Small bowel enteroclysis with magnetic resonance imaging and computed tomography in patients with failed and uncertain passage of a patency capsule.

BMC Medical Imaging
Frans-Thomas ForkBodil Ohlsson

Abstract

Video capsule enteroscopy (VCE) has revolutionized small bowel imaging, enabling visual examination of the mucosa of the entire small bowel, while MR enteroclysis (MRE) and CT enteroclysis (CTE) have largely replaced conventional barium enteroclysis. A new indication for MRE and CTE is the clinical suspicion of small bowel strictures, as indicated by delayed or non-delivery of a test capsule given before a VCE examination, to exclude stenosis. The aim of this study was to determine the clinical value of subsequent MRE and CTE in patients in whom a test capsule did not present itself in due time. Seventy-five consecutive patients were identified with a delayed or unnoticed delivery of the test capsule. Seventy patients consented to participate and underwent MRE (44) or CTE (26). The medical records and imaging studies were retrospectively reviewed and symptoms, laboratory results and imaging findings recorded. Lesions compatible with Crohns disease were shown by MRE in 5 patients, by CTE in one and by VCE in four, one of whom had lesions on MRE. In patients without alarm symptoms and findings (weight loss, haematochezia, anaemia, nocturnal diarrheoa, ileus, fistula, abscess and abnormal blood tests) imaging studies did not unvei...Continue Reading

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Citations

Jan 17, 2015·Journal of Gastroenterology and Hepatology·Arash AssadsangabiMark E McAlindon
May 28, 2013·Gastroenterology Research and Practice·Shinichi HashimotoIsao Sakaida
Oct 25, 2016·Canadian Association of Radiologists Journal = Journal L'Association Canadienne Des Radiologistes·Shadi RajabiBenoit Gallix
Jan 20, 2017·Romanian Journal of Internal Medicine = Revue Roumaine De Médecine Interne·Andrada GheorgheMihai Rimbaş
May 3, 2018·Inflammatory Bowel Diseases·Ioannis V MitselosDimitrios Christodoulou
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