Accuracy of enteroclysis in Crohn's disease of the small bowel: A retrospective study(252 views visite) Cirillo LC, Camera L, Della Noce M, Castiglione F, Mazzacca G, Salvatore M
Keywords Parole chiave: Enteroclysis, Inflammatory Bowel Disease, Adolescent, Adult, Aged, Article, Barium Enema, Contrast Enhancement, Controlled Study, Crohn Disease, Diagnostic Accuracy, Diagnostic Imaging, Diagnostic Value, Female, Human, Ileum, Image Quality, Major Clinical Study, Priority Journal, 80 And Over, Barium Sulfate, Child, Contrast Media, Diagnostic Errors, Intestinal Neoplasms, Small, Methylcellulose, Middle Aged, Predictive Value Of Tests, Retrospective Studies, Sensitivity And Specificity,
Affiliations Affiliazioni: Department of Radiology, University Federico II, Via S. Pansini 5, I-80131 Naples, Italy Department of Gastroenterology, University Federico II, Via S. Pansini 5, I-80131 Naples, Italy
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Maglinte, D. T., Kelvin, F. M., O'Connor, K., Lappas, J. C., Chernish, S. M., Current status of small bowel radiography (1996) Abdom Imaging, 21, pp. 247-256
Malatjalian, D. A., Pathology of inflammatory bowel disease in colo-rectal mucosal biopsies (1987) Dig Dis Sci, 32, pp. 5S-15S
Raviglione, M. C., Snider D. E., Jr., Kochi, A., Global epidemiology of tuberculosis: Morbidity and mortality of a worldwide epidemic (1995) J Am Med Assoc, 273, p. 220226
Balthazar, E. J., Gordon, R., Hulnick, D., Ileocecal tuberculosis: CT and radiologic evaluation (1990) AJR, 154, pp. 499-503
Kapoor, V. K., Koch's or Crohn's? (1997) Int J Clin Prac, 51, pp. 246-247
Horton, K. M., Jones, B., Bayless, T. M., Mucinous adenocarcinoma at the ileocecal valve mimicking Crohn's disease (1994) Dig Dis Sci, 39, pp. 2276-2281
Fleisher, D. E., Grimm, I. S., Friedman, L. S., Inflammatory bowel disease in older patients (1994) Med Clin North Am, 78, pp. 1303-1319
Accuracy of enteroclysis in Crohn's disease of the small bowel: A retrospective study
The aim of this study was to evaluate the accuracy of enteroclysis in the diagnosis of Crohn's disease of the small bowel in a group of consecutive patients. From January 1992 to December 1995, 165 patients with suspected Crohn's disease of the small bowel presented to our institution for enteroclysis. In 14 patients up to three enteroclysis exams were performed. Most patients (78 %) underwent colonoscopy and retrograde ileoscopy. In the remaining patients clinical follow-up was used as gold standard. In 79 patients no radiographic abnormalities were found. Sixty-one patients (40 men and 21 women; mean age 34.2 years) had a radiological diagnosis of Crohn's disease. This involved the terminal ileum in 39 patients (64 %) either alone (n = 25) or in association with the pelvic ileum (n = 14). In 12 of these patients retrograde ileoscopy was not feasible. Twenty-one patients underwent surgery. In 4 patients pathology revealed diseases other than Crohn's. These patients had all ileocecal diseases (tuberculosis = 2; non-Hodgkin's lymphoma = 1; adenocarcinoma = 1). One false-negative result was observed. Overall, enteroclysis showed a sensitivity of 98.2 % and a positive predictive value of 93.4 %. Enteroclysis is a sensitive technique in evaluating both the extent and the severity of small bowel involvement in Crohn's disease, although the overlap of radiographic findings may hamper its accuracy when the disease is confined to the ileocecal area.
Accuracy of enteroclysis in Crohn's disease of the small bowel: A retrospective study
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