Régent D, Bigard M A, Hodez C, Balzer H, Leichtmann G, Roussel J
J Radiol Electrol Med Nucl. 1976 Oct;10(57):673-81.
The authors indicate the special points relative to effective double contrast radiological exploration of the greater curvature of the stomach (high titre barium suspension, with high covering power; maximal insufflation of the gastric cavity; decubitus films always complemented by filling images in procubitus and in a vertical position. They then present the principal features which may be encountered using the method: -addition images in relation with ulcerated lesions; -lacunae indicative of localised parietal proliferation; - "double contour" appearances corresponding to infiltrating tumors with a broad surface; - "thick folds" of the greater curvature which, apart from the classical causes, should first suggest an inflammatory or tumoural process in the underlying pancreas; - extrinsic imprints, the topographical location and appearances of which may indicate their origin.
作者指出了与胃大弯有效双重对比放射学检查相关的特殊要点(高滴度钡剂悬浮液,具有高覆盖能力;胃腔最大程度充气;卧位片总是辅以俯卧位和直立位的充盈像)。然后他们介绍了使用该方法可能遇到的主要特征:- 与溃疡性病变相关的附加影像;- 提示局限性壁层增生的腔隙;- 对应于广泛表面浸润性肿瘤的“双重轮廓”表现;- 胃大弯的“厚皱襞”,除了经典原因外,首先应提示潜在胰腺的炎症或肿瘤性病变;- 外在压迹,其地形位置和表现可能表明其起源。