SPECIAL ANGLED ROENTGENOGRAPHY FOR LESIONS OF THE RECTOSIGMOID

FIVE YEAR SURVEY, 1959-1963

¹ Department of Radiology, Scott and White Clinic, Temple, Texas
² Resident in Radiology, Scott and White Memorial Hospital and Scott, Sherwood and Brindley Foundation

At the Scott and White Clinic, special angled roentgenography has proved valuable for detecting elusive lesions of the rectosigmoid. During the 5 years from 1959 through 1963, the 16,620 roentgenographic examinations of the colon employing the barium enema yielded 5,217 positive diagnoses for 3,419 patients. The angled view was ordered 2,613 times.

[See figure in the PDF file]

This special view provided delineation for 81 of 314 lesions of the rectosigmoid region, and 34 of 35 proved carcinomas of the rectum could be seen clearly. Also, the distance of each lesion from the anal verge could be measured on the roentgenogram.

Angled roentgenograms of the rectosigmoid region are not suggested as satisfactory substitutes for proctosigmoidoscopy. The special view, however, will serve as a diagnostic adjunct when a lesion has been reported by tile proctologist. The technique should be helpful, perhaps even conclusive, in those medical practices without extensive diagnostic facilities.

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