Il ruolo dell'intubazione naso-enterica nella tecnica di studio RM nei pazienti con morbo di Crohn: nostra esperienza e review della letteratura

Translated title of the contribution: The role of nasoenteric intubation in the MR study of patients with Crohn's disease: Our experience and literature review

S. Cappabianca, V. Granata, G. Di Grezia, Y. Mandato, A. Reginelli, V. Di Mizio, R. Grassi, A. Rotondo

Research output: Contribution to journalArticle

Abstract

Purpose: The aim of this study was to compare magnetic resonance (MR) enteroclysis with MR enterography to verify whether nasoenteric intubation in patients affected by Crohn's disease can provide supplementary information to that afforded by MR study of the small bowel. Materials and methods: In a 12-month period, 40 patients (28 women and 12 men, mean age 35 years) affected by Crohn's disease underwent MR imaging. Distension of the small-bowel loops was obtained by administering polyethylene glycol: 15 patients were given the mixture by mouth (MR enterography), whereas the remaining 25 received it via nasoenteric intubation (MR enteroclysis). Our study protocol included morphological sequences taken before and after intravenous injection of contrast medium and real-time functional sequences. Accuracy criteria for the execution of the examinations were designed according to 11 bands. Results: Complete distension of the small-bowel loops was obtained in the 25 patients who underwent MR enteroclysis, with the additional advantage of a suitable assessment of those segments involved in the pathological process. This was not the case for the 15 patients who underwent MR enterography, because both the jejunum and the small-bowel loops appeared partially collapsed. Conclusions: MR enteroclysis is the most effective technique for studying the small bowel in Crohn's disease, as it not only provides a suitable morphological assessment but also supplies functional information.

Original languageItalian
Pages (from-to)389-406
Number of pages18
JournalRadiologia Medica
Volume116
Issue number3
DOIs
Publication statusPublished - Apr 2011

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ASJC Scopus subject areas

  • Radiology Nuclear Medicine and imaging
  • Medicine(all)

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