[CT enterography with polyethylene glycol electrolyte solution for diagnosis of Crohn's disease].
This study aimed to assess the diagnostic usefulness of CT enterography (CTE) in Crohn's disease in Japanese patients. A total of 32 cases with bowel symptoms underwent CT enterography with polyethylene glycol electrolyte solution as oral contrast medium, among which 18 were clinically diagnosed as Crohn's disease and 14 were not: ulcerative colitis 1, Beçhet disease 1, simple ulcer 1, inflammatory bowel disease without definite diagnosis 5 and bowel symptoms of unknown origin 6. The incidence of bowel wall thickening, mural hyperenhancement, "the comb sign", mesenteric lymph nodes swelling, and stenosis were significantly higher in Crohn's disease than in other disease. Moreover, uneven bowel wall thickening and unilateral mural hyperenhancement on CTE were characteristic features of Crohn's disease, which our original quantitative evaluation with imaging analysis could support. Consequently, CTE is useful in Japanese patients with Crohn's disease.
Endoscopy Center, Department of Gastroenterology, Tenri Hospital. ohanam@tenriyorozu.jp
Masaya
M
Ohana
Atsushi
A
Mima
Hiroki
H
Sonoyama
Shino
S
Kikuchi
Makoto
M
Okabe
Toshiyuki
T
Morisawa
Seiji
S
Shio
Shinji
S
Miyajima
Hajime
H
Kida
Akihiro
A
Okano
Satoshi
S
Okinaga
Fusako
F
Kusumi
Motoshige
M
Nabeshima
D000293:Adolescent; D000328:Adult; D000368:Aged; D003287:Contrast Media; D003424:Crohn Disease / Q000000981:diagnostic imaging*; D004573:Electrolytes; D005260:Female; D006801:Humans; D007421:Intestine, Small / Q000000981:diagnostic imaging; D008297:Male; D008875:Middle Aged; D011092:Polyethylene Glycols; D014057:Tomography, X-Ray Computed
D003287:Contrast Media; D004573:Electrolytes; D011092:Polyethylene Glycols