Abstract
Purpose
To prospectively evaluate the role of multidetector computed tomography (CT) enteroclysis in evaluation and diagnostic characterization of suspected small bowel tuberculosis.
Materials and methods
The study group included 21 human subjects suspected of having small bowel tuberculosis. A nasoenteric tube was positioned into the duodenojejunal junction under fluoroscopic guidance and water was infused by hand injection. After intravenous administration of 120 mL of iodinated contrast material, multidetector CT enteroclysis images were obtained with 40 × 0.625 mm collimation and findings were analyzed by three readers working in consensus. Findings were compared with the results of endoscopy, histopathological analysis, and clinical follow up.
Results
Multidetector CT enteroclysis was well tolerated in 20 patients; one of the patients complained of vomiting during intubation. Using multidetector CT enteroclysis diagnosis of abdominal tuberculosis was made in sixteen patients, out of which small bowel involvement was seen in 13 patients. Multidetector CT enteroclysis demonstrated Crohn’s disease in one patients and normal in four patients. The sensitivity and specificity in diagnosing abdominal tuberculosis by CT enteroclysis came out to be 93.75 and 100 % respectively.
Conclusions
Multidetector CT enteroclysis is well tolerable and accurate modality for evaluation and diagnostic characterization of small bowel tuberculosis.
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Acknowledgments
This work was a labour of discipline requiring the combined efforts of many people whom I especially acknowledge. First of all, I would like to thank God the Almighty for his constant love and grace towards me which always been a guiding star in my life. With profound sense of gratitude and admiration, I express my deepest regards and thanks to my co-author, Dr. B.B. Thukral, Consultant and Head, Department of Radiodiagnosis, for his expert guidance. His patience and support have taught me a lot. I really feel honoured to have him not only as my supervisor but also as a guardian. He has shown me the true value of a teacher and will always remain my source of inspiration in times to come. I am very thankful to my co-author, Dr. Rohini Gupta for enthusiasm, critical review, constant help and valuable suggestions in compilation of this work. I am truly indebted to my co-authors Dr. Chintamani and Dr. Rajni for their constant help and valuable suggestion throughout my work. I also thankful to my respected teachers Dr.(Prof.) S B Grover, Dr S K Bajaj, Dr Ritu Nair Mishra, Dr. Amita Malik, Dr. M K Mittal, Dr. Mukul Sinha and Dr. Yatish Agarwal, Dr N K Bhambri and Dr Archana Agarwal for their support and practical suggestions. I owe a deep department of gratitude to my seniors, colleague, CT technicians and supporting staffs. Thanking to my wife Suman, parents and family for their constant love, encouragement and moral support. I also thanks my junior Akanksha and daughter Sudiksha for their support in editing the article.
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The authors declare that they have no conflict of interest.
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Ray, D., Thukral, B.B., Gupta, R. et al. Small bowel tuberculosis by multidetector CT enteroclysis. Jpn J Radiol 31, 471–479 (2013). https://doi.org/10.1007/s11604-013-0220-x
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DOI: https://doi.org/10.1007/s11604-013-0220-x