The Effectiveness of CT Enterography in the Radiological Evaluation of Crohn’s Disease
Objective:The aim of this study is to evaluate the effectiveness of computed tomography enterography (CTE) in demonstrating luminal and extraluminal pathologies in patients diagnosed with Crohn’s disease (CD).Method:In 20 symptomatic patients histopathologically diagnosed with CD, CTE findings obtai...
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| Format: | Article |
| Language: | English |
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Galenos Yayinevi
2021-09-01
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| Series: | Bagcilar Medical Bulletin |
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http://behmedicalbulletin.org/archives/archive-detail/article-preview/the-effectiveness-of-ct-enterography-in-the-radiol/48069
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| _version_ | 1828021498540982272 |
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| author | Nevzat Herdem Deniz Esin Tekcan Şanlı |
| author_facet | Nevzat Herdem Deniz Esin Tekcan Şanlı |
| author_sort | Nevzat Herdem |
| collection | DOAJ |
| description | Objective:The aim of this study is to evaluate the effectiveness of computed tomography enterography (CTE) in demonstrating luminal and extraluminal pathologies in patients diagnosed with Crohn’s disease (CD).Method:In 20 symptomatic patients histopathologically diagnosed with CD, CTE findings obtained after optimal bowel distension with oral contrast material were evaluated retrospectively. The involved segment was evaluated in terms of the presence of intestinal wall thickening (focal or diffuse), pathological contrast enhancement in the intestinal wall, increased vascularity in the intestinal mesentery, mesenteric lymphadenopathy, intraperitoneal fluid, enteric fistula, and intraabdominal abscess. In addition, evaluation was made in terms of extraintestinal findings that might be related to the disease.Results:A total of 20 patients (11 females, 9 males; age range: 24 to 61 years, mean age: 39.7±11.4 years) were included in the study. The most frequently affected intestinal segment was the terminal ileum (n=10, 50%). Pathological intestinal wall enhancement was detected in 14 patients (70%), mesenteric lymphadenopathy in 16 patients (80%), and comb sign in 15 patients (75%). Intraabdominal abscess was detected in 4 cases (20%) and enteric fistula in 4 cases (20%). Related to the disease, kidney stones in one patient and previous cholecystectomy findings in two patients were observed.Conclusion:CTE is a very effective method that can simultaneously monitor the intestinal and extraintestinal findings of the symptomatic patients with CD and guide the treatment choice. |
| first_indexed | 2024-04-10T11:54:44Z |
| format | Article |
| id | doaj.art-4ff1b2638f9a4164b41df5d6d3a51578 |
| institution | Directory Open Access Journal |
| issn | 2547-9431 |
| language | English |
| last_indexed | 2024-04-10T11:54:44Z |
| publishDate | 2021-09-01 |
| publisher | Galenos Yayinevi |
| record_format | Article |
| series | Bagcilar Medical Bulletin |
| spelling | doaj.art-4ff1b2638f9a4164b41df5d6d3a515782023-02-15T16:16:52ZengGalenos YayineviBagcilar Medical Bulletin2547-94312021-09-016325726310.4274/BMB.galenos.2021.02.02013049054The Effectiveness of CT Enterography in the Radiological Evaluation of Crohn’s DiseaseNevzat Herdem0Deniz Esin Tekcan Şanlı1 Erciyes University Faculty of Medicine, Department of Radiology, Kayseri, Turkey Acıbadem Kozyatağı Hospital, Clinic of Radiology, İstanbul, Turkey Objective:The aim of this study is to evaluate the effectiveness of computed tomography enterography (CTE) in demonstrating luminal and extraluminal pathologies in patients diagnosed with Crohn’s disease (CD).Method:In 20 symptomatic patients histopathologically diagnosed with CD, CTE findings obtained after optimal bowel distension with oral contrast material were evaluated retrospectively. The involved segment was evaluated in terms of the presence of intestinal wall thickening (focal or diffuse), pathological contrast enhancement in the intestinal wall, increased vascularity in the intestinal mesentery, mesenteric lymphadenopathy, intraperitoneal fluid, enteric fistula, and intraabdominal abscess. In addition, evaluation was made in terms of extraintestinal findings that might be related to the disease.Results:A total of 20 patients (11 females, 9 males; age range: 24 to 61 years, mean age: 39.7±11.4 years) were included in the study. The most frequently affected intestinal segment was the terminal ileum (n=10, 50%). Pathological intestinal wall enhancement was detected in 14 patients (70%), mesenteric lymphadenopathy in 16 patients (80%), and comb sign in 15 patients (75%). Intraabdominal abscess was detected in 4 cases (20%) and enteric fistula in 4 cases (20%). Related to the disease, kidney stones in one patient and previous cholecystectomy findings in two patients were observed.Conclusion:CTE is a very effective method that can simultaneously monitor the intestinal and extraintestinal findings of the symptomatic patients with CD and guide the treatment choice. http://behmedicalbulletin.org/archives/archive-detail/article-preview/the-effectiveness-of-ct-enterography-in-the-radiol/48069 abscesscomplicationcrohn’s diseasect enterographyenteroclysisfistulawall thickening |
| spellingShingle | Nevzat Herdem Deniz Esin Tekcan Şanlı The Effectiveness of CT Enterography in the Radiological Evaluation of Crohn’s Disease Bagcilar Medical Bulletin abscess complication crohn’s disease ct enterography enteroclysis fistula wall thickening |
| title | The Effectiveness of CT Enterography in the Radiological Evaluation of Crohn’s Disease |
| title_full | The Effectiveness of CT Enterography in the Radiological Evaluation of Crohn’s Disease |
| title_fullStr | The Effectiveness of CT Enterography in the Radiological Evaluation of Crohn’s Disease |
| title_full_unstemmed | The Effectiveness of CT Enterography in the Radiological Evaluation of Crohn’s Disease |
| title_short | The Effectiveness of CT Enterography in the Radiological Evaluation of Crohn’s Disease |
| title_sort | effectiveness of ct enterography in the radiological evaluation of crohn s disease |
| topic | abscess complication crohn’s disease ct enterography enteroclysis fistula wall thickening |
| url |
http://behmedicalbulletin.org/archives/archive-detail/article-preview/the-effectiveness-of-ct-enterography-in-the-radiol/48069
|
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