Computed Tomographic Enteroclysis

Bender, Gregory N.; Timmons, James H.; Williard, William; Carter, Jon

doi:10.1097/00004424-199601000-00007

Cited by 103 publications

(62 citation statements)

References 6 publications

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“…The use of neutral oral contrast agents for CT enterography has been described by many authors [20][21][22]. These authors used neutral contrast agents specifically to investigate small bowel diseases, such as Cohn's disease, or for tumour staging.…”

Section: Discussionmentioning

confidence: 99%

Comparison of neutral oral contrast versus positive oral contrast medium in abdominal multidetector CT

et al. 2008

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To determine whether neutral contrast agents with waterequivalent intraluminal attenuation can improve delineation of the bowel wall and increase overall image quality for a non-selected patient population, a neutral oral contrast agent (3% mannitol) was administered to 100 patients referred for abdominal multidetector row computed tomography (MDCT). Their results were compared with those of 100 patients given a positive oral contrast agent. Qualitative and quantitative measurements were done on different levels of the gastrointestinal tract by three experienced readers. Patients given the neutral oral contrast agent showed significant better qualitative results for bowel distension (P<0.001), homogeneity of the luminal content (P<0.001), delineation of the bowelwall to the lumen (P<0.001) and to the mesentery (P<0.001) and artifacts (P<0.001), leading to a significant better overall image quality (P< 0.001) than patients receiving positive oral contrast medium. The quantitative measurements revealed significant better distension (P<0.001) and wall to lumen delineation (P<0.001) for the patients receiving neutral oral contrast medium. The present results show that the neutral oral contrast agent (mannitol) produced better distension, better homogeneity and better delineation of the bowel wall leading to a higher overall image quality than the positive oral contrast medium in a non-selected patient population.

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Section: Discussionmentioning

confidence: 99%

Comparison of neutral oral contrast versus positive oral contrast medium in abdominal multidetector CT

et al. 2008

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“…There are different modalities of administration and different types of contrast agents used to obtain the distension of the small bowel loops [1]. The small bowel is commonly opacified with positive contrast agents (1-2% barium sulphate suspension, 2-3% water-soluble iodinated solution) or with negative contrast agents (oral water, oral oil emulsions, polyethylene glycol solution (PEG), suspension of 0.1% barium sulphate (Volumen), Mucofalk or methylcellulose by nasojejunal tube) [1][2][3][4]. Positive contrast agents allow intestinal loops to be delimited and help verify whether an expansive process is intra-or extraluminal, but they do not allow, given their high density, accurate evaluation of wall characteristics and they interfere with possible angiography-like threedimensional (3D) reconstructions [5].…”

mentioning

confidence: 99%

“…In CT-E, contrast material is infused through a nasojejunal tube and contiguous axial images are obtained after total opacification of the small intestine. This technique has a unique theoretical advantage in its ability to simultaneously show intraluminal, mural and extra-intestinal complications of small bowel Crohn's disease, combining the advantages of CT and double contrast enema into one technique [2]. The most important limitations of CT-E are the increased radiation dose, patient discomfort with nasojejunal tube insertion and the increased time (almost 1 h from intubation to CT examination) [4].…”

mentioning

confidence: 99%

CT enterography with polyethylene glycol solutionvsCT enteroclysis in small bowel disease

Minordi¹,

Vecchioli²,

Mirk³

et al. 2011

BJR

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Objective: The aim of the study is to compare CT enterography with polyethylene glycol solution (PEG-CT) with CT enteroclysis (CT-E) in patients with suspected small bowel disease. Methods: 145 patients underwent abdominal contrast-enhanced 16-row multidetector CT after administration of 2000 ml of PEG by mouth (n575) or after administration of 2000 ml of methylcellulose by nasojejunal tube (n570). Small bowel distension, luminal and extraluminal findings were evaluated and compared with small bowel followthrough examination in 60 patients, double contrast enema in 50, surgery in 25 and endoscopy in 35. Statistical evaluation was carried out by x 2 testing. For both techniques we have also calculated the effective dose and the equivalent dose in a standard patient. Results: Crohn's disease was diagnosed in 64 patients, neoplasms in 16, adhesions in 6. Distension of the jejunum was better with CT-E than PEG-CT (p,0.05: statistically significant difference). No significant difference was present for others sites (p.0.05). Evaluation of pathological ileal loops was good with both techniques. The values of sensitivity, specificity and diagnostic accuracy were respectively 94%, 100% and 96% with CT-E, and 93%, 94% and 93% with PEG-CT. The effective dose for PEG-CT was less than the dose for the CT-E (34.7 mSv vs 39.91 mSv). Conclusion: PEG-CT shows findings of Crohn's disease as well as CT-E does, although CT-E gives better bowel distension, especially in the jejunum, and has higher specificity than PEG-CT.

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“…Hypodense contrast medium ensures better definition of the internal aspect of the small bowel, especially to evaluate the degree of parietal contrast enhancement after intravenous infusion contrast bolus 11 . The advantages of water include lower cost and reduced viscosity, which allows a smaller nasoenteral tube or faster infusion rates in CTEc 11,13 . In CT the normal thickness of the intestinal wall is barely perceptible in a wall-distended segment and should be no greater than 2-3 mm thick: during i.v.…”

Section: Ultrasound Contrast-enhanced Ultrasound (Ceus) New Ultrasomentioning

confidence: 99%

Small Bowel Imaging - Still a Radiologic Approach?

Markova¹,

Kluchova²,

Zbořil³

et al. 2010

Biomed Pap Med Fac Univ Palacky Olomouc Czech Repub

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Computed Tomographic Enteroclysis

Abstract: Computed tomographic enteroclysis is a diagnostic option for evaluation of low-grade partial SBOs. Pitfalls with this technique are encountered in decompressed torsions and hernias.

Cited by 103 publications

References 6 publications

Comparison of neutral oral contrast versus positive oral contrast medium in abdominal multidetector CT

Comparison of neutral oral contrast versus positive oral contrast medium in abdominal multidetector CT

CT enterography with polyethylene glycol solutionvsCT enteroclysis in small bowel disease

Small Bowel Imaging - Still a Radiologic Approach?

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