Current Problems in Diagnostic Radiology
Volume 37, Issue 6 , Pages 279-287 , November 2008

Computed Tomographic Enterography and Enteroclysis: Pearls and Pitfalls

  • Hetal Dave-Verma, MD

      Affiliations

    • Department of Radiology, University of Massachusetts Memorial Hospital, Worcester, MA
  • ,
  • Scott Moore, MD

      Affiliations

    • Department of Radiology, University of Massachusetts Memorial Hospital, Worcester, MA
  • ,
  • Ajay Singh, MD

      Affiliations

    • Department of Radiology, University of Massachusetts Memorial Hospital, Worcester, MA
    • Department of Gastroenterology, University of Massachusetts Memorial Hospital, Worcester, MA
    • Massachusetts General Hospital, Boston, MA
    • Corresponding Author InformationReprint requests: Ajay Singh, MD, 10 Museum Way, #524, Cambridge, MA 02141
  • ,
  • Noel Martins, MD

      Affiliations

    • Department of Gastroenterology, University of Massachusetts Memorial Hospital, Worcester, MA
  • ,
  • John Zawacki, MD

      Affiliations

    • Department of Gastroenterology, University of Massachusetts Memorial Hospital, Worcester, MA

References 

  1. Fishman EK, Wolf EJ, Jones B, et al. CT evaluation of Crohn's disease: Effect on patient management. AJR. 1987;148:537–540
  2. Orel SG, Rubesin SE, Jones B, et al. Computed tomography vs. barium studies in the acutely symptomatic patient with Crohn's. J Comput Assist Tomogr. 1987;11:1009–1016
  3. Wold PB, Fletcher JG, Johnson CD, et al. Assessment of small bowel Crohn disease: Noninvasive peroral CT enterography compared with other imaging methods and endoscopy—Feasibility study. Radiology. 2003;229:275–281
  4. Gore RM, Marn CS, Kirby DF, et al. CT findings in ulcerative, granulomatous and indeterminate colitis. AJR. 1984;143:279–284
  5. Del Campo L, Arribas I, Valbuena M, et al. Spiral CT findings in active and remission phases in patients with Crohn's disease. J Comput Assist Tomogr. 2001;25:792–797
  6. Meyers MA, McGuire PV. Spiral CT demonstration of hypervascularity in Crohn's disease: “Vascular jejunization of the ileum” or the “comb sign”. Abdom Imaging. 1995;20:327–332
  7. Present DH, Rutgeerts P, Targan S, et al. Infliximab for the treatment of fistulas in patients with Crohn's disease. N Engl J Med. 1999;340:1398–1405
  8. Ghosh S, Goldin E, Gordon FH, et al. Natalizumab for active Crohn's disease. N Engl J Med. 2003;348:24–32
  9. Gore RM, Balthazar EJ, Ghahremani GG, et al. CT features of ulcerative colitis and Crohn's disease. AJR. 1996;167:3–15
  10. Patak MA, Mortele KJ, Ros PR. Multidetector row CT of the small bowel. Radiol Clin North Am. 2005;43:1063–1077
  11. Leighton JA, Shen B, Baron TH, et al. ASGE guideline: Endoscopy in the diagnosis and treatment of inflammatory bowel disease. Gastrointest Endosc. 2006;63:558–565
  12. Goldberg HI, Gore RM, Margulis AR, et al. Computed tomography in the evaluation of Crohn disease. AJR. 1983;140:277–282
  13. Frager DH, Goldman M, Beneventano TC. Computed tomography in Crohn disease. J Comput Assist Tomogr. 1983;7:819–824
  14. Berliner L, Redmond P, Purow E, et al. Computed tomography in Crohn's disease. Am J Gastroenterol. 1982;77:548–553
  15. Paulsen SR, Huprich JE, Fletcher JG, et al. CT enterography as a diagnostic tool in evaluating small bowel disorders: review of clinical experience with over 700 cases. Radiographics. 2006;26:641–657
  16. Minardi AJ, Zibari GB, Aultman DF, et al. Small-bowel tumors. J Am Coll Surg. 1998;186:664–668
  17. North JH, Pack MS. Malignant tumors of the small intestine: A review of 144 cases. Am Surg. 2000;66:46–51
  18. Zhang LH, Zhang SZ, Hu HJ, et al. Multi-detector CT enterography with iso-osmotic mannitol as oral contrast for detecting small bowel disease. World J Gastroenterol. 2005;11:2324–2329
  19. Bodily KD, Fletcher JG, Solem CA, et al. Crohn disease: mural attenuation and thickness at contrast-enhanced CT enterography—Correlation with endoscopic and histologic findings of inflammation. Radiology. 2006;238:505–516
  20. Hara AK, Leighton JA, Heigh RI, et al. Crohn disease of the small bowel: Preliminary comparison among CT enterography, capsule endoscopy, small-bowel follow-through, and ileoscopy. Radiology. 2006;238:128–134

PII: S0363-0188(07)00057-6

doi: 10.1067/j.cpradiol.2007.08.007

Current Problems in Diagnostic Radiology
Volume 37, Issue 6 , Pages 279-287 , November 2008