Adequacy of Bowel Wall Distension in Patients Undergoing CT Enterography: A Radiologist's Perspective

Md. Khizer Razak, Meena Gl
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Abstract

The evaluation of patients with suspected small bowel disease, particularly in inflammatory bowel disease (IBD), has always been challenging because of the small bowel length and location. Capsule endoscopy has the advantage of direct visualization of the bowel lumen, but it is relatively contraindicated in the presence of strictures and has limited ability to assess extraluminal abnormality [1]. CT enteroclysis, another modality of small bowel imaging, requires fluoroscopic placement of a naso-jejunal tube to infuse contrast material; therefore, it has the disadvantages of poor patient tolerance associated with nasojejunal tube insertion and additional radiation exposure during the examination [2, 3]. Abstract
CT肠造影患者肠壁膨胀的充分性:放射科医生的观点
由于小肠的长度和位置,对疑似小肠疾病,特别是炎症性肠病(IBD)患者的评估一直具有挑战性。胶囊内镜具有直接观察肠腔的优点,但在存在狭窄的情况下相对禁忌症,并且评估腔外异常的能力有限[1]。CT小肠清扫术是小肠成像的另一种方式,需要在透视下放置鼻空肠管注入造影剂;因此,它的缺点是患者耐受性差,与鼻空肠管插入和检查期间额外的辐射暴露有关[2,3]。摘要
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