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Paediatric magnetic resonance enteroclysis under general anaesthesia - initial experience
Sophie Sadigh1, Mark Chopra1, Michael R Sury2
1Department of Paediatric Radiology, Great Ormond Street Hospital NHS Foundation Trust, London, Wc1N 3JH, UK.
Pediatric Radiology
|April 8, 2017
Summary
MR enteroclysis under general anesthesia is a successful imaging technique for evaluating early-age pediatric inflammatory bowel disease. This method addresses challenges in younger children, enabling optimal small bowel assessment.
Area of Science:
- Pediatric radiology
- Gastrointestinal imaging
- Inflammatory bowel disease diagnostics
Background:
- MR enterography is the standard for small bowel assessment in inflammatory bowel disease (IBD).
- An increasing number of young children (<5 years) present with severe IBD.
- Assessing young children with enterography poses technical challenges, often requiring sedation or general anesthesia and oral contrast for optimal imaging.
Purpose of the Study:
- To present institutional practices for MR enteroclysis under general anesthesia in pediatric IBD patients.
- To highlight a successful imaging technique for the work-up of early-age IBD patients.
Main Methods:
- MR enteroclysis performed under general anesthesia.
- Utilizing oral contrast for adequate luminal assessment in young children.
- Institutional practice guidelines for the procedure are detailed.
Main Results:
- MR enteroclysis under general anesthesia has proven to be a successful imaging technique.
- This approach effectively addresses the challenges of imaging young children with IBD.
Conclusions:
- MR enteroclysis under general anesthesia is a viable and successful imaging modality for pediatric patients with early-onset IBD.
- This technique facilitates optimal small bowel assessment in a challenging pediatric cohort.