关键词: ct enterography imaging inflammation mannitol noninvasive small bowel disorders

来  源:   DOI:10.7759/cureus.60915   PDF(Pubmed)

Abstract:
Background A major development in noninvasive imaging modalities, computed tomographic enterography (CTE) has a number of benefits over conventional computed tomography (CT) and capsule endoscopy. Through the utilization of multidetector computed tomography (MDCT) technology, CTE expedites the assessment of small bowel diseases, especially in those segments that are not accessible through traditional endoscopy. This study\'s main goal is to thoroughly evaluate CTE\'s diagnostic accuracy for a range of small intestinal conditions. Methodology In this investigation, which is a prospective observational study, 40 patients, 25 men and 15 women, with suspected small intestinal disorders and ages ranging from 10 to 70 underwent CTE. To evaluate diagnosis accuracy, a combination of clinical symptoms, imaging data, and histopathological/ultrasonography findings were evaluated. Throughout the research procedure, ethical issues and statistical analysis were incorporated to guarantee validity and adherence to ethical norms. Results The most frequent findings on CTE were bowel thickening and mucosal hyperenhancement, which were seen in 25 (62.5%) and 20 (50%) of the patients, respectively. The majority of patients (65%) exhibited both the ileal and jejunal loops to be adequately distended in grade III. In 35% of the patients, grade II distensibility of the ileal and jejunal loops was seen. Conclusion When it comes to accurately detecting small intestinal disorders, CTE is superior. It evaluates extraintestinal, mural, and intraluminal diseases with efficacy, particularly in places that are difficult to reach. It is essential for directing clinical decisions because of its capacity to assess disease activity prior to endoscopy and see consequences.
摘要:
背景非侵入性成像模式的主要发展,与传统的计算机断层扫描(CT)和胶囊内窥镜检查相比,计算机断层成像(CTE)具有许多优势.通过利用多探测器计算机断层扫描(MDCT)技术,CTE加快了对小肠疾病的评估,特别是在那些无法通过传统内窥镜检查的部分。本研究的主要目标是全面评估CTE对一系列小肠疾病的诊断准确性。方法论在这次调查中,这是一项前瞻性观察研究,40名患者,25男15女,怀疑小肠疾病和年龄范围从10到70接受CTE。为了评估诊断的准确性,临床症状的组合,成像数据,和组织病理学/超声检查结果进行了评估。在整个研究过程中,纳入了伦理问题和统计分析,以保证有效性和遵守伦理规范。结果CTE最常见的表现是肠管增厚和粘膜过度增强,在25例(62.5%)和20例(50%)患者中观察到,分别。大多数患者(65%)在III级中表现出回肠和空肠环充分扩张。在35%的患者中,观察到回肠和空肠环的II级扩张性。结论在准确检测小肠疾病时,CTE优越。它评估肠外,壁画,和具有疗效的腔内疾病,特别是在难以到达的地方。它对于指导临床决策至关重要,因为它有能力在内窥镜检查之前评估疾病活动并查看后果。
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