Learning objectives
Review our experience using enterography study (MRE) in patients with Crohn disease (CD).
Make a brief review of the literature regarding the most common findings and MRE other indications.
Background
CD is a complex pathologic process with an unpredictable relapsing course.
Despite the most common segment affected,
the small bowel (SB) is the least accessible with endoscopic techniques (ET).
Findings and procedure details
We made 283 MRE during the last two years in our department.
The most common indication and region affected were Crohn Disease staging (57 % ),
and terminal ileum (46 %) respectively.
The prototype patient were young female patients.
Other common indications were indeterminate findings at ET,
post-surgical,
and low grade obstruction (LGO).
Unenhanced T2-weighted MR imaging and gadolinium-enhanced fat-suppressed T1- weighted MR are critical for characterizing wall thickening and identifying its cause.
In a thickened bowel segment,
a stratified enhancement pattern corresponding to the...
Conclusion
MRE is an excellent resource for bowel study,
with a definite aplication in inflammatory disease
References
1. Triester SL,
Leighton JA,
Leontiadis GI,
et al.
A meta- analysis of the yield of capsule endoscopy compared to other diagnostic modalities in patients with non-stricturing small bowel Crohn’s disease.
Am J Gastroenterol 2006;101(5): 954–964.
2. Langan RC,
Gotsch PB,
Krafczyk MA,
Skillinge DD.
Ul- cerative colitis: diagnosis and treatment.
Am Fam Physician 2007;76(9):1323–1330.
3. Furukawa A,
Saotome T,
Yamasaki M,
et al.
Cross-sectional imaging in CD.
RadioGraphics 2004;24(3):689–702.
4. Amzallag-Bellenger E,
Oudjit A,
Ruiz A,
Cadiot G,
Soyer PA,
Hoeffel CC.
Effectiveness of...