Non-traumatic abdominal pain: assessment of diagnostic value of MDCT enterography in small bowel diseases—a retrospective study

Shokralla, Sally Y.; Amin, Farid Gamil

doi:10.1186/s43055-020-00274-3

Cited by 3 publications

(3 citation statements)

References 16 publications

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“…In this study, small bowel neoplasm and inflammation were the most common SI pathology, which aligns with Paulsen et al and Shokralla et al, who demonstrated that SI inflammatory disorders are the most prevalent cause of bowel-related symptoms in adults, followed by neoplastic lesions in the elderly (4,6). Twenty-four patients (30%) were diagnosed with small bowel inflammatory disorders, 17 (70.9%) of which were proven laboratory and histopathologically to be due to IBD, and 7 cases (29.1%) were due to non-IBD causes including FMF, duodenitis, and nonspecific findings.…”

Section: Inflammationsupporting

confidence: 91%

“…Twenty-four patients (30%) were diagnosed with small bowel inflammatory disorders, 17 (70.9%) of which were proven laboratory and histopathologically to be due to IBD, and 7 cases (29.1%) were due to non-IBD causes including FMF, duodenitis, and nonspecific findings. Shokralla et al and Tochetto et al demonstrated that estimated CTE sensitivity to detect small bowel inflammation was approximately 90% using biopsy as the reference standard and increased if associated with clinical, laboratory data, and follow-up [4,13]. According to Roda et al [14], Crohn's disease most commonly manifests in patients younger than 30 years old, with a second peak between 60 and 79 years old, which aligns with the findings of this study, which found that 13 patients were under 30 years old and four patients were over 60 years old.…”

Section: Inflammationmentioning

confidence: 99%

“…In addition to being cheap, quick, and available, MDCTE is a unique noninvasive method with superb spatial and temporal resolution as it displays not only the entire bowel wall thickness but also permits evaluation of the surrounding mesentery and peri-enteric fat as well as deep ileal loops in the pelvis without superimposition and provides a global overview of the abdomen, while exposure to ionizing radiation is the main limitation of CTE [4,5].…”

Section: Introductionmentioning

confidence: 99%

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The added value of MDCT enterography using oral lactulose solution in detection, characterization, and guiding management of small bowel disorders

Ali

Sadek

Omran

et al. 2022

Egypt J Radiol Nucl Med

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Background Small bowel variable symptoms present a diagnostic challenge for both gastroenterologists and radiologists due to SI length, overlapping serpentine course and continuous motility. CT enterography was introduced in the last two decades as the cornerstone imaging modality in diagnosing small bowel disorders using a mixture of an oral solution containing water and a gastrointestinal diluting agent. This study aims to demonstrate the added value of MDCTE in evaluating and guiding the management of small bowel disorders in order to reduce SI-related morbidity and mortality. Results Data analysis of 80 patient records involved in this study demonstrated the high accuracy of MDCTE in detecting different small bowel disorders and their related pathologies, confirmed by laboratory and histopathological analyses. Conclusions MDCT enterography with oral lactulose solution is now the mainstay of imaging in the detection, characterization, and guiding management of small bowel disorders with great value of low-dose techniques in CD patient’s follow-up in order to reduce ionizing radiation exposure.

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Section: Inflammationsupporting

confidence: 91%

Section: Inflammationmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

The added value of MDCT enterography using oral lactulose solution in detection, characterization, and guiding management of small bowel disorders

Ali

Sadek

Omran

et al. 2022

Egypt J Radiol Nucl Med

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Multidetector computed tomography: a corner stone imaging modality in evaluation of acute small bowel diseases

Emara

Moghazy

Abouelnagah

et al. 2021

Egypt J Radiol Nucl Med

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Background The diagnosis of acute small bowel diseases is one of the challenging issues that confronted by the radiologists so accurate diagnosis is essential to determine the appropriate way of management. CT has become the preferred imaging tool to evaluate acute small bowel diseases. Our study aimed to assess the role of MDCT in evaluation of acute abdomen secondary to small bowel origin by identification and differentiation between different acute small bowel pathologies. Results Thirty-eight patients presented with acute abdomen of small bowel origin from June 2019 to September 2019. The mean age of incidence was 48 ± 19 years ranged from 4 to 88 years. Males represented by 23 patients (60.5%). Acute exacerbation of inflammatory bowel diseases (Crohn’s disease) represented by (34.2%), small bowel obstruction (31.6%), ischemic bowel diseases (21.1%), small bowel perforation (10.5%) and infectious (TB enteritis) small bowel disease (2.6%). MDCT had an overall high sensitivity (97.3%) in assessment of acute small bowel diseases in correlation with post-operative data and follow-up response to management. Conclusions MDCT is a reliable diagnostic imaging tool for assessment of patients with acute abdomen secondary to small bowel origin with high-efficiency in differentiation between different pathological entities that causing acute abdomen.

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Role of multidetector computed tomography in evaluation of intestinal diseases in adults

Elsayed Sharaf,

Glal,

Zarad

et al. 2021

The Scientific Journal of Al-Azhar Medical Faculty, Girls

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Introduction Many diseases affect the intestine and need dedicated evaluation and proper characterization by continuous advances in multidetector computed tomography (MDCT) techniques. Objective To emphasize the role of MDCT in evaluation of different intestinal disorders in adults. Patients and methods An MDCT was performed on patients referred to the Radiology Department for diagnosis of suspected intestinal diseases at Zahra Hospital and private radiology centers from September 2018 to September 2020. Patients’ selection was based on the need for evaluation of suspected intestinal diseases in adults that were not precisely diagnosed. We used a 128-GE MDCT and 160-Toshiba MDCT. Results A total of 92 patients were included. The mean age of the patients was 47.71±15.66 years, and 67.4% were males. Abdominal pain represented the highest distribution (58.7%) of clinical presentation, whereas abdominal trauma and heart burn represented the lowest distribution (1.1%). Cases with malignancy have the highest distribution of pathological abnormalities (28%), whereas cases with intestinal ischemia have the lowest distribution (1.1%). The most common site for intestinal lesion was large intestine (71.7%), whereas lesions of both small and large intestine represented lowest distribution (8.7%). In addition, 95.7% of the cases had intestinal wall thickening. White pattern represented the highest distribution of enhancement (43.5%), whereas homogenous pattern represented lowest distribution (3.3%) (P<0.05). Besides, segmental pattern represented the highest distribution of large-bowel extension (33.75%), and diffuse pattern represented lowest distribution (23.9%). Conclusion Our results showed MDCT is an accurate and sensitive tool that aids in the diagnosis of a wide range of intestinal diseases.

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Non-traumatic abdominal pain: assessment of diagnostic value of MDCT enterography in small bowel diseases—a retrospective study

Cited by 3 publications

References 16 publications

The added value of MDCT enterography using oral lactulose solution in detection, characterization, and guiding management of small bowel disorders

The added value of MDCT enterography using oral lactulose solution in detection, characterization, and guiding management of small bowel disorders

Multidetector computed tomography: a corner stone imaging modality in evaluation of acute small bowel diseases

Role of multidetector computed tomography in evaluation of intestinal diseases in adults

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