CT enteroclysis: technique and clinical applications View Full Text


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Article Info

DATE

2005-10-12

AUTHORS

Sabine Schmidt, Christian Felley, Jean-Yves Meuwly, Pierre Schnyder, Alban Denys

ABSTRACT

CT enteroclysis (CTE) has been gradually evolving with technical developments of spiral and multidetector row CT technology. It has nowadays become a well-defined imaging modality for the evaluation of various small bowel disorders. Volume challenge of 2L of enteral contrast agent administrated to the small bowel via a nasojejunal catheter ensures luminal distension, the prerequisite for the detection of mural abnormalities, also facilitating the accurate visualization of intraluminal lesions. CT acquisition is centered on small bowel loops, reconstructed in thin axial slices and completed by multiplanar views. Image analysis is essentially done in cine-mode on work-stations. CTE is of particular diagnostic value in intermediate or advanced stages of Cohn's disease, including the depiction of extraintestinal complications. It has become the imaging modality of choice for the localization and characterization of small bowel tumors. The cause and degree of low-grade small bowel obstruction is more readily analyzed with the technique of CTE than conventional CT. Limitations of CTE concern the assessment of pure intestinal motility disorders, superficial mucosal lesions and arteriovenous malformations of the small bowel, which are not consistently visualized. CTE should be selectively used to answer specific questions of the small bowel. It essentially contributes to the diagnostic quality of modern small bowel imaging, and therefore deserves an established, well-defined place among the other available techniques. More... »

PAGES

648-660

References to SciGraph publications

  • 1979-12. Enteroclysis: The small bowel enema in ABDOMINAL RADIOLOGY
  • 2002-04-30. Multiplanar spiral CT enterography in patients with Crohn's disease using a negative oral contrast material: initial results of a noninvasive imaging approach in EUROPEAN RADIOLOGY
  • 1991-12. Diagnosis and categorization of small bowel neoplasms: Role of computed tomography in GASTROINTESTINAL RADIOLOGY
  • 2002-11-01. Initial experience of wireless-capsule endoscopy for evaluating occult gastrointestinal bleeding and suspected small bowel pathology in THE AMERICAN JOURNAL OF GASTROENTEROLOGY
  • 2002-06-04. MR enteroclysis: technical considerations and clinical applications in EUROPEAN RADIOLOGY
  • 2000-11. Accuracy of enteroclysis in Crohn's disease of the small bowel: a retrospective study in EUROPEAN RADIOLOGY
  • 1999-11. Mehrschicht- Computertomographie des Dünndarms Vorläufige Ergebnisse in DIE RADIOLOGIE
  • 2002-10-24. Prospective comparison of MR enteroclysis with multidetector spiral-CT enteroclysis: interobserver agreement and sensitivity by means of "sign-by-sign" correlation in EUROPEAN RADIOLOGY
  • 2004-11-24. Multidetector CT enteroclysis: comparison of the reading performance for axial and coronal views in EUROPEAN RADIOLOGY
  • 1996-12. Gastrointestinal bleeding of obscure origin: role of enteroclysis in EUROPEAN RADIOLOGY
  • 1997-06. Imaging of primary small intestinal tumours by enteroclysis and CT with pathological correlation in EUROPEAN RADIOLOGY
  • 1986. Dünndarmradiologie in NONE
  • 2000-08. MRI in the diagnosis of small bowel disease: use of positive and negative oral contrast media in combination with enteroclysis in EUROPEAN RADIOLOGY
  • 2003-01. Die Computertomographie in der Diagnostik entzündlicher Darmerkrankungen: Methodik der MSCT und klinische Ergebnisse in DIE RADIOLOGIE
  • 2002. New Developments in Imaging the Small Bowel with Multislice Computed Tomography and Negative Contrast Medium in MULTISLICE CT
  • 1998-01. Comparison of computed tomography-enteroclysis and traditional computed tomography in the setting of suspected partial small bowel obstruction in EMERGENCY RADIOLOGY
  • 1999-11. Spiral CT of the abdomen after distention of small bowel loops with transparent enema in patients with Crohn's disease in ABDOMINAL RADIOLOGY
  • Identifiers

    URI

    http://scigraph.springernature.com/pub.10.1007/s00330-005-0005-4

    DOI

    http://dx.doi.org/10.1007/s00330-005-0005-4

    DIMENSIONS

    https://app.dimensions.ai/details/publication/pub.1018705461

    PUBMED

    https://www.ncbi.nlm.nih.gov/pubmed/16220207


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