Accuracy of enteroclysis in Crohn's disease of the small bowel: A retrospective study(397 views) Cirillo LC, Camera L, Della Noce M, Castiglione F, Mazzacca G, Salvatore M
Affiliations: 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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Willis, S. J., Lobis, I. F., Denstman, F. J., Crohn's disease: State of the art (1997) Radiology, 202, pp. 597-610
Glick, S. N., Crohn's disease of the small intestine (1987) Radiol Clin North Am, 25, pp. 25-43
Maglinte, D. D. T., Chernish, S. M., Kelvin, F. M., Crohn disease of the small intestine: Accuracy and relevance of enteroclysis (1992) Radiology, 184, pp. 541-545
Cirillo, L. C., Maurano, A., Celentano, L., Le malattie inflammatorie: Il morbo di Crohn (1994), pp. 19-32. , L'Intestino tenue - studio radiologico. Gnocchi, NapoliHerlinger, H., A modified technique for the double contrast small bowel enema (1978) Gastrointest Radiol, 3, pp. 201-207
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
No results.
Accuracy of enteroclysis in Crohn's disease of the small bowel: A retrospective study
Kim YH, Shin SW, Pellicano R, Fagoonee S, Choi IJ, Kim YI, Park B, Choi JM, Kim SG, Choi J, Park JY, Oh S, Yang HJ, Lim JH, Im JP, Kim JS, Jung HC, Ponzetto A, Figura N, Malfertheiner P, Choi IJ, Kook MC, Kim YI, Cho SJ, Lee JY, Kim CG, Park B, Nam BH, Bae SE, Choi KD, Choe J, Kim SO, Na HK, Choi JY, Ahn JY, Jung KW, Lee J, Kim DH, Chang HS, Song HJ, Lee GH, Jung HY, Seta T, Takahashi Y, Noguchi Y, Shikata S, Sakai T, Sakai K, Yamashita Y, Nakayama T, Leja M, Park JY, Murillo R, Liepniece-karele I, Isajevs S, Kikuste I, Rudzite D, Krike P, Parshutin S, Polaka I, Kirsners A, Santare D, Folkmanis V, Daugule I, Plummer M, Herrero R, Tsukamoto T, Nakagawa M, Kiriyama Y, Toyoda T, Cao X, Corral JE, Mera R, Dye CW, Morgan DR, Lee YC, Lin JT, Garcia Martin R, Matia Cubillo A, Lee SH, Park JM, Han YM, Ko WJ, Hahm KB, Leontiadis GI, Ford AC, Ichinose M, Sugano K, Jeong M, Park JM, Han YM, Park KY, Lee DH, Yoo JH, Cho JY, Hahm KB, Bang CS, Baik GH, Shin IS, Kim JB, Suk KT, Yoon JH, Kim YS, Kim DJ * Helicobacter pylori Eradication for Prevention of Metachronous Recurrence after Endoscopic Resection of Early Gastric Cancer(297 views) N Engl J Med (ISSN: 0028-4793, 0028-4793linking, 1533-4406electronic), 2015 Jun; 30642104201566393291: 749-756. Impact Factor:59.558 ViewExport to BibTeXExport to EndNote