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Related Experiment Videos

Multidetector-row helical CT enteroclysis.

Dean D T Maglinte1, Greg N Bender, Darel E Heitkamp

  • 1Department of Radiology, Indiana University School of Medicine, 550 North University Boulevard, UH0279, Indianapolis, IN 46202-5243, USA. dmaglint@iupui.edu

Radiologic Clinics of North America
|March 28, 2003
PubMed
Summary
This summary is machine-generated.

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Computed tomography enterography (CT-E) shows value in diagnosing small bowel conditions, especially for patients with prior surgery or obstruction. It offers complementary information to barium enteroclysis, enhancing diagnostic capabilities for complex cases.

Area of Science:

  • Gastroenterology
  • Medical Imaging
  • Radiology

Background:

  • Double-contrast barium air enteroclysis excels at showing mucosal detail but has limitations.
  • Computed tomography enterography (CT-E) is not typically a first-line examination for mucosal detail.

Purpose of the Study:

  • To evaluate the diagnostic value of CT-E in specific small bowel disease scenarios.
  • To compare the diagnostic information provided by CT-E and barium enteroclysis.

Main Methods:

  • Utilized multidetector-row helical CT with enteral volume infusion and nasointestinal catheters.
  • Retrospectively analyzed cases where both CT-E and barium enteroclysis were performed.

Main Results:

  • CT-E is valuable for intermittent small bowel obstruction, especially post-surgery.

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  • It aids in managing high-grade obstructions, Crohn's disease complications, and obscure bleeding.
  • CT-E and barium enteroclysis provide unique, complementary diagnostic information.

    • Conclusions:

    • CT-E is a valuable tool for investigating small bowel diseases, particularly in complex cases.
    • It combines cross-sectional imaging with distension techniques for enhanced reliability.
    • Further research is needed to define the optimal role of CT-E in small bowel imaging.