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Radiology of the Postoperative GI Tract

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The focus of this book is on the normal postoperative appearance of the gastrointestinal tract and the abnormalities specific to various surgical techniques. The authors have generally avoided the topics of abscesses, leaks, and other fluid collections unless specific attention was warranted. The imaging of recurrent neoplasm was also not included unless rather unique imaging characteristics were involved. The problem of recurrent Crohn’s disease was, however, included because of the controversies regarding its clinical and radiographic features. Organ transplantation was not addressed because such procedures are performed and followed at only a few centers.

Over the last two decades the number of routine upper and lower gastrointestinal examinations has markedly decreased. More and more, the focus of conventional barium studies has shifted to the examination of the postoperative patient. The last text dedicated to the postoperative appearance of the gastrointestinal tract was published more than 30 years ago, prior to the advent of computerized tomographic and magnetic resonance imaging. Although a few review articles and several chapters in major radiology textbooks have dealt with this subject, we felt there was a need for a more comprehensive approach.

Our experience in teaching many residents has led us to realize that a knowledge of the surgical procedures themselves was at the heart of radiological comprehension, hence the emphasis on the basic principles of surgical technique in the chapters that follow. The line drawings that accompany the text were simplified to emphasize the anatomy and are not meant to be precise renditions of the actual surgical technique.
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