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  • 1
    ISSN: 1432-0460
    Keywords: Deglutition Pharynx, dysfunction ; Cineradiography
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Notes: Abstract Cineradiographic examinations of 72 patients with dysphagia and normal or abnormal studies demonstrating a range of pharyngeal dysfunctions during swallowing were retrospectively reviewed independently by six radiologists. The interobserver variability was then assessed. There was high concordance for the assessment of contrast medium reaching into the trachea, absent pharyngeal constriction, and the presence of Zenker diverticula. The concordance was less for normal pharyngeal function as well as decreased pharyngeal constriction and cricopharyngeal muscle impression less than 50%. The number of disagreements varied according to the observer's experience. Cineradiographic examinations of pharyngeal function during swallow had an acceptable degree of interobserver variability and can be a useful tool for the evaluation of pharyngeal function in patients with dysphagia.
    Type of Medium: Electronic Resource
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  • 2
    Electronic Resource
    Electronic Resource
    Springer
    Abdominal imaging 7 (1982), S. 383-389 
    ISSN: 1432-0509
    Keywords: Barium double-contrast enema ; Colon, radiography ; Colon, effects of drugs
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Notes: Abstract The purgative effect of bisacodyl, anthraquinone glycosides (Cascara), and sodium picosulfate, alone or in combination with a saline purge and a tap water enema, was studied in 1200 patients. The cleansing effect was scored with regard to retained fecal residue evident on double-contrast studies of the colon. The combination of a contact laxative and a saline purge produced good cleansing effect in 52%–80% of the patients. With an additional tap water enema given 1 hour before the colon examination, however, 96% of the colons were clean. The taste and the effects of the cleansing systems were tolerated favorably by more than 90% of the patients. However, 17% reported restriction in work capacity on the day of bowel cleansing.
    Type of Medium: Electronic Resource
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  • 3
    ISSN: 1432-0509
    Keywords: Barium enema examination ; Colon roentgenography ; Colorectal polyps ; Colon histopathology ; Medical statistics ; Medical decision making
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Notes: Abstract A total of 2,118 consecutive patients, examined with double-contrast examination of the large bowel (DCE), were evaluated radiographically, clinically, and endoscopically for up to 48 months. A total of 402 polyps were diagnosed during the follow-up period. Of these, 307 were revealed at the first DCE and 95 at subsequent endoscopy or autopsy. The accuracy of the DCE for demonstrating or excluding patients with polypoid lesions of the colon was 97%, whereas the predictive value of a positive DCE report was 96% and a negative one, 97%. However, the ability to demonstrate every known polyp at DCE was only 63%, although the probability of a polypoid lesion demonstrated at DCE being a true polyp was 92%.
    Type of Medium: Electronic Resource
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  • 4
    ISSN: 1530-0358
    Keywords: Extent ; Indeterminate colitis ; Inflammation ; Relapse ; Ulcerative colitis
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Notes: Abstract PURPOSE: Changes in morbidity pattern of ulcerative colitis have created a need to update understanding of the course of the disease. METHOD: A follow-up study was done of relapse rates and progression of inflammation in 571 nonselected patients with ulcerative and indeterminate colitis. RESULTS: Relapse rate ten years after diagnosis was 70 percent in definite ulcerative colitis, 22 percent in probable ulcerative colitis, and 77 percent in indeterminate colitis. During the study period, there was no change in the relapse rate. In relapsing proctitis, 52 percent developed more extensive inflammation. Fifty-four percent of patients with only one attack of colitis had persistent signs of inflammatory bowel disease. CONCLUSIONS: Shift in morbidity pattern to a greater proportion of patients with proctitis at diagnosis and a shorter time from onset of symptoms to diagnosis had no influence on the relapse rate. Indeterminate colitis has a worse prognosis than definite ulcerative colitis. Considering the documented efficacy of sulfasalazine, the high relapse rate calls for studies of the effectiveness of such treatment in everyday practice.
    Type of Medium: Electronic Resource
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