The role of nasoenteric intubation in the MR study of patients with Crohn’s disease: our experience and literature review

Cappabianca, Salvatore; Granata, Vincenza; Grezia, Graziella Di; Mandato, Ylenia; Reginelli, Alfonso; Mizio, Veronica Di; Grassi, Roberto; Rotondò, Antonio

doi:10.1007/s11547-010-0605-1

Cited by 38 publications

(21 citation statements)

References 23 publications

(56 reference statements)

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“…Small-bowel distention was obtained with nasojejunal. Although this procedure was not always well accepted by patients and was characterized by longer time of the examination, as well as the use of X-rays, it improves the quality of the investigation since distension of bowel loops is controlled and uniform in contrast to the result obtained with the administration of contrast per os during procedures of MR enterography (Figures 1 and 2 ) [ 1 , 15 ]. The use of coronal single-shot spin-echo (MR fluoroscopy) sequences is important for determining the distensibility of narrowed areas and facilitating the differentiation of contractions from strictures in the evaluation of prestenotic dilatation, of small-bowel mobility.…”

Section: Discussionmentioning

confidence: 99%

Small-Bowel Neoplasms: Role of MRI Enteroclysis

Faggian

Fracella

D'Alesio

et al. 2016

Gastroenterology Research and Practice

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Small-bowel neoplasms are the 3%–6% of all gastrointestinal tract neoplasms. Due to the rarity of these lesions, the low index of clinical suspicion, and the inadequate radiologic examinations or incorrect interpretation of radiologic findings, a delay in diagnosis of 6–8 months from the first symptoms often occurs. Even if conventional enteroclysis and capsule endoscopy are the most common procedures used to accurately depict the bowel lumen and mucosal surface, their use in evaluating the mural and extramural extents of small-bowel tumors is limited. Instead multidetector computed tomographic enteroclysis and magnetic resonance enteroclysis have the potential to simultaneously depict intraluminal, mural, and extraintestinal abnormalities. In particular MR enteroclysis has an excellent soft tissue contrast resolution and multiplanar imaging capability. It can provide anatomic, functional, and real time information without the need of ionizing radiation. MR findings, appearances of the lesions, combined with the contrast-enhancement behavior and characteristic of the stenosis are important to differentiate small-bowel neoplasm from other nonneoplastic diseases.

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Section: Discussionmentioning

confidence: 99%

Small-Bowel Neoplasms: Role of MRI Enteroclysis

Faggian

Fracella

D'Alesio

et al. 2016

Gastroenterology Research and Practice

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“…With the emergence of ultrasonography as an invaluable tool in the evaluation of blunt abdominal trauma, several studies have examined its applicability in penetrating trauma. Most studies [25][26][27][28] have come to the same conclusion: although it may be helpful, it does not exclude injury and may be no better than clinical judgment. CT has emerged as a useful adjunct in the nonoperative management of patients with abdominal GSWs.…”

Section: Abdominal Pelvic Injuriesmentioning

confidence: 99%

“…Traumatic rupture of the diaphragm is an unusual type of trauma. 27 In addition, it is difficult to diagnose because it can be accompanied by injuries to other organs. If it is not detected early, the mortality rate can increase owing to serious complications.…”

Section: Abdominal Pelvic Injuriesmentioning

confidence: 99%

Imaging Assessment of Gunshot Wounds

Reginelli

Russo

Maresca

et al. 2015

Seminars in Ultrasound, CT and MRI

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“…90%, spec. 100%) proved to be more effective than MR enterography (sens 89%, spec 67%) in evaluating stenosis and its significance and also in evaluating bowel-wall thickness (Figure 6) [59], and examination with the use of peroral contrast agent administration may not be accurate for detection of early mucosal lesions of CD [50]. …”

Section: Mri Enteroclysis (Mr-e)mentioning

confidence: 99%

“…It also has relatively lower sensitivity than MDCT-E (60% versus 89% in the assessment of bowel-wall thickening only) [59]. …”

Section: Mri Enteroclysis (Mr-e)mentioning

confidence: 99%

Crohn’s Disease Imaging: A Review

Gatta

Grezia

Mizio³

et al. 2012

Gastroenterology Research and Practice

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Crohn’s disease is a chronic granulomatous inflammatory disease of the gastrointestinal tract, which can involve almost any segment from the mouth to the anus. Typically, Crohn’s lesions attain segmental and asynchronous distribution with varying levels of seriousness, although the sites most frequently involved are the terminal ileum and the proximal colon. A single gold standard for the diagnosis of CD is not available and the diagnosis of CD is confirmed by clinical evaluation and a combination of endoscopic, histological, radiological, and/or biochemical investigations. In recent years, many studies have been performed to investigate the diagnostic potential of less invasive and more patient-friendly imaging modalities in the evaluation of Crohn’s disease including conventional enteroclysis, ultrasonography, color-power Doppler, contrast-enhanced ultrasonography, multidetector CT enteroclysis, MRI enteroclysis, and 99mTc-HMPAO-labeled leukocyte scintigraphy. The potential diagnostic role of each imaging modality has to be considered in different clinical degrees of the disease, because there is no single imaging technique that allows a correct diagnosis and may be performed with similar results in every institution. The aim of this paper is to point out the advantages and limitations of the various imaging techniques in patients with suspected or proven Crohn’s disease.

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The role of nasoenteric intubation in the MR study of patients with Crohn’s disease: our experience and literature review

Abstract: MR enteroclysis is the most effective technique for studying the small bowel in Crohn's disease, as it not only provides a suitable morphological assessment but also supplies functional information.

Cited by 38 publications

References 23 publications

Small-Bowel Neoplasms: Role of MRI Enteroclysis

Small-Bowel Neoplasms: Role of MRI Enteroclysis

Imaging Assessment of Gunshot Wounds

Crohn’s Disease Imaging: A Review

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