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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.
Insights
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.
Abstract:
MR enterography is the accepted imaging reference standard for small bowel assessment in inflammatory bowel disease. There is an increasing cohort of children with inflammatory bowel disease presenting at an early age (<5 years) with severe disease. Younger children present a technical challenge for enterography because of the need for sedation/general anaesthesia to allow image optimisation and the need for oral contrast to allow adequate luminal assessment. Through our experiences, MR enteroclysis under general anaesthesia has proven to be a successful imaging technique for the work-up of these patients. In this paper, we present our institutional practice for performing MR enteroclysis under general anaesthesia.
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