Role of CT Entrography in evaluation of small bowel disorders

Abstract

The small bowel has always been considered a difficult structure for evaluation, because of its extensive length, its position in the digestive tract, its tortuosity and over lapping loops Purpose of this work is to study elteht of CT Enterography in the assessment of different small bowel diseases. CT Enterography offers superior small bowel visualization compared to standard Abdomino-pelvic CT and provides complementary diagnostic information to capsule endoscopy and MR Enterography more over it can detect the extraluminal pathology Purpose of this work is to study elt eht of CT Enterography in the assessment of different small bowel diseases. Patients & methods the study was performed over 43 patients. Complaining from abdominal pain, chronic diarrhea, loss of weight and recurrent vomiting .all patient had full clinical assessment and laboratory investigations. Results were compared to the upper and lower GIT endoscopies as well as laboratory and histopathology results. Results the most frequent finding were inflammatory bowel disease with95% sensitivity, neoplastic with sensitivity 92%, malabsorption 83.4% sensitivity and vascular diseases Conclusion CT Entrography is a safe well tolerated imaging technique that represents simple and effective method in assessment of different small bowel diseases as it is sensitive to early intestinal wall changes and evaluating the associated mesenteric and extra intestinal alterations as well

Comparison of Mannitol, Water, and Iodine-Based Oral Contrast in the Evaluation of the Bowel by Multi-Detector Computed Tomography

“…Since radiologists assume the prime responsibility for the diagnostic evaluation of the small bowel, it is essential that the methods capable of accurately demonstrating small bowel morphology are appropriately employed [ 4 ]. Barium investigations are helpful in detecting intraluminal pathologies but are often non-specific with low diagnostic yield [ 2 , 5 ].…”