[State of the art of selective small bowel enema. Indications and results].
Medical records of 312 consecutive patients with enteroclysis were reviewed. Clinical indications, symptoms, roentgenologic results and clinical outcome were correlated. The most frequent indications were abdominal pain (22%), suspected inflammatory bowel disease (19%), evaluation of Crohn's disease (17%) and diarrhea (11%). Two-thirds of the studies (67.6%) gave normal results and 32.4%, abnormal. The most common abnormalities detected were pathology of the mucosa (40%), stenosis of the small bowel (34%) and fistulas (26%). A low incidence of pathology as found in cases of gastrointestinal bleeding of unknown origin (0%) and when a primary tumor was sought (13%). In 18% operation followed enteroclysis; results were found to be true-positive in 68% and false-negative in 28%. We conclude that in view of the implications (radiation dose and patient discomfort), the indications should be carefully considered before enteroclysis is performed.
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Institut für Klinische Radiologie, Westfälische Wilhelms-Universität Münster.
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D015746:Abdominal Pain / Q000175:diagnosis* / Q000453:epidemiology; D000293:Adolescent; D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D002648:Child; D002675:Child, Preschool; D003424:Crohn Disease / Q000175:diagnosis* / Q000453:epidemiology; D003967:Diarrhea / Q000175:diagnosis* / Q000453:epidemiology; D004733:Enema; D005260:Female; D006801:Humans; D007223:Infant; D015212:Inflammatory Bowel Diseases / Q000175:diagnosis* / Q000453:epidemiology; D007421:Intestine, Small; D008297:Male; D008875:Middle Aged; D012189:Retrospective Studies
Bestandsaufnahme der selektiven Dünndarmpassage. Indikationen und Ergebnisse.