["Very slow" cholangiography in hyperbilirubinemias and in chronic liver diseases]. / La colangiografia "lentissima" nelle iperbilirubinemie e nelle epatopatie croniche

The "ultra-slow" method for cholangiography in serious icterus due to chronic heptopathy is described. The results are related to different icterus stages. A comparison is drawn between this and conventional methods for examination of the bile ducts, assuming equal degrees of blood bilirubin.

[Diagnostic accuracy of double contrast examination in the detection of gastric polyps (author's transl)]. / Misura della accuratezza diagnostica dell'esame radiologico a doppio contrasto nel riscontro dei polipi gastrici.

Gastric polyps have been found in 2.9% of 4322 consecutive routine double contrast examination of upper gastro-intestinal tract. In 559 patients, endoscopically verified, sensitivity of radiological test was 96% and specificity 96.3%. An agreement index (K-index) was evaluated in a sample of 84 cases. The index value was 0.9 among 2 different radiologists with a similar, high experience and 0.8 among 2 radiologists with different degree of experience in double contrast examination. Our results demonstrate the validity of the double contrast study of the stomach as preliminary to endoscopy.

[Multi-institution, multidisciplinary radiology and endoscopy trial of the diagnostic accuracy of the double contrast examination of the stomach surface]. / Trial policentrico multidisciplinare radiologia-endoscopia sul rendimento diagnostico dell'esame a doppio contrasto di superficie dello stomaco.

In 12 X-ray and gastroenterology departments 1570 patients, clinically suspected to have a gastric pathology, have been examined by double contrast (surface) examination of the stomach followed by gastroscopy. Diagnostic accuracy was 93% in respect of endoscopic data, assumed correct by hypothesis. On the basis of a cost and benefit evaluation, made according to the well known criteria, a wider routine use of the double contrast technique is proposed.