FLUOROSCOPIA GASTROINTESTINAL: UMA ANÁLISE RETROSPECTIVA DE 2004 A 2010 NO SERVIÇO DE IMAGIOLOGIA DO HOSPITAL FERNANDO FONSECA

Diana Penha, Ana Costa

Resumo


As últimas décadas têm sido marcadas por enormes avanços nos meios de diagnóstico gastrointestinal, quer por estudos
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:

PDF

Referências


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