Enteroclysis in older children and teenagers.
BACKGROUND
Enteroclysis (EC) has been widely and successfully used for evaluation of the small bowel in adults for about 30 years. However, despite recently improved intubation and examination techniques, in many paediatric radiology centres it is still not the preferred conventional barium study for the evaluation of small bowel pathology in children.


OBJECTIVE
To share our 10 years of experience and review the feasibility of EC in 83 older children and teenagers, in terms of both technique and pathological findings.


METHODS
Between 1996 and 2006, EC was performed by the standard technique described by Herlinger to 83 children between 7 and 18 years of age. The indication for the study was jointly decided by the paediatric radiologist and the clinician. None of the examinations was converted to follow-through studies because of patient refusal or technical failure. Morphological changes, mucosal abnormalities, luminal abnormalities, perienteric structures, the location of the disease, indirect findings regarding the bowel wall and functional information were evaluated.


RESULTS
All the children tolerated the procedure without difficulty. Out of 83 patients, 63 had abnormal findings. The spectrum of diagnoses were Crohn disease (n = 23), nonspecific enteritis (n = 10), malabsorption (n = 8), intestinal tuberculosis (n = 6), intestinal lymphoma (n = 5), Peutz-Jegher syndrome (n = 3), adhesions (n = 2), Behçet disease (n = 2), back-wash ileitis due to ulcerative colitis (n = 2), common-variable immune deficiency (n = 1) and lymphangiectasis (n = 1).


CONCLUSIONS
EC can easily be performed in children over 7 years of age and when performed using a correct technique it shows high diagnostic performance without any complications in the evaluation of small bowel diseases in older children and teenagers.
Kurugoglu
Sebuh
S
Department of Radiology, Cerrahpasa Medical Faculty, Istanbul University, Kocamustafapaşa, Istanbul, Turkey. sebuh.k@superonline.com
Korman
Ugur
U
Adaletli
Ibrahim
I
Selcuk
Dogan
D
D000293:Adolescent; D001466:Barium Sulfate; D002404:Catheterization / Q000379:methods; D002648:Child; D003287:Contrast Media / Q000008:administration & dosage; D005240:Feasibility Studies; D005260:Female; D005471:Fluoroscopy / Q000379:methods; D006801:Humans; D007410:Intestinal Diseases / Q000175:diagnosis*; D007421:Intestine, Small / Q000000981:diagnostic imaging*; D007441:Intubation, Gastrointestinal / Q000379:methods*; D008297:Male; D011860:Radiography, Abdominal / Q000379:methods
D003287:Contrast Media; D001466:Barium Sulfate