FLUOROSCOPIA GASTROINTESTINAL: UMA ANÁLISE RETROSPECTIVA DE 2004 A 2010 NO SERVIÇO DE IMAGIOLOGIA DO HOSPITAL FERNANDO FONSECA
Resumo
endoscópicos, quer por modalidades de imagem “cross-section”. Este constante avanço tecnológico, obriga assim a uma redefinição que se vive actualmente, nas indicações para a realização dos exames fluoroscópicos para estudo do tubo digestivo.
Efectivamente, o presente artigo tem como objectivos, uma breve revisão do enquadramento histórico dos exames contrastados do tubo digestivo, principais potencialidades diagnósticas, bem como reflexão acerca das razões para o declínio
no uso destes exames, utilizando para tal uma análise descritiva dos exames fluoroscópicos do tubo digestivo realizados no
Serviço de Imagiologia do Hospital Fernando Fonseca – Portugal - durante o período de 2004 a 2010.
Através desta recolha de dados foi possível concluir que o nosso serviço acompanha o panorama internacional, demonstrando um global declínio no número de exames fluoroscópicos realizados, bem como uma redefinição das indicações para
estes, reconhecendo actualmente como principais trunfos para o uso destes exames, a avaliação única e em tempo real da
motilidade, o estudo de complicações pós cirúrgicas e a inexorável capacidade de resposta imediata.
Palavras-chave: fluoroscopia ; contraste de bário; radiologia gastrointestinal ; esofagograma; clister opaco; trânsito intestino delgado
Texto Completo:
PDFReferências
Eisenberg RL, Margulis AR. Brief history of gastrointestinal radiology. Radiographics 1991; 11: 121-132
Goldberg HI, Margulis AR. Gastrointestinal radiology in the United states: an overview of the past 50 years. Radiology. 2000; 216: 1-7.
Gore RM, Laufer I, Levine MS. Textbook of gastrointestinal radiology. Philadelphia, PA: WB Saunders Company, 1994.
Nacif MS , Rocha VM, Mello RA, Jauregui G, Couto L, Gonçalves J, et al. Análise retrospectiva do trânsito do delgado em um serviço de radiologia de hospital geral. Radiol Bras. 2004; 37: 179-183.
Rollandi GA, Biascaldi E, DeCicco E. Double contrast barium enema: technique, indications, results and limitations of a conventional imaging
methodology in the MDCT virtual endoscopy era. Eur J Radiol. 2007; 61: 382-387.
Rubesin SE, Levine MS, Laufer I, Herlinger H. Double contrast barium enema examination technique. Radiology. 2000; 215: 642-650.
Rubesin SE, Levine MS, Laufer I. Barium studies in modern radiology: do they have a role?. Radiology. 2009; 250: 18-22.
Boyajian DA, Margulis AR. The GI fluoroscopy suite in the early twenty-first century. Abdom Imaging. 2008; 33: 200-206.
Rubesin SE, Levine MS, Laufer I. Diseases of the esophagus: diagnosis with esophagography. Radiology. 2005; 237 :414-427.
Dibble C, Levine MS, Rubesin SE, Laufer I, Katzka DA. Detection of reflux esophagitis on double-contrast esophagrams and endoscopy using
the histologic findings as the gold standard. Abdom Imaging. 2004; 29: 421-425.
Gupta S, Levine MS, Rubesin SE, Katzka DA, Laufer I. Usefulness of barium studies for differentiating benign and malignant strictures of the
esophagus. AJR Am J Roentgenol. 2003; 180: 737-744.
Zimmerman SL, Levine MS, Rubesin SE, Mitre MC, Furth EE, Laufer I, et al. Idiopathic eosinophilic esophagitis in adults: the ringed esophagus. Radiology. 2005; 236: 159-165.
Kim TJ, Lee KH, Kim YH, Sung SW, Jheon S, Cho SK,Kim TJ, Lee KO, et al. Postoperative imaging of esophageal cancer: what chest radiologists need to know. Radiographics. 2009; 27: 409-429.
Rubesin SE, Levine MS, Laufer I. Double-contrast upper gastrointestinal radiography: a pattern approach for diseases of the stomach. Radiology. 2008; 246: 33-48.
Dheer S, Levine MS, Redfern RO, Metz DC, Rubesin SE, Laufer I. Radiographically diagnosed antral gastritis: findings in patients with or
without helicobacter pylori infection. Br J Radiol. 2002; 75: 805-811.
