The multislice CT enteroclysis in bowel endometriosis detection

none4E. Biscaldi; S. Ferrero; V. Remorgida; G.A. RollandiE., Biscaldi; Ferrero, Simone; Remorgida, Valentino; Rollandi, GIAN ANDRE

[Antibiotic preparation in operations on the large intestine. Experimental study].

A controlled study was mounted to assess the possible benefit of a single phlebo administration of 600 mg lincomycin 1 hr prior to colon surgery, in addition to the erythromycin + neomycin combination proposed by Nichols, as a means of constituting a further pharmacological barrier to the spread of anaerobic bacteria. The study currently comprises two groups of 15 patients fully comparable with regard to pathology distribution and randomly assigned to the E.N. and the E.N.L. protocol respectively. Six instances of septic complication have been observed, five in the group prepared with E.N. and 1 prepared with E.N.L. No significance can be attached to the different incidence of complications in the two arms of the study, owing to the small number of cases examined

The comparison between MRI and MSCT-enteroclysis in the diagnosis of bowel endometriosis

Purpose: To compare the effectiveness of MRI and MSCT-enteroclysis (MSCTe) in determining the presence of bowel endometriosis (BEM) and the depth of bowel wall infiltration of the nodules. Material and methods: We evaluated 26 women (aged 19\u201338) with signs and symptoms suggestive of colorectal endometriosis. Patients underwent MRI (1T magnet, phased array coil, multiplanar FSET1, T1 fat sat, T2, T1 post-Gado sequences) and MSCTe (16 rows). The exams were reviewed independently by two radiologists. All women underwent laparoscopy within 2 weeks; radiological findings were compared with surgical and histological data. Statistical analysis was performed with SPSS 13.0. Results: The presence of BEM was detected by MRI in 11 (42.3%) women and by MSCTe in 12 (46.2%). Surgery confirmed BEM in 12 patients identified by MSCTe. In the diagnosis, sensibility, specificity, PPV, NPV were 91.7, 100, 100, 93.3% for MRI and 100, 100, 97, 100% for MSCTe. 21 nodules were identified by MRI and 22 by MSCTe; surgery identified 25 nodules: 13 located on the rectum, 11 at sigmoid colon, and 1 at caecum. One false positive nodule was observed at MSCTe. Among correctly identified nodules, MRI estimated the depth of infiltration to the serosa in 8 cases and to the muscularis in 13. At MSCTe, 4 nodules were judged to infiltrate the serosa, 16 to reach the muscularis propria, and 1 the mucosa. MSCTe correctly estimated the depth of nodules infiltration, significantly more frequently than MRI (p=0.048; Fisher\u2018s exact test). Conclusion: Both MRI and MSCTe reliably detect the BEM nodules; however, MSCTe is more accurate in estimating the depth of infiltration in the bowel wall

Problemi diagnostici e terapeutici nelle angiodisplasie dell\u2019apparato digerente.

[DIAGNOSTIC AND THERAPEUTIC PROBLEMS IN ANGIODYSPLASIAS OF THE DIGESTIVE TRACT] After a review of recent literature on angiodysplasias of the digestive system, a diagnostic procedure based on personal experience is proposed for haemorrhagic patients. Criteria for the selection of treatment protocols are then proposed for cases where angiodysplasia is recognised as the cause of the bleeding