CT enteroclysis in the diagnostics of small bowel diseases.
BACKGROUND
The role of CT enteroclysis is gaining on importance in the diagnostics of small bowel diseases. The aim of the study was to present own experiences in CT enteroclysis application, with the use of a 64-detector CT unit.


METHODS
CT enteroclyses were performed in 60 patients: 53 with the suspicion of the Crohn's disease, 2 suspected for carcinoid, 1 with suspicion of the fistula between the small bowel and the bladder, 2 suspected for the tumor of the ileo-caecal region, and in 1 case, the aim of examination was to carry out an evaluation of the postsurgical state of the bowel-bowel anastomosis. We used own endoscopic technique of catheter insertion into the bowel, which shortens the examination time and improves patient's comfort.


RESULTS
The catheter was correctly introduced into the small bowel in 58 patients (endoscopy had to be repeated in 4 cases). Only 2 examinations failed, because patients refused repeated endoscopy. Radiological signs of the Crohn's disease were found in 50 out of 53 patients. In the 3 remaining patients, the appearance of the small bowel was normal. In 5 non-Crohn's disease patients, CT enteroclysis enabled a good visualization of the pathology (tumors, fistula).


CONCLUSIONS
CT enteroclysis with the use of the 64-detector CT unit is a valuable method in the diagnostics of small bowel diseases. It could supplement or precede capsule endoscopy.
Department of General Radiology, Interventional Radiology and Neuroradiology of the Academic Hospital in Wrocław, Wrocław, Poland.
Marian
M
Kołodziej
Abdulhabib
A
Annabhani
Marek
M
Sąsiadek