Title

CT of the pancreas with a fat-density oral contrast regimen

UMMS Affiliation

Department of Radiology

Publication Date

6-1-1988

Document Type

Article

Subjects

Administration, Oral; Contrast Media; Corn Oil; Duodenum; Humans; Metoclopramide; Middle Aged; Pancreas; Prospective Studies; *Tomography, X-Ray Computed

Disciplines

Life Sciences | Medicine and Health Sciences

Abstract

Visualization of the head of the pancreas by CT was prospectively evaluated in two groups of 100 patients who did not have pancreatic disease. Patients were given either a fat-density oral contrast material (12.5% corn-oil emulsion and metoclopramide) or a conventional high-density oral contrast material (barium suspension or iodinated solution). There was no statistically significant difference in the subjects' tolerance to the two regimens. There was, however, a significant improvement in ability to distinguish the head of the pancreas from the duodenal C-loop when the fat-density contrast material was given. When pancreaticoduodenal discrimination was graded, patients given corn-oil emulsion and metoclopramide received an average score of 0.94, whereas those given the high-density agent received an average score of 0.74, with 1.00 being the highest possible score (p less than .005). These data suggest that for routine CT evaluation of the head of the pancreas, a combination of corn-oil emulsion and metoclopramide may be superior to the conventional high-density oral contrast agents given without metoclopramide.

Rights and Permissions

Citation: AJR Am J Roentgenol. 1988 Jun;150(6):1303-6.

DOI of Published Version

10.2214/ajr.150.6.1303

Related Resources

Link to article in PubMed

Journal/Book/Conference Title

AJR. American journal of roentgenology

PubMed ID

3259368