Levin AA, Levine MS, Rubesin SE, Laufer I. An 8-year review of barium studies in the diagnosis of gastroparesis. Clin Radiol. 2008; 63: 407-414.
Huang SY, Levine MS, Rubesin SE, Katzka DA, Laufer I. Large hiatal hernia with floppy fundus: clinical and radiographic findings. AJR Am J
Roentgenol. 2007; 188: 960-964.
Rubesin SE, Levine MS, Laufer I. Pattern approach for diseases of mesenteric small bowel on barium studies. Radiology. 2008; 249: 445-460.
Levine MS, Rubesin SE, Laufer I, Herlinger H. Diagnosis of colorectal neoplasms at double–contrast barium enema examination. Radiology.
; 216: 11-18.
Kung JW, Levine MS, Glick SN, Lakhani P, Rubesin SE, Laufer I. Colorectal cancer: screening double contrast barium enema examination in
average-risk adults older than 50 years. Radiology. 2006; 240: 720-735.
Wiesner W, Schob O, Hauser RS, Hauser M. Adjustable laparoscopic gastric banding in patients with morbid obesity: radiographic management, results and postoperative complications. Radiology. 2000; 216: 389-394.
Moore LE. The advantages and disadvantages of endoscopy. Clin Tech Small Anim Pract. 2003; 18: 250-253.
Hara AK. Capsule endoscopy: the end of barium small bowel examination? Abdom Imaging. 2005; 30: 179-183.
Hara AK, Leighton JA, Sharma VK, Fleischer DE. Small bowel: preliminary comparison of capsule endoscopy with barium study and TC.
Radiology. 2004; 230: 260-265.
Yee J. CT Screening for colorectal cancer. Radiographics. 2002; 22: 1525-1531.
Luboldt W, Luz O, Vonthein R, Heuschmid M, Seemann M, Schaefer J. Three-dimensional double contrast MR colonography: a display method simulating double contrast barium enema. AJR Am J Roentgenol. 2001; 176: 930-932.
Lauenstein TC, Debatin JF. Magnetic ressonance colonography with fecal tagging: an innovative approach without bowel cleansing. Top Magn
Reson Imaging. 2002; 13: 435-444.
Luboldt W, Morrin MM. MR colonography: status and prespective. Abdom Imaging. 2002; 27: 400-409.
Taylor SA, Halligan S, Saunders BP, Bassett P, Vance M, Bartram CI. Acceptance by patients of multidetector CT colonography compared with
barium enema examinations, flexible sigmoidoscopy, and colonoscopy. AJR Am J Roentgenol. 2003; 181: 913-921.
Jamieson DH, Shipman PJ, Israel DM, Jacobson K. Comparison of multidetector TC and barium studies of the small bowel. AJR Am J Roentgenol. 2003; 1280: 1211-1216.
Bose M, Bell J, Jackson L, Casey P, Saunders J, Epstein O. Virtual vs optical colonoscopy in symptomatic gastroenterology out-patients: the case
for virtual imaging followed by targeted diagnostic or therapeutic colonoscopy. Aliment Pharmacother. 2007; 26: 727-736.
Kim DH, Pickhardt PJ, Taylor AJ, Leung WK, Winter TC, Hinshaw JL, et al. CT colonoscopy versus colonoscopy for the detection of advanced
neoplasia. N Engl J Med. 2007; 357: 1403-1412.
Levin B, Lieberman DA, McFarland B, Andrews KS, Brooks D, Bond J, et al. Screening and surveillance for the early detection of colorectal
and adenomatous polyps, 2008: a joint guideline from the American Cancer Society, the US Multi-Society Task Force on Colorectal cancer, and
the American College of Radiology. Gastroenterology. 2008; 134: 1570-1595.
DiSantis D. Gastrointestinal fluoroscopy: what are we still doing? Am J Radiol. 2008; 191: 1480-1482.
Chong A, Shah JN, Levine MS, Rubesin SE, Laufer I, Ginsberg GG, et al. Diagnostic yield of barium enema examination after incomplete colonoscopy. Radiology. 2002; 223: 620-624.
Achem SR, Devault KR. Dysphagia in aging. J Clin Gastroenterol. 2005; 39: 357-371.
Apontamentos
- Não há apontamentos.
2015 - Revista Clínica do Hospital Prof. Doutor Fernando Fonseca
