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Ileo meccanico dell’intestino tenue : Aspetti TC e correlazioni eco-radiografiche = Mechanical ileus of the small intestine : CT aspects and echo-radiographic correlations
Mechanical occlusion of the small intestine is a frequently encountered clinical problem, whose clinical-instrumental management is made difficult by the complexity of the mechanisms responsible for the occlusive picture. The role of the radiologist is to promptly guide the therapeutic process on the basis of a correct interpretation of the iconographic pictures. The purpose of this volume - the only one of its kind - is to relate the pathophysiology of occlusion to imaging. The rich iconography, which ranges from clinical onset to resolution, emphasizes the role of multidetector computed tomography with intravenous contrast, which is the current gold standard. However, the correlations with the echo-radiographic methods are not forgotten, which retain an effective diagnostic role, with a low biological and economic cost. The mechanical ileus of the small intestine is a striking example in support of the dream of many professionals: that, that is, to have a figure of a fine abdominal emergency radiologist, an expert in organ and disease and not only in the machine, as often unfortunately it happens.
Emergency Radiology : Imaging and Intervention
There is an increasing trend towards the use of tries, hospital emergency departments have become a MDCT to evaluate traumatic injuries and non-traumatic major part of the healthcare safety net. In the last decade emergencies. The use of workstations for reporting and for economically-driven structural changes in health care further image reconstruction becomes standard practice. delivery have caused a dramatic increase in emergency On the occasion of the European Congress of Radiology department visits. In response to capacity and staffing (ECR) 2003 and 2004 a Categorical Course on “Emergency pressures, hospitals are developing and implementing a Radiology”has been organized to assess current devel- variety of strategies designed to improve patient flow and ments and concepts in this rapidly growing field. reduce overcrowding in the emergency department. Numerous radiologists,all outstanding and international- Several factors are considered critical for success, such as ly renowned experts in their field,have made superb c- having the right multidisciplinary teams in place and opti- tributions in an ECR syllabus.
