title: Findings at helical CT-enteroclysis in symptomatic patients with crohn disease: correlation with endoscopic and surgical findings.
abstract: OBJECTIVE
  The purpose of our study was to assess the diagnostic potential of helical CT-enteroclysis (HCTE) and to correlate our findings to endoscopic and surgical results.
  
  
  METHODS
  Twenty-eight consecutive patients suffering from histologic proven Crohn disease underwent HCTE and endoscopy within 4 weeks. HCTE findings were read by two observers in consensus and compared with endoscopic and surgical results.
  
  
  RESULTS
  Morphological signs of an acute or recurrent bowel inflammation were found in 25 of 28 (89%) patients. HCTE demonstrated accurately all mural and extramural changes of the inflamed bowel walls. Moreover, in 18 of 25 (72%) patients, HCTE depicted additional pathologic changes such as fistulas, abscesses, and skip lesions, all of which could not be visualized by endoscopy.
  
  
  CONCLUSIONS
  HCTE is an accurate technique to detect mural and extramural abnormalities in patients with Crohn disease. HCTE should be considered as a complementary imaging method to endoscopy, and should be the first imaging method especially when Crohn-associated complications are suspected.
authors.affiliation: Department of Radiology, Division of Gastroenterology and Hepatology, University of Viena, Viena, Australia. Karl.Turetschek@univie.ac.at
authors.forename: Karl
authors.initials: K
authors.lastname: Turetschek
authors.forename: Ewald
authors.initials: E
authors.lastname: Schober
authors.forename: Patrick
authors.initials: P
authors.lastname: Wunderbaldinger
authors.forename: Christoph
authors.initials: C
authors.lastname: Bernhard
authors.forename: Wolfgang
authors.initials: W
authors.lastname: Schima
authors.forename: Andreas
authors.initials: A
authors.lastname: Puespoek
authors.forename: Harald
authors.initials: H
authors.lastname: Vogelsang
authors.forename: Peter
authors.initials: P
authors.lastname: Moeschl
authors.forename: Gerhard
authors.initials: G
authors.lastname: Mostbeck
mesh_terms: D000328:Adult; D002086:Butylscopolammonium Bromide / Q000008:administration & dosage; D003113:Colonoscopy; D003287:Contrast Media / Q000008:administration & dosage; D003424:Crohn Disease / Q000000981:diagnostic imaging* / Q000473:pathology / Q000601:surgery; D005260:Female; D006801:Humans; D007413:Intestinal Mucosa / Q000000981:diagnostic imaging / Q000473:pathology; D007441:Intubation, Gastrointestinal; D008297:Male; D008747:Methylcellulose; D011856:Radiographic Image Enhancement; D012008:Recurrence; D012086:Reoperation; D012680:Sensitivity and Specificity; D014057:Tomography, X-Ray Computed
chemical_list: D003287:Contrast Media; D002086:Butylscopolammonium Bromide; D008747:Methylcellulose