This comprehensive monograph has followed a recent fortunate trend in radiographic textbooks: it is a diagnostic atlas with an effort to correlate roentgenographic findings with clinical picture. The authors are certainly experts in their field, and the text should become a radiographic classic. The basic approach is that of "pattern recognition," an interpretive technique emphasized in the senior author's lectures and courses.
The first chapter details the technique of roentgenographic examination of the small bowel. It emphasizes the importance of this examination even though abnormalities are found on upper-gastrointestinal tract study or on barium enema. The authors advise against use of USP barium sulfate for this examination due to its tendency to flocculate; micropulverization of the contrast media and the addition of a suspending agent has facilitated the recognition of small-intestinal diseases. They also advise against hypertonic iodinated water-soluble compounds in patients with chronic or incomplete obstruction; they recommend