Bedside Small Bowel Follow-Through: The Role in the Management of Adhesive Small Bowel Obstruction.

Background:  Adhesive small bowel obstruction (ASBO) accounts for the majority of hospitalizations related to SBO following abdominal surgery. Delays in the management of ASBO are associated with longer hospital stays and increased mortality rates, making it imperative to establish an efficient way of determining which patients need surgical intervention.

Purpose: To evaluate the contribution of bedside small bowel follow-through (BSBFT) in the management of suspected ASBO.

Beyond visualizing the bird beak: esophagram, timed barium esophagram and manometry in achalasia and its 3 subtypes.

Achalasia is a rare esophageal motility disorder characterized by lack of primary peristalsis and a poorly relaxing lower esophageal sphincter. This disease process can be examined several ways and these evaluations can offer complementary information. There are three manometric subtypes of achalasia, with differing appearances on esophagram.

Successful Non-Operative Management of Adhesive Small Bowel Obstruction: Is it Really a Success?

Background: In adhesive small bowel obstructions (ASBOs), literature has shown that passage of a water-soluble contrast challenge at either 8 hours or 24 hours is predictive of successful non-operative management (NOM) for an ASBO, but the long-term outcomes between these two groups are unknown. We hypothesized that patients who require longer transit times to the colon have a higher one-year recidivism of ASBO.

Methods: This was a 4-year review of patients with presumed ASBO undergoing successful NOM.

CT Attenuation of Acute Subdural Hematomas in Patients with Anemia.

Background And Purpose: Isodense and hypodense acute subdural hematomas have been reported in the literature in anemic patients. The purpose of this study is to see if there is a statistically significant difference between the Hounsfield unit measurements of acute subdural hematomas in anemic and nonanemic patients.

Methods: A total of 109 patients were analyzed.

Porcelain Gallbladder: Is Observation a Safe Option in Select Populations?

Background: Management of gallbladder wall calcifications has been controversial for many decades. Although the traditionally perceived strong association with gallbladder cancer mandated prophylactic cholecystectomy, newer evidence suggests a much lesser association and might indicate an observational approach.

Study Design: A retrospective cohort study of 113 patients with gallbladder wall calcifications diagnosed between 2004 and 2016 at a single institution was conducted.

Diffusion-tensor imaging derived metrics of the corpus callosum in children with neurofibromatosis type I.

Objective: MR morphometric studies have suggested that structural brain abnormalities including corpus callosum enlargement may, in part, explain cognitive deficits in children with neurofibromatosis type 1 (NF-1). Diffusion tensor imaging (DTI) metrics of the corpus callosum in adults with NF-1 have recently been reported, but such studies in children with NF-1 are needed. The purpose of this study was to quantify the DTI metrics at 3 T of different regions of the corpus callosum in children with NF-1.