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Multidetector CT enteroclysis versus barium enteroclysis with methylcellulose in patients with suspected small bowel disease.

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Title: Multidetector CT enteroclysis versus barium enteroclysis with methylcellulose in patients with suspected small bowel disease.
Authors: Minordi, Laura Maria1 lmminordi@rm.unicatt.it, Vecchioli, Amorino1, Guidi, Luisa2, Mirk, Paoletta1, Fiorentini, Luisa1, Bonomo, Lorenzo1
Source: European Radiology. Jul2006, Vol. 16 Issue 7, p1527-1536. 10p. 11 Black and White Photographs, 5 Charts.
Subjects: Small intestine radiography, Intestinal diseases, Endoscopy, Crohn's disease, Patients, Crohn's disease diagnosis, Barium sulfate, Cellulose, Comparative studies, Computed tomography, Diagnostic imaging, Small intestine, Research methodology, Medical cooperation, Research, Research evaluation, Gastric intubation, Evaluation research, Randomized controlled trials, Contrast media, Equipment & supplies
Abstract: The purpose of this study was to evaluate the diagnostic accuracy of multidetector-CT enteroclysis (MDCT-E) versus barium enteroclysis with methylcellulose (BE) in clinically selected patients with suspected small bowel disease. We prospectively studied 52 patients who underwent unenhanced and contrast-enhanced multidetector CT (16 rows) after administration of 2-2.5 l of methylcellulose by naso-jejunal tube. BE was performed after administration of barium 60% w/v (200-250 ml) and methylcellulose (1-2 l). Patients with radiological signs of Crohn's disease were classified into the following subtypes: active, fibrostenotic, fistulising/perforating, reparative or regenerative subtypes. Twenty-eight patients also underwent endoscopy. The radiological prevalent subtype was the active subtype. The sensitivity, specificity and diagnostic accuracy of MDCT-E versus BE was 83%, 100% and 89%, respectively. BE showed five false negative CT cases due to early Crohn's disease; endoscopy confirmed positive cases of the CT and the BE, but showed one false negative case of the BE. Together, MDCT enteroclysis and BE permitted the diagnosis of Crohn's disease in 30 patients, adhesions in one patient, lymphoma in two patients and carcinoid tumours in two patients. In conclusion, MDCT-E permits good representation of pathological patterns. Early stages of Crohn's disease are better evaluated by BE. [ABSTRACT FROM AUTHOR]
Copyright of European Radiology is the property of Springer Nature and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
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  Data: Multidetector CT enteroclysis versus barium enteroclysis with methylcellulose in patients with suspected small bowel disease.
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  Data: <searchLink fieldCode="AR" term="%22Minordi%2C+Laura+Maria%22">Minordi, Laura Maria</searchLink><relatesTo>1</relatesTo><i> lmminordi@rm.unicatt.it</i><br /><searchLink fieldCode="AR" term="%22Vecchioli%2C+Amorino%22">Vecchioli, Amorino</searchLink><relatesTo>1</relatesTo><br /><searchLink fieldCode="AR" term="%22Guidi%2C+Luisa%22">Guidi, Luisa</searchLink><relatesTo>2</relatesTo><br /><searchLink fieldCode="AR" term="%22Mirk%2C+Paoletta%22">Mirk, Paoletta</searchLink><relatesTo>1</relatesTo><br /><searchLink fieldCode="AR" term="%22Fiorentini%2C+Luisa%22">Fiorentini, Luisa</searchLink><relatesTo>1</relatesTo><br /><searchLink fieldCode="AR" term="%22Bonomo%2C+Lorenzo%22">Bonomo, Lorenzo</searchLink><relatesTo>1</relatesTo>
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  Data: <searchLink fieldCode="JN" term="%22European+Radiology%22">European Radiology</searchLink>. Jul2006, Vol. 16 Issue 7, p1527-1536. 10p. 11 Black and White Photographs, 5 Charts.
