Abstract
Purpose
The aim of this study was to evaluate computed tomography enteroclysis (CTE) of the small intestinal tract.
Materials and methods
A total of 36 patients underwent CTE for further examination of small intestinal disease.
Results
The indications were obscure gastrointestinal bleeding (OGIB) (n = 16), suspected Crohn’s disease (n = 7), suspected and diagnosed by exclusion a small intestinal tumor (n = 5), and others (n = 8). Regarding OGIB, positive findings were observed in nine patients: angiodysplasia (n = 2), suspected ileac tumor (n = 2), colon cancer (n = 1), colon diverticulosis and diverticulitis (n = 2), Crohn’s disease (n = 1), and enteritis (n = 1). As for Crohn’s disease, hyperplasia of the small intestinal wall was shown in six patents. Positive findings of a small intestinal tumor were observed in two patients. In the “others” category, colon diverticulitis was found in three patients and isolated dissection of the superior mesenteric artery in one of four patients with abdominal pain. Primary carcinoid was identified in the pancreas in one patient, with liver carcinoid metastasis in the remaining four patients.
Conclusion
CT enteroclysis is a noninvasive method and useful approach in the diagnosis of small intestinal diseases.
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References
Kloppel R, Thiele J, Bosse J. The Sellik: CT method. Rofo Fortschr Geb Rontgenstr Neuen Bildgeb Verfahr 1992;156:291–292.
Bender GN, Timmons JH, Williaed WC, Carter J. Computed tomographic enteroclysis: one methodology. Invest Radiol 1996;31:43–49.
Cave D, Legnani P, De Franchis, Lewis BS. ICCE consensus for capsule retention. Endoscopy 2005;37:1065–1067.
De Palma GD, Rega M, Puzziello A, Aprea G, Ciacci C, Castinglione F, et al. Capsule endoscopy is safe and effective after small-bowel resection. Gastrointest Endosc 2004;60:135–138.
Leighton JA, Srivathsan K, Carey EJ, Sharma VK, Heigh RI, Post JK, et al. Safety of wireless capsule endoscopy in patients with implantable cardiac defibrillators. Am J Gastroenterol 2005;100:1728–1731.
Liu YB, Liang CH, Zhang ZL, Huang B, Lin HB, Yu YX, et al. Crohn’s disease of small bowel: multidetector row CT with CT enteroclysis, dynamic contrast enhancement, CT angiography, and 3D imaging. Abdom Imaging 2006;31:668–664.
Nakamura T, Arakawa T, Sakurai S. The first multicenter study of capsule endoscopy in Japan: clinical outcome of obscure gastrointestinal bleeding. Gastroenterol Endosc 2007;49:324–334.
Anonymous. American Gastroenterological Association medical position statement: evaluation and management of occult and obscure gastrointestinal bleeding. Gastroenterology 2000;118:197–201.
Lewis BS. Small intestinal bleeding. Gastroenterol Clin North Am 2000;29:67–94.
James EH. Multi-phase CT enterography in obscure GI bleeding. Abdom Imaging 2009;34:303–309.
Filippone A, Cianci R, Milano A, Valeriano S, Mizio VD, Storto ML. Obscure gastrointestinal bleeding and small bowel pathology: comparison between wireless capsule endoscopy and multidetector-row CT enteroclysis. Abdom Imaging 2008;33:398–406.
Shimizu K, Washida Y, Onoda H, Higaki S, Hashimoto S, Fujita T, et al. Vascular malformation of the small bowel demonstrated on CT enteroclysis. Jpn J Radiol (in press).
Sailer J, Peloschek P, Schober E, Schima W, Reinisch W, Vogelsang H, et al. Diagnostic value of CT enteroclysis compared with conventional enteroclysis in patients with Crohn’s disease. AJR Am J Roentgenol 2005;185:1575–1581.
Orjollet-Lecoanet C, Menard Y, Martins A, Crombe-Ternamian A, Cotton F, Valette PJ. CT enteroclysis for detection of small bowel tumors. J Radiol 2000;81:618–627.
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Onoda, H., Shimizu, K., Washida, Y. et al. Usefulness of computed tomography enteroclysis in the intestinal tract. Jpn J Radiol 28, 193–198 (2010). https://doi.org/10.1007/s11604-009-0406-4
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DOI: https://doi.org/10.1007/s11604-009-0406-4