Intubation routes for enteroclysis.

Maglinte, D. D. T.; Lappas, J C; Chernish, SM; Sellink, J. L.

doi:10.1148/radiology.158.2.3941886

Cited by 22 publications

(6 citation statements)

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“…23 However, it was restricted because of patient discomfort and technical complexity. 24 In our study, the mean score of jejunal distention could all be above the "fair" level, but there was no significant correlation between the volume of contrast agent ingested and the corresponding jejunal distention. Thus, strategies that could improve the jejunal distention quality should be investigated in future research.…”

Section: Discussioncontrasting

confidence: 54%

Individualized small bowel preparation for computed tomography enterography: A prospective randomized controlled trial

Sun,

Li,

Zheng

et al. 2024

J of Gastro and Hepatol

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Background and AimThe study aims to evaluate the feasibility of body mass index (BMI)‐based individualized small bowel preparation for computed tomography enterography (CTE).MethodsIn this prospective randomized controlled study, patients undergoing CTE were randomly assigned to the individualized group or standardized group. Those in individualized group were given different volumes of mannitol solution based on BMI (1000 mL for patients with BMI < 18.5 kg/m2, 1500 mL for patients with 18.5 kg/m2 ≤ BMI < 25 kg/m2 and 2000 mL for patients with BMI ≥ 25 kg/m2) while patients in the standardized group were all asked to consume 1500‐mL mannitol solution. CTE images were reviewed by two experienced radiologists blindly. Each segment of the small bowel was assessed for small bowel image quality and disease detection rates. Patients were invited to record a diary regarding adverse events and acceptance.ResultsA total of 203 patients were enrolled and randomly divided into two groups. For patients with BMI < 18.5 kg/m2, 1000‐mL mannitol solution permitted a significantly lower rate of flatulence (P = 0.045) and defecating frequency (P = 0.011) as well as higher acceptance score (P = 0.015), but did not affect bowel image quality and diseases detection compared with conventional dosage. For patients with BMI ≥ 25 kg/m2, 2000‐mL mannitol solution provided better overall image quality (P = 0.033) but comparable rates of adverse events and patients' acceptance compared with conventional dosage.ConclusionsIndividualized bowel preparation could achieve both satisfactory image quality and patients' acceptance thus might be an acceptable alternative in CTE.

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Section: Discussioncontrasting

confidence: 54%

Individualized small bowel preparation for computed tomography enterography: A prospective randomized controlled trial

Sun,

Li,

Zheng

et al. 2024

J of Gastro and Hepatol

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“…This limitation is particularly undesirable in examinations of young patients, who often need several imaging examinations for therapeutic monitoring. Finally, many patients consider nasojejunal intubation unpleasant and invasive [24]. Thus strategies have been evaluated for obviating nasojejunal intubation for MRI of the small bowel.…”

Section: Discussionmentioning

confidence: 99%

“…Six healthy volunteers (four women, two men; median age, 36 years; age range, 28-47 years; median body mass index, 23.3; body mass index range, [18][19][20][21][22][23][24][25][26][27][28] were included in this study. Any history of gastrointestinal disease or gastrointestinal symptoms (postprandial belching, nausea, early satiety) was excluded with use of a standardized ques-R tionnaire.…”

Section: Subjects and Methods Subjectsmentioning

confidence: 99%

Hydro-MRI of the Small Bowel: Effect of Contrast Volume, Timing of Contrast Administration, and Data Acquisition on Bowel Distention

Kuehle

Ajaj

Ladd

et al. 2006

American Journal of Roentgenology

115

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“…Enteroclysis is the placement of a nasojejunal catheter (sometimes via the oral route) [5] with administration of contrast agents through the catheter [6]. While enteroclysis seems to be the most efficacious method in achieving bowel distension [7], primarily jejunum [8,9], enterography has been advocated by others [10].…”

Section: Introductionmentioning

confidence: 99%

Value of cine MRI for better visualization of the proximal small bowel in normal individuals

et al. 2007

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While enteroclysis seems to be the most efficacious method in achieving bowel distension, enterographic methods have become widespread due to the unpleasantness of enteroclysis and the radiation involved with positioning the catheter. Cine images in MRI can be done without radiation. Our aim is to see if and how cine MR imaging can improve visualization of bowel loops by capturing them while distended. Ten healthy individuals were asked to drink up to 2,000 ml of an oral solution made locally over a 60-min period. Then they underwent MRI using coronal balanced fast field echo (b-FFE) covering small bowel loops. If the initial exam revealed collapsed bowel loops an additional 50 mg of erythromycine was given intravenously with the subject still in the scanner and then cine imaging was performed. The degree of distension of different segments of the small bowel was measured before and after cine imaging and compared. The distension score was significantly higher after addition of the cine images as well, being only significant for depiction of the duodenum and jejunum. Our preliminary study suggests that cine MRI can give better image depiction of the proximal small bowel in healthy volunteers, perhaps circumventing the need for enteroclysis in some cases. There is a need for validation of these results in patients with small bowel disease.

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Intubation routes for enteroclysis.

Cited by 22 publications

References 0 publications

Individualized small bowel preparation for computed tomography enterography: A prospective randomized controlled trial

Individualized small bowel preparation for computed tomography enterography: A prospective randomized controlled trial

Hydro-MRI of the Small Bowel: Effect of Contrast Volume, Timing of Contrast Administration, and Data Acquisition on Bowel Distention

Value of cine MRI for better visualization of the proximal small bowel in normal individuals

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