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Diseases of the Colon, Rectum and Anus. Tutorials in by Basil C. Morson

By Basil C. Morson

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Additional resources for Diseases of the Colon, Rectum and Anus. Tutorials in Postgraduate Medicine

Sample text

13 Strictures in Crohn's disease: (top) "purse string", "string", stricture at ileo-colic anastomosis ac­ companied by a "skip" lesion of the proximal ileum, (bottom) "plaque", concentric stricture, extrinsic pressure. localized contraction of part of the circumference, giving a depressed appearance. Since the healthy haustra opposite fill normally the appearance suggests a purse string effect. Very long narrow strictures also occur very much as the "string" sign of Kantor does in the terminal ileum.

1963). Paraplegia 1, 98. Donnellan, W. L. (1965). Gastroenterology 49, 496. Dubos, R. (1966). Gastroenterology 51, 868. Shields, R. and Miles, J . B. (1965). Postgrad. Med. J. 41, 435. Truelove, S. C. (1966). Physiol. Rev. 46, 457. Chapter Three Clinical Diagnosis and the Use of Instruments H. E. L O C K H A R T - M U M M E R Y As in other branches of medicine the establishment of diagnosis in diseases in the rectum and colon depends on the history, careful clinical examination and the use of ancillary investigations.

Firstly the diet must be restricted in order to prevent solid matter from passing into the colon from the ileum during 38 RADIOLOGY 39 the course of examination. Secondly, faeces must be softened and removed as far as possible by an aperient, and thirdly faeces remaining in the colon must be cleared away mechanically immediately before the examination. FIG. 1 (a) The barium filled transverse colon shows an irregular filling defect. carcinoma. A preliminary film is taken when the patient makes his appointment for his barium enema.

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