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The Role of CTE/Barium Enteroclysis in Crohn’s Disease

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Crohn's Disease

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Abstract

In the investigation of small bowel Crohn’s disease (CD), methods of investigation with high negative predictive value and high sensitivity should be utilized to reliably diagnose or exclude early disease, decrease the cost of workup and radiation to patients. Barium radiography is more sensitive in the demonstration of early mucosal disease than CT or MR and should be done in the patient with a high clinical suspicion of disease with a negative CT or MR examinations. Air double-contrast barium enteroclysis is the most sensitive method for the demonstration of superficial lesions or aphthae of early small bowel Crohn’s in institutions with local expertise.

MR imaging or Ultrasonography should be considered (local resources and expertise permitting), in the follow up of small bowel CD particularly in children.

This chapter examines the roles of CT Enteroclysis and air double contrast barium enteroclysis in the workup of the patient with suspected or established CD. An overview of the techniques and common pitfalls are described. An update on the imaging classification of small intestinal CD phenotype and discussion of radiation concerns are discussed.

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Author information

Authors and Affiliations

  1. Department of Radiology, Unidade Local de Saúde de Matosinhos, EPE, Matosinhos, 4464-513, Senhora da Hora, Portugal

    Catarina Silva MD

  2. Department of Radiology and Imaging Sciences, IU Health – Indiana University Hospital 550 N, University Blv UH 0279, Indianapolis, IN, 46202, USA

    Dean Maglinte MD, FACR

Authors
  1. Catarina Silva MD
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  2. Dean Maglinte MD, FACR
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Correspondence to Catarina Silva MD .

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Editors and Affiliations

  1. University Hospitals of Leicester NHS Trust, Leicester, United Kingdom

    Arumugam Rajesh

  2. Department of Radiology, Warwick Hospital, Warwick, United Kingdom

    Rakesh Sinha

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Silva, C., Maglinte, D. (2015). The Role of CTE/Barium Enteroclysis in Crohn’s Disease. In: Rajesh, A., Sinha, R. (eds) Crohn's Disease. Springer, Cham. https://doi.org/10.1007/978-3-319-01913-0_5

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