open access

Vol 14, No 1-2 (2012)
Review articles
Published online: 2012-11-19
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CT enteroclysis and CT enterography — new approaches to assessing pathology of the small intestine

Tomasz Lebda-Wyborny, Anna Barczyk, Joanna Pilch-Kowalczyk, Małgorzata Korzekwa, Dorota Sojka, Daniel Knap, Jan Baron, Artur Pałasz
Chirurgia Polska 2012;14(1-2):69-80.

open access

Vol 14, No 1-2 (2012)
Review articles
Published online: 2012-11-19

Abstract

CT enteroclysis and CT enterography are modern diagnostic methods that allow a detailed assessment of the small intestine wall combined with an evaluation of extraintestinal lesions and a full examination of the remaining organs in the abdominal cavity and the pelvis. A major difference in examination methodology between enterography and enteroclysis is the different way in which a contrast medium is administered; in enteroclysis this is done through a catheter inserted into the small intestine, whereas in enterography the contrast medium is given orally. The purpose of enteroclysis/enterography is to identify inflammatory diseases of the small intestine, follow up on the progression of such diseases and assess their complications, evaluate the small intestine if this part of the gastrointestinal tract is supposed to be affected by a cancerous growth, as well as find the source of bleeding from the small intestine. A key issue for the correct interpretation that should follow the examination is to prepare the patient properly: fill intestinal loops with negative contrast medium solution and choose the right examination technique depending on the information contained in the referral. An invariably crucial role is played by the experience of the radiologist responsible for the interpretation of the examination. A full evaluation of the examination involves assessing a topographic scan, axial images, which are always treated as reference, and multiplanar and 3D reconstructions. In particular, CT enterography is a safe and well-tolerated diagnostic method that allows the diagnosing and monitoring of inflammatory diseases, neoplasia and vascular malformations of the small intestine.

Abstract

CT enteroclysis and CT enterography are modern diagnostic methods that allow a detailed assessment of the small intestine wall combined with an evaluation of extraintestinal lesions and a full examination of the remaining organs in the abdominal cavity and the pelvis. A major difference in examination methodology between enterography and enteroclysis is the different way in which a contrast medium is administered; in enteroclysis this is done through a catheter inserted into the small intestine, whereas in enterography the contrast medium is given orally. The purpose of enteroclysis/enterography is to identify inflammatory diseases of the small intestine, follow up on the progression of such diseases and assess their complications, evaluate the small intestine if this part of the gastrointestinal tract is supposed to be affected by a cancerous growth, as well as find the source of bleeding from the small intestine. A key issue for the correct interpretation that should follow the examination is to prepare the patient properly: fill intestinal loops with negative contrast medium solution and choose the right examination technique depending on the information contained in the referral. An invariably crucial role is played by the experience of the radiologist responsible for the interpretation of the examination. A full evaluation of the examination involves assessing a topographic scan, axial images, which are always treated as reference, and multiplanar and 3D reconstructions. In particular, CT enterography is a safe and well-tolerated diagnostic method that allows the diagnosing and monitoring of inflammatory diseases, neoplasia and vascular malformations of the small intestine.
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Keywords

CT enteroclysis; CT enterography; Crohn’s disease

About this article
Title

CT enteroclysis and CT enterography — new approaches to assessing pathology of the small intestine

Journal

Chirurgia Polska (Polish Surgery)

Issue

Vol 14, No 1-2 (2012)

Pages

69-80

Published online

2012-11-19

Bibliographic record

Chirurgia Polska 2012;14(1-2):69-80.

Keywords

CT enteroclysis
CT enterography
Crohn’s disease

Authors

Tomasz Lebda-Wyborny
Anna Barczyk
Joanna Pilch-Kowalczyk
Małgorzata Korzekwa
Dorota Sojka
Daniel Knap
Jan Baron
Artur Pałasz

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