Videos : Abdomen: Stomach

 

Gastric reduction surgery: A vanguard prosthesis is in place which can be tightened to surround the fundus of the stomach. This patient presented with symptoms of obstruction and one can see pills in the fundus of the stomach. The band may have been a little too tight.
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DIEP Planning: 3-D rendering defining the inferior epigastric vessels in a patient where we do pre-operative planning for breast reconstructive surgery. The key of the study is to find the inferior epigastric arteries.
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Inferior epigastric arteries: 3D Reconstruction for DIEP Block Surgery nicely showing the inferior epigastric arteries on the 3D map. This study is used for preoperative planning. Using CT to localize these vessels will save roughly 90 minutes out of a six-hour operation. The information is supplied by Dr. Rosson of Plastic Surgery at Hopkins.

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SMA Syndrome: Vascular mapping demonstrates information in a range of perspectives from sagital to coronal to 3D volume rendering. This study does show the dilated stomach and small bowel with a rapid transition at the level of the SMA.
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Achalsia: 3-D mapping and multiplanar views demonstrated multiple dilated esophagus and large amount of food within it down to the level of the EG junction consistent with the diagnosis of achalsia.
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Gastric Varices
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In this case we use VRT and MIP to define the extent of the gastric varices in real time

3D volume rendering with variation in the lighting model: Volume visualization model allows careful definition of detail of gastric folds. This was a normal patient.
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3D volume rendering

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Cirrhosis and gastric varices: Extensive varices seen with enhancing gastric wall c/w gastritis. MIP and VRT are used in this case.

 

 

All images on this site are © 2007 Elliot K. Fishman,MD.