Bariatric Times

JUL 2017

A peer-reviewed, evidence-based journal that promotes clinical development and metabolic insights in total bariatric patient care for the healthcare professional

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16 Original Research Bariatric Times • July 2017 TABLE 1. C omputerized tomography and magnetic resonance imaging findings in study patients with further indicated testing P ATIENT C T READING C T DOSE M RI READING F URTHER TESTING 1 • NL post-bypass anatomy 7.84 mSv • NL post-bypass anatomy • Colonoscopy: NL cecum, etc. • RUQ/mid-abd cecum, possible bascule • Hepatic steatosis • Upper endoscopy: no stricture or ulcer, some suture material seen • Subtle mural thickening sigmoid colon, unchanged from 2012 2 • NL post-bypass anatomy 7.98 mSv • NL post-bypass anatomy • Upper endoscopy: NL appearance 3 • NL post-bypass anatomy 10.74 mSv • NL post-bypass anatomy • 1/7/16: GI consult-SBBO-tx'd; IBS; constipation • Large fecal load • Sub-cm pancreatic cysts; follow up r ecommended in 12 months • 1/27/16: upper endoscopy negative • Left ovarian cyst • 3/13/16 CT: NL anatomy • 3/14/16–3/15/16: admitted for pain control • 3/30/16: outpt AXR—large fecal load • 4/20/16: upper endo negative • 4/22/16: CT—NL post-bypass anatomy, small right ovarian cyst • 4/22/16–4/25/16: admitted for pain control • 4/24/16: SBFT—NL post-bypass anatomy 4 • NL post-bypass anatomy 14.49 mSv • NL post-bypass anatomy 5 • NL post-bypass anatomy 5.61 mSv • NL post-bypass anatomy • 2/6/16: colonoscopy NL • Mild thickening transverse and sigmoid colon • 2/12/16: UGI at OSH–NL post-bypass anatomy 6 • NL post-bypass anatomy 18.59 mSv • NL post-bypass anatomy • 4/22/16: consult for panni • Colonic diverticula • Mild hepatomegaly 7 • NL post-bypass anatomy 9.29 mSv • NL post-bypass anatomy • None • Hepatic steatosis and hepatomegaly • Fat-containing ventral incisional hernias • Needs follow up chest CT 3–6 months • Fat-containing ventral incisional hernias • Scarring and bronchiectasis RLL 8 • NL post-bypass anatomy 14.97 mSv • NL post-bypass anatomy • None • GERD • Probable hemangioma L3 vertebral body Abbreviations: CT: computerized tomography; MRI: magnetic resonance imaging; mSv: millisieverts; NL: normal; RUQ: right upper quadrant; SBBO: small bowel bacterial overgrowth; IBS: Irritable bowel syndrome; AXR: abdominal x-ray; SBFT: small bowel follow through; UGI: upper gastrointestinal; OSH: outside hospital ;RLL: right lower lobe ; GERD: gastroesophageal reflux disease

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