EVALUATION OF SMALL BOWEL DISEASES WITH THE HELP OF CT ENTEROCLYSIS

Abstract

Introduction: It is difficult to diagnosis of small intestine disease with the help of imaging tests. X-ray enteroclysis have limited diagnostic possibilities with a conventional technique. Because of this reason the last few years CT enteroclysis has been achieve on importance and nowadays this method is becoming the basic tool of small intestine imaging, used to detect its diseases. To evaluate patients with abdominal complaints Ultrasonography is widely used because of being non-invasive and easily available widely. Beside evaluated all bowel loops with high accuracy, intraluminal pathologies are not well evaluated. It has a low sensitivity and specificity for bowel pathology. In many clinical scenarios CT has become the modality of choice.  CT enteroclysis is methods of examination in which contrast material is infused through a nasoenteric tube and contiguous axial images are observe after total opacification of adequately distended small intestine.

Aim: The main aim of this study is to evaluate the role of CT enteroclysis in small bowel diseases.

Material and Methods: In this study 30 patients with different age group were include with suspected and proven case of small-bowel diseases were referred to the Department of Radiology for CT enteroclysis. Patients with normal renal function tests were included taken up for CT enteroclysis scan after 4 hours of fasting. From the dome of diaphragm to the symphysis pubis in a cephalocaudal direction during a breath hold CT scan was performed in both arterial and venous phase.

Result: This study group comprised 30 patients in which 20 (66.7%) were male and 10 (33.3%) were female. The most common age groups of patients were 10-30 years old age group followed by 30 -60 years old age group. Out of 30 patients, 14 patients (46.7%) were positive findings and negative findings were obtained in 16 patients (53.3%). Out of total patients 14 patient’s shows CT enteroclysis depicted a broad spectrum of pathologic processes that affected the small bowel. Among total positive cases 2(14.3%) cases of these were small bowel neoplasm and the remaining 12 (85.7%) patients depicted inflammatory/infective small-bowel diseases. Conclusion: CT enteroclysis is a valuable tool for small intestine diagnostics and helps to eliminating the defects of enterography. It also helps to show the detection of extraluminal disease as well as provides information relative to the entire abdomen which is not obtained with small-bowel follow-through or endoscopy. Therefore CT Enteroclysis is an excellent modality that can be utilized for a broad spectrum of diseases.

Keywords: Small Bowel Diseases, CT, Enteroclysis