Abdominal MRI After Enteroclysis or With Oral Contrast in Patients With Suspected or Proven Crohn's Disease

Schreyer, Andreas G. and Geissler, Angela and Albrich, Helga and Schoelmerich, Juergen and Feuerbach, Stefan and Rogler, Gerhard and Voelk, Markus and Herfarth, Hans (2004) Abdominal MRI After Enteroclysis or With Oral Contrast in Patients With Suspected or Proven Crohn's Disease. CLINICAL GASTROENTEROLOGY AND HEPATOLOGY, 2 (6). pp. 491-497. ISSN 1542-3565,

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Abstract

Background & Aims: Diagnostic results of magnetic resonance (MR) enteroclysis correlate highly with those from conventional enteroclysis; nevertheless, intubation of the patient and positioning of an intestinal tube is still necessary for the examination, which is often remembered as the most embarrassing part of the examination by the patient. A more comfortable and highly sensitive examination of the small bowel therefore would increase patient acceptance for recurring examinations, which are often necessary, for example, in patients with Crohn's disease. This study evaluates the diagnostic efficacy of abdominal MR imaging (MRI) of the small bowel after drinking contrast agent only compared with conventional enteroclysis and abdominal MRI performed after enteroclysis in patients with suspected or proven Crohn's disease. Methods: Twenty-one patients with Crohn's disease referred for conventional enteroclysis underwent abdominal MRI after enteroclysis. Additionally, 1 to 3 days before or after these examinations, abdominal MRI was performed using only orally administered contrast. All MRI examinations were performed using a 1.5T scanner. Results: All pathological findings on conventional enteroclysis were shown correctly with MRI after enteroclysis and MRI after oral contrast only. Additional information by MRI was obtained in 6 of 21 patients. No statistically significant differences were found in assessing the diagnostic efficacy of the 3 examinations. Conclusions: Abdominal MRI with oral contrast only can be used as a diagnostic tool for evaluation of the small bowel in patients with Crohn's disease and has the potential to replace conventional enteroclysis as follow-up.

Item Type: Article
Uncontrolled Keywords: ;
Subjects: 600 Technology > 610 Medical sciences Medicine
Divisions: Medicine > Lehrstuhl für Innere Medizin I
Medicine > Lehrstuhl für Röntgendiagnostik
Depositing User: Dr. Gernot Deinzer
Date Deposited: 14 Jul 2021 06:21
Last Modified: 14 Jul 2021 06:21
URI: https://pred.uni-regensburg.de/id/eprint/37564

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