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  Data: <searchLink fieldCode="DE" term="%22Small+intestine+radiography%22">Small intestine radiography</searchLink><br /><searchLink fieldCode="DE" term="%22Intestinal+diseases%22">Intestinal diseases</searchLink><br /><searchLink fieldCode="DE" term="%22Endoscopy%22">Endoscopy</searchLink><br /><searchLink fieldCode="DE" term="%22Crohn's+disease%22">Crohn's disease</searchLink><br /><searchLink fieldCode="DE" term="%22Patients%22">Patients</searchLink><br /><searchLink fieldCode="DE" term="%22Crohn's+disease+diagnosis%22">Crohn's disease diagnosis</searchLink><br /><searchLink fieldCode="DE" term="%22Barium+sulfate%22">Barium sulfate</searchLink><br /><searchLink fieldCode="DE" term="%22Cellulose%22">Cellulose</searchLink><br /><searchLink fieldCode="DE" term="%22Comparative+studies%22">Comparative studies</searchLink><br /><searchLink fieldCode="DE" term="%22Computed+tomography%22">Computed tomography</searchLink><br /><searchLink fieldCode="DE" term="%22Diagnostic+imaging%22">Diagnostic imaging</searchLink><br /><searchLink fieldCode="DE" term="%22Small+intestine%22">Small intestine</searchLink><br /><searchLink fieldCode="DE" term="%22Research+methodology%22">Research methodology</searchLink><br /><searchLink fieldCode="DE" term="%22Medical+cooperation%22">Medical cooperation</searchLink><br /><searchLink fieldCode="DE" term="%22Research%22">Research</searchLink><br /><searchLink fieldCode="DE" term="%22Research+evaluation%22">Research evaluation</searchLink><br /><searchLink fieldCode="DE" term="%22Gastric+intubation%22">Gastric intubation</searchLink><br /><searchLink fieldCode="DE" term="%22Evaluation+research%22">Evaluation research</searchLink><br /><searchLink fieldCode="DE" term="%22Randomized+controlled+trials%22">Randomized controlled trials</searchLink><br /><searchLink fieldCode="DE" term="%22Contrast+media%22">Contrast media</searchLink><br /><searchLink fieldCode="DE" term="%22Equipment+%26+supplies%22">Equipment & supplies</searchLink>
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  Label: Abstract
  Group: Ab
  Data: The purpose of this study was to evaluate the diagnostic accuracy of multidetector-CT enteroclysis (MDCT-E) versus barium enteroclysis with methylcellulose (BE) in clinically selected patients with suspected small bowel disease. We prospectively studied 52 patients who underwent unenhanced and contrast-enhanced multidetector CT (16 rows) after administration of 2-2.5 l of methylcellulose by naso-jejunal tube. BE was performed after administration of barium 60% w/v (200-250 ml) and methylcellulose (1-2 l). Patients with radiological signs of Crohn's disease were classified into the following subtypes: active, fibrostenotic, fistulising/perforating, reparative or regenerative subtypes. Twenty-eight patients also underwent endoscopy. The radiological prevalent subtype was the active subtype. The sensitivity, specificity and diagnostic accuracy of MDCT-E versus BE was 83%, 100% and 89%, respectively. BE showed five false negative CT cases due to early Crohn's disease; endoscopy confirmed positive cases of the CT and the BE, but showed one false negative case of the BE. Together, MDCT enteroclysis and BE permitted the diagnosis of Crohn's disease in 30 patients, adhesions in one patient, lymphoma in two patients and carcinoid tumours in two patients. In conclusion, MDCT-E permits good representation of pathological patterns. Early stages of Crohn's disease are better evaluated by BE. [ABSTRACT FROM AUTHOR]
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  Data: <i>Copyright of European Radiology is the property of Springer Nature and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract.</i> (Copyright applies to all Abstracts.)
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      – Type: doi
        Value: 10.1007/s00330-006-0185-6
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      – Code: eng
        Text: English
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        PageCount: 10
        StartPage: 1527
    Subjects:
      – SubjectFull: Small intestine radiography
        Type: general
      – SubjectFull: Intestinal diseases
        Type: general
      – SubjectFull: Endoscopy
        Type: general
      – SubjectFull: Crohn's disease
        Type: general
      – SubjectFull: Patients
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      – SubjectFull: Crohn's disease diagnosis
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      – SubjectFull: Barium sulfate
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      – SubjectFull: Cellulose
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      – SubjectFull: Comparative studies
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      – SubjectFull: Computed tomography
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      – SubjectFull: Diagnostic imaging
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      – SubjectFull: Small intestine
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      – SubjectFull: Research evaluation
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      – SubjectFull: Randomized controlled trials
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      – SubjectFull: Contrast media
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      – SubjectFull: Equipment & supplies
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    Titles:
      – TitleFull: Multidetector CT enteroclysis versus barium enteroclysis with methylcellulose in patients with suspected small bowel disease.
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              M: 07
              Text: Jul2006
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              Y: 2006
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