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Risks of contrast media applied via the gastrointestinal route

Published:April 14, 2017DOI:https://doi.org/10.1016/j.ejim.2017.04.005
      Diagnostic imaging procedures of the gastrointestinal tract are most commonly performed following administration of contrast media (CM), either enteric, IV, or both. Barium or iodinated CM in concert with X-ray based imaging modalities and gadolinium-based contrast agents (GBCA) for magnetic resonance imaging are frequently utilized to improve delineation of the gastrointestinal tract. Based on previously published data, iodinated CM are utilized for an estimated >100 million procedures and GBCA for an estimated >30 million procedures worldwide every year [
      • Brenner D.J.
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      Computed tomography: an increasing source of radiation exposure.
      ,
      • Larson D.
      • Johnson L.
      National trends in CT use in the emergency department: 1995–2007.
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      • Böhm I.
      • Morelli J.
      • Nairz K.
      • Silva Hasembank Keller P.
      • Heverhagen J.T.
      Myths and misconceptions concerning contrast media-induced anaphylaxis: a narrative review.
      ].
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