Learning objectives
-To differentiate acute from chronic small bowel disease
-To present a wide range of imaging findings in neoplastic and inflammatory pathology
-To demonstrate how CTE can predict the final diagnosis and help the clinician confirm or abandon the initial diagnostic suspicion
Background
CT enterography (CTE) is a variation of routine CT that specifically assesses the extent and severity of small bowel disease.
(1) It is easily accessible as most hospitals are nowadays equipped with a CT scanner.
It is an examination that does not require sedation and is capable of producing high quality,
thin-section images very quickly.
CT imaging is essential in small bowel disease,
as it gives the radiologist the opportunity to assess its full length and different sites of the pathology,
evaluate the bowel wall...
Findings and procedure details
Adult patients of different age groups,
with different pathological entities underwent CTE.
Our protocol includes a 3 day preparation with liquid diet and withhold of food prior to the examination.
In order to succeed bowel distention the patients ingested a total of 1500mL of oral contrast mixture.
The mixture contained 500mL of mannitol solution 20% diluted in 1000mL of water and was consumed every 7 mins,
250mL per time.
At this point the patients needed supervision and encouragement.
Where there was no contraindication antispasmodic agent...
Conclusion
CTE is a well-tolerated examination.
A wide range of pathology can be detected and play an integral role in diagnosis and prognosis of the patient.
References
Richard G.
Kavanagh,
John O’Grady,
Brian W.
Carey,
et al.,
“Low-Dose Computed Tomography for the Optimization of Radiatio Dose Exposure in Patients with Crohn’s Disease,”Gastroenterology Research and Practice,
vol.
2018,
Article ID 1768716,
10 pages,
2018.https://doi.org/10.1155/2018/1768716.
Computed Tomography Enterography Sheedy,
Shannon P.
et al.
Radiologic Clinics,
2018;56(5):649 – 670.
Misra RN,
Bajaj SK.
Role of CT enterography in evaluation of small bowel disorders.
Int J Res Med Sci 2019;7: xxx-xx.
Consensus Recommendations for Evaluation,
Interpretation,
and Utilization of Computed Tomography and Magnetic Resonance Enterography in...