Radiologic and endoscopic correlation in Crohn's disease of the colon

RöFo : Fortschritte auf dem Gebiete der Röntgenstrahlen und der Nuklearmedizin
H CzembirekG Wittich

Abstract

A comparative assessment was carried out in 47 patients with double-contrast irrigoscopy (DCI), colonoscopy and endoscopy, the confirmed diagnosis being Crohn's disease in each of the patients. However, the histological finding of Crohn's disease was established in 19% only of the endoscopic biopsies. DCI enabled a more comprehensive assessment of the entire colon than was possible via endoscopy, since the right half of the colon could be visualized in less than 50% of the patients by the endoscopic method, whereas roentgenologic visualization of this part of the colon was possible in more than 90% of the patients. There was good agreement in respect of parts of the colon visualized both via endoscopy and via x-ray examination. As far as the assessment of deeper mucosal lesions was concerned, radiology proved superior, whereas endoscopy offered advantages in respect of changes on the level of the mucosa.

Citations

Dec 1, 1994·Baillière's Clinical Gastroenterology·J W ReedersG Rosenbusch

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