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Estimation of effective dose and radiation risk in pediatric barium studies procedures.

Appl Radiat Isot

August 2018

Centre for Nuclear and Radiation Physics, Department of Physics, University of Surrey, Guildford, Surrey GU2 7XH, United Kingdom; Sunway University, Institute for Health Care Development, Jalan Universiti, 46150 PJ, Malaysia.

The objectives of this study are to assess pediatric radiation exposure in certain barium studies and to quantify the organ and effective doses and radiation risk resultant from patients' irradiation. A total of 69 pediatric barium studies for upper and lower gastrointestinal tract. Patients' radiation dose was quantified in terms of Entrance surface air kerma (ESAKs) using exposure parameters and DosCal software.

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Article Synopsis
  • SMA syndrome is a rare condition causing duodenal obstruction due to the overlying superior mesenteric artery, with a case review identifying seven patients (one male, six females) with an average age of 17.1 years who presented primarily with vomiting and abdominal pain.
  • The diagnosis was typically not suspected until after radiological evaluations, which included gastrografin/barium meals and CT scans; four patients responded to medical treatment, while three required surgical interventions (two open duodenojejunostomy and one laparoscopic dissection).
  • The study emphasizes that, despite shared symptoms with other conditions, SMA syndrome has distinct radiological features, and initial conservative treatment is recommended, followed by surgical options if necessary for a lasting cure.
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Oral Gastrografin®, a hyperosmolar water-soluble contrast medium, may have a therapeutic effect in adhesive small bowel obstruction. However, findings are still conflicting, as some authors did not find a therapeutic advantage. So, this prospective, randomized, and clinical trial study was designed to determine the value of Gastrografin in adhesive small bowel obstruction.

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Esophageal perforation in achalasia is rare. The risk would mainly follow pneumatic dilatation, and spontaneous perforation has not been described. We report a case of spontaneous rupture of the midesophagus in a 56-year-old woman with treated achalasia in whom the perforation occurred during a meal and was not preceded by emesis.

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Purpose: The aim of our prospective study was to compare patient tolerance of laxative free fecal tagging regimen (LFT) versus traditional cathartic cleansing (TC).

Materials And Methods: 264 patients, at average risk for development of colorectal cancer (105 men and 159 women; mean age 62 years ± 5 SD), underwent 32 rows CT colonography. Patients were alternatively placed into 2 study groups: Group 1 (n = 132) followed TC and Group 2 (n = 132) LFT.

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