Slice thickness of 2 mm with reconstruction interval of 0. Journals Why Publish With Us? A recent survey of use of small bowel imaging of Crohn’s disease within National Health Service radiological practice showed that although CT is relatively infrequently used as a first-line test in younger patients without a prior diagnosis, it is commonly performed in those with suspected extraintestinal complications [ 43 ]. A large volume of oral contrast is contraindicated in patients who are fluid-restricted owing to clinical conditions such as renal or heart failure. In addition, a single examination can assess severity, extent and location of disease, coupled with extraluminal manifestations and complications. Table 1 provides a summary of the technique used in our institution, which has evolved over 4 years and CT enterography examinations. Consideration must be made as to the age of the patient, their past diagnostic history, previous imaging and endoscopic examinations and general well-being, as well as the specific clinical question and availability of imaging platforms and interpretative radiological expertise.

Unlike MR enterography or capsule endoscopy, CT enterography utilises ionising radiation. All authors contributed toward data analysis, drafting and critically revising the paper, and agreed to be accountable for all aspects of the work. Magnetic resonance enterography in Crohns Disease. To avoid intravenous contrast-induced nephropathy, we limit the use of CT enterography in frail and diabetic patients. J Int Med Res. CT and radiologic evaluation. The seven selectable options were discomfort of the bowel preparation, abdominal distension during the procedure, painfulness during the test, invasiveness to the bowel, prolonged duration of the test, high cost, and slow recovery of bowel function after the exam.

Table 4 Symmetry of small bowel thickening.

Identification of the layer of the small bowel wall that is predominantly affected also helps in reaching a diagnosis Table 6. CT of Meckel’s diverticulitis in 11 patients.


Allows simultaneous diagnosis of extraluminal disease and complicationPreferred examination in thesid small bowel stricture. For the purpose of differential diagnosis, the length of small bowel involvement can be divided into three: The second part asked the patients to list the three most intolerable burdens of DBE. One week after CTE, the patients were asked to complete the first questionnaire Figure S1 composed of two parts.

CT enterography: review of technique and practical tips

This should not be mistaken for pathology. Is it a real problem in routine practice? Improve bowel distension yhesis active supervision and encouragement of oral contrast intake.

Hydro-MRI of the small bowel: Among them, six patients refused to answer our questionnaires and another two patients did not fill out the questionnaires completely.

CT evaluation of enterogrqphy bowel neoplasms: Entterography G, Conway J. Questionnaires One week after CTE, the patients were asked to complete the first questionnaire Figure S1 composed of two parts. Gadolinium-based intravenous contrast used for MR examination may also be safer in adults than the iodinated contrast used for CT.

ct enterography thesis

Total enteroscopy with a nonsurgical enterogrxphy double-balloon method. Table 7 Specific indications for CT enterography. Coronal CT enterography image demonstrates an exoenteric gastrointestinal stromal tumour of the jejunum arrow.

ct enterography thesis

CT enterography is a new non-invasive imaging technique that offers superior small bowel visualisation compared with standard abdomino-pelvic CT, and provides complementary diagnostic information to capsule endoscopy and MRI enterography.

The commoner small bowel diseases Crohn’s disease CT enterography provides a highly accurate method for diagnosis and assessment of Enterograohy disease in adults. The usefulness of this sign in day-to-day clinical practice is debatable, however.


Indeed, in circumstances where there is a high suspicion of underlying small bowel mucosal disease, capsule endoscopy provides an excellent complementary role [ 55 ]. Brenner D, Hall E. Besides, we did not include via oral DBE in our research because of the small sample size.

CT enterography: review of technique and practical tips

Lymphadenopathy in the mesentery can give an important clue to the presence of underlying disease, both benign and malignant. Proximal Distal Adenocarcinoma and coeliac disease Lymphoma and carcinoid tumours, Crohn’s disease most commonly affects the terminal ileum with skip enterographg elsewhere.

ct enterography thesis

Patients who undergo CTE ingest a certain amount of neutral contrast agents before the procedure, which enables luminal distention and allows a better view of the entire small bowel. Table 1 provides a summary of the technique ejterography in our institution, which has evolved over 4 years and CT enterography examinations.

[Full text] Comparison of patients’ tolerance between computed tomography enterogr | PPA

Nevertheless, a meta-analysis by Horsthuis et al [ 52 ] and a study by Siddiki et al [ 53 ] showed that small bowel CT and MRI had similar diagnostic performance. Clin Imaging ; Note the absence of any associated changes. J Nucl Med ; Imaging of small bowel disease: Accept In order to provide our website visitors and registered users with a service tailored to their individual preferences we use cookies to analyse visitor traffic and personalise content.