are distributed to the jejunum and ileum. Nomenclature The term "intestinal arteries" can be confusing, b ... Additional images File:Gray535.png, Loop of small intestine showing distribution of intestinal arteries. External links * {{Arteries of abdomen Arteries of the abdomen ...
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Glucagon
Glucagon is a peptide hormone, produced by alpha cells of the pancreas. It raises concentration of glucose and fatty acids in the bloodstream, and is considered to be the main catabolic hormone of the body. It is also used as a Glucagon (medication), medication to treat a number of health conditions. Its effect is opposite to that of insulin, which lowers extracellular glucose. It is produced from proglucagon, encoded by the ''GCG'' gene. The pancreas releases glucagon when the amount of glucose in the bloodstream is too low. Glucagon causes the liver to engage in glycogenolysis: converting stored glycogen into glucose, which is released into the bloodstream. High blood-glucose levels, on the other hand, stimulate the release of insulin. Insulin allows glucose to be taken up and used by insulin-dependent tissues. Thus, glucagon and insulin are part of a feedback system that keeps blood glucose levels stable. Glucagon increases energy expenditure and is elevated under conditions of ...
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Methyl Cellulose
Methyl cellulose (or methylcellulose) is a compound derived from cellulose. It is sold under a variety of trade names and is used as a thickener and emulsifier in various food and cosmetic products, and also as a bulk-forming laxative. Like cellulose, it is not digestible, not toxic, and not an allergen. In 2020, it was the 422nd most commonly prescribed medication in the United States, with more than 100thousand prescriptions. Uses Methyl cellulose has a wide range of uses. Medical Constipation Methyl cellulose is used to treat constipation. Effects generally occur within three days. It is taken by mouth and is recommended with sufficient water. Side effects may include abdominal pain. It is classified as a bulk forming laxative. It works by increasing the amount of stool present which improves intestinal contractions. It is available over the counter. It is sold under the brand name Citrucel among others. Artificial tears and saliva The lubricating property of me ...
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Sugar Alcohol
Sugar alcohols (also called polyhydric alcohols, polyalcohols, alditols or glycitols) are organic compounds, typically derived from sugars, containing one hydroxyl group (–OH) attached to each carbon atom. They are white, water-soluble solids that can occur naturally or be produced industrially by hydrogenation of sugars. Since they contain multiple –OH groups, they are classified as polyols. Sugar alcohols are used widely in the food industry as thickeners and sweeteners. In commercial foodstuffs, sugar alcohols are commonly used in place of table sugar (sucrose), often in combination with high-intensity artificial sweeteners, in order to offset their low sweetness. Xylitol and sorbitol are popular sugar alcohols in commercial foods. Chemical structure Sugar alcohols have the general formula HOCH2(CHOH)''n''CH2OH. In contrast, sugars have two fewer hydrogen atoms, for example HOCH2(CHOH)''n''CHO or HOCH2(CHOH)''n''−1C(O)CH2OH. The sugar alcohols differ in chain length. ...
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Barium
Barium is a chemical element with the symbol Ba and atomic number 56. It is the fifth element in group 2 and is a soft, silvery alkaline earth metal. Because of its high chemical reactivity, barium is never found in nature as a free element. The most common minerals of barium are baryte ( barium sulfate, BaSO4) and witherite (barium carbonate, BaCO3). The name ''barium'' originates from the alchemical derivative "baryta", from Greek (), meaning 'heavy'. ''Baric'' is the adjectival form of barium. Barium was identified as a new element in 1774, but not reduced to a metal until 1808 with the advent of electrolysis. Barium has few industrial applications. Historically, it was used as a getter for vacuum tubes and in oxide form as the emissive coating on indirectly heated cathodes. It is a component of YBCO (high-temperature superconductors) and electroceramics, and is added to steel and cast iron to reduce the size of carbon grains within the microstructure. Barium compounds ar ...
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Metoclopramide
Metoclopramide is a medication used for stomach and esophageal problems. It is commonly used to treat and prevent nausea and vomiting, to help with emptying of the stomach in people with delayed stomach emptying, and to help with gastroesophageal reflux disease. It is also used to treat migraine headaches. Common side effects include: feeling tired, diarrhea, and feeling restless. More serious side effects include: movement disorder like tardive dyskinesia, a condition called neuroleptic malignant syndrome, and depression. It is thus rarely recommended that people take the medication for longer than twelve weeks. No evidence of harm has been found after being taken by many pregnant women. It belongs to the group of medications known as dopamine-receptor antagonists and works as a prokinetic. In 2012, metoclopramide was one of the top 100 most prescribed medications in the United States. It is available as a generic medication. It is on the World Health Organization's List ...
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Meckel's Diverticulum
A Meckel's diverticulum, a true congenital diverticulum, is a slight bulge in the small intestine present at birth and a vestigial remnant of the omphalomesenteric duct (also called the vitelline duct or yolk stalk). It is the most common malformation of the Human gastrointestinal tract, gastrointestinal tract and is present in approximately 2% of the population, with males more frequently experiencing symptoms. Meckel's diverticulum was first explained by Fabricius Hildanus in the sixteenth century and later named after Johann Friedrich Meckel, who described the embryological origin of this type of diverticulum in 1809. Signs and symptoms The majority of people with a Meckel's diverticulum are asymptomatic. An asymptomatic Meckel's diverticulum is called a ''silent'' Meckel's diverticulum. If symptoms do occur, they typically appear before the age of two years. The most common presenting symptom is painless rectal bleeding such as melaena-like black offensive stools, followed by i ...
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