Efficacy of CT Enteroclysis in Small Bowel Disorders: A Prospective Study
Journal Title: International Journal of Anatomy Radiology and Surgery - Year 2017, Vol 6, Issue 3
Abstract
Introduction: CT-Enteroclysis (CT-E) is a method of examining the small intestine which combines the advantage of enteral volume challenge with those of cross sectional imaging and multiplanar reformatting to improve detection of intra and extra intestinal manifestation of small bowel disease. This technique attempts to overcome the individual shortcomings of routine CT. Aim: To determine site/level/cause of the obstruction in patients, clinically suspected of Sub-Acute Intestinal Obstruction (SAIO), to determine extent (length) of small bowel disease, to evaluate small bowel in case of unexplained anemia with gastrointestinal bleeding and abdominal pain, and to confirm the diagnosis of small bowel tuberculosis. Materials and Methods: In this prospective study 50 patients who were above the age of 12 years both male and female referred from Surgery/Medicine/Gynaecology OPD of ARMCH&RC, with suspicion of small bowel pathology were evaluated by CT-E. Results: Out of fifty patients, six patients were normal. Tuberculosis (20) was the most common detected pathology followed by sub-acute intestinal obstruction (12). The sensitivity of CT-E for detection of small bowel tuberculosis was found to be 95.23% and specificity was 100%. Positive predictive value was 100% and negative predictive value was 96.66%. Conclusion: CT-E is a rapid, well tolerated and reliable imaging modality for demonstration of small bowel pathology. CT-E helps in diagnosing small bowel pathologies such as inflammatory diseases with their intra and extra intestinal manifestations, benign and malignant neoplasms; and helps in their staging, mechanical low grade intestinal obstruction.
Authors and Affiliations
Anand Shrikant Gajakos, Jyoti Tapadia
Keywords
Related Articles
- EP ID EP369725
- DOI 10.7860/IJARS/2016/23917:2287
- Views 125
- Downloads 0
Appearance of Renal Cysts in Adult Human Cadavers
Introduction: The cysts present on the kidney are generally developed due to either genetic or pathological factors. Such lesions of kidneys are usually found to be filled with fluid. An Autosomal Dominant Polycystic Kid...
Can MRI Localise the Cause of Chronic Low Backache in Lumbar Spondylosis and Help Guide Specific Management?
Introduction: MRI is a primary imaging modality in assessing chronic low backache. Many of the findings identified on MRI may not be symptomatic. Nerve root compressions, compression of cauda equina, posterior annular te...
Perception of Surgical Faculty on the Utility of Modified Thiel Embalmed Cadavers
Introduction: Surgical skills training on low and high fidelity simulators have been in practice for over a decade, but due to the high cost of virtual reality simulators it is beyond the reach of institutions and traine...
Efficacy of MR Colonography and Conventional Colonoscopy in Colonic Polyps Assessment
Introduction: Polyps are fibro vascular extensions of mucosa into bowel lumen. Radiological assessment plays a major role in depicting colonic polyps. Colonoscopy is a gold standard technique to detect polyps with high s...
Ultrasonographic Evaluation of Thyroid Nodules with Pathologic Correlation
Introduction: Thyroid nodules are very common and can occur in upto 50% of the adult population. Ultrasonography is often the initial investigative modality used in the detection and characterisation of various thyroid n...