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Fecal Microbiota Transplantation via Colonoscopy for Recurrent C. difficile Infection

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Enteroclysis: Current clinical value.

Adel Maataoui¹, Thomas J Vogl, Volkmar Jacobi

¹Adel Maataoui, Thomas J Vogl, Volkmar Jacobi, M Fawad Khan, Institute for Diagnostic and Interventional Radiology, Goethe University, 60590 Frankfurt am Main, Germany.

World Journal of Radiology

|August 3, 2013

Summary

This summary is machine-generated.

Enteroclysis, a double-contrast small bowel examination, is now primarily used for Crohn's disease follow-up. This shift reflects its improved diagnostic utility for specific gastrointestinal conditions.

Keywords:

Double-Balloon enteroscopy Fluoroscopy Helical computed tomography Inflammatory bowel diseases Magnetic resonance imaging

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Area of Science:

Radiology
Gastroenterology
Diagnostic Imaging

Background:

Small bowel double-contrast examinations, specifically enteroclysis, have evolved over time.
Changes in clinical indications and referring specialties impact the utilization of this diagnostic procedure.

Purpose of the Study:

To retrospectively analyze shifts in clinical indications for small bowel double-contrast examinations.
To evaluate changes in referring medical specialties and detected pathologies over distinct time periods.
To assess the evolving role of enteroclysis in diagnosing small bowel conditions.

Main Methods:

Retrospective analysis of 241 enteroclysis examinations from 1990 and 384 from 2004-2010.
Standardized double-contrast technique involving nasojejunal probe, radiopaque contrast, and X-ray negative distending media.
Review of examination protocols, including requesting unit, indication, and final report for comparative analysis.

Main Results:

Significant increase in gastroenterological and pediatric indications, with a decrease in internal and surgical referrals.
Crohn's disease follow-up and bleeding/tumor search emerged as primary indications.
Pathologic findings increased from 34% in 1990 to 53.4% in 2004-2010, with Crohn's disease being the most common diagnosis.

Conclusions:

Crohn's disease is the predominant indication for modern enteroclysis.
The increased detection rate of pathologies signifies a more targeted and effective application of enteroclysis.
Enteroclysis remains a valuable tool for specific small bowel pathologies, particularly inflammatory conditions like Crohn's disease.