Research Journal of Medical Sciences
ISSN: Online 1993-6095ISSN: Print 1815-9346
Abstract
Inflammatory bowel disease once considered to be a western disease is increasingly reported from India and other Asian countries. In India, CD was considered as nonexistent until 1986 and is frequently misdiagnosed as enteric tuberculosis, or even amoebic colitis. To study the mucosal patterns, bowel wall thickness, bowel wall enhancement, luminal distension, luminal disposition and blood vessels in various diseases of the small bowel. This prospective correlation study was conducted among all patients who will be referred to the department of Radio‐diagnosis and Imaging, Osmania general hospital for CT enterography For evaluation of small bowel lesions. In our study, the predominant age group involved in this study was 21‐30 yrs. The predominant gender involved in this study was males constituting 27 out of 50 patients (54%). Most of the patients presented with pain abdomen (44.4%). majority of the patients were diagnosed as tuberculosis. the most common segment of small bowel involved was terminal ileum. Adequacy of bowel distension was better with CTE, constituting 29 out of 50 cases showing grade 3 distension, 18 cases showing grade 2 and 3 showing grade 1. Bowel distension grading was found to be better with CT enterography where 29 out of 50 patients achieved grade 3 distension. Duodenal adenocarcinoma and duodenal lymphoma had heterogenous enhancement. In our present study, sensitivity and specificity of CTE in diagnosing small bowel tuberculosis is 90% and 90% respectively. In our present study, sensitivity and specificity of CTE in diagnosing crohns disease is 75% and 91.1% respectively. In our present study, sensitivity and specificity of CTE in diagnosing duodenal adenocarcinoma, duodenal lymphoma is 66.6% and 95.7% respectively. CT enterography can be used as a method of choice for evaluation of diffuse small bowel pathologies. CT enterography with adequate bowel luminal distension and negative oral and intravenous contrast can be used to detect mucosal enhancement, mural stratification, luminal and extra luminal complications of small bowel pathologies. CT enterography is an excellent technique for evaluation of crohns disease with excellent visualization of mucosal enhancement, mural stratification, extra luminal findings like fibro fatty proliferation, combs sign and other complications such as strictures and fistulas.
How to cite this article:
G. Ramya, Priyