Efficacy of CT Enteroclysis in Small Bowel Disorders: A Prospective Study
Introduction: CT-Enteroclysis (CT-E) is a method of examining the small intestine which combines the advantage of enteral volume challenge with those of cross sectional imaging and multiplanar reformatting to improve detection of intra and extra intestinal manifestation of small bowel disease....
| Main Authors: | , |
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| Format: | Article |
| Language: | English |
| Published: |
JCDR Research and Publications Pvt. Ltd.
2017-07-01
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| Series: | International Journal of Anatomy Radiology and Surgery |
| Subjects: | |
| Online Access: | http://www.ijars.net/articles/PDF/2287/23917_CE[VSU]_F(GH)_PF1(VsuGH)_PFA(GH)_PF2(VSU_GG).pdf |
| Summary: | Introduction: CT-Enteroclysis (CT-E) is a method
of examining the small intestine which combines the
advantage of enteral volume challenge with those of cross
sectional imaging and multiplanar reformatting to improve
detection of intra and extra intestinal manifestation of small
bowel disease. This technique attempts to overcome the
individual shortcomings of routine CT.
Aim: To determine site/level/cause of the obstruction
in patients, clinically suspected of Sub-Acute Intestinal
Obstruction (SAIO), to determine extent (length) of
small bowel disease, to evaluate small bowel in case of
unexplained anemia with gastrointestinal bleeding and
abdominal pain, and to confirm the diagnosis of small
bowel tuberculosis.
Materials and Methods: In this prospective study 50
patients who were above the age of 12 years both male and
female referred from Surgery/Medicine/Gynaecology OPD
of ARMCH&RC, with suspicion of small bowel pathology
were evaluated by CT-E.
Results: Out of fifty patients, six patients were normal.
Tuberculosis (20) was the most common detected
pathology followed by sub-acute intestinal obstruction
(12). The sensitivity of CT-E for the detection of small bowel
tuberculosis was found to be 95.23% and specificity was
100%. Positive predictive value was 100% and negative
predictive value was 96.66%.
Conclusion: CT-E is a rapid, well tolerated and reliable
imaging modality for demonstration of small bowel
pathology. CT-E helps in diagnosing small bowel pathologies
such as inflammatory diseases with their intra and extra
intestinal manifestations, benign and malignant neoplasms;
and helps in their staging, mechanical low grade intestinal
obstruction. |
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| ISSN: | 2277-8543 2455-6874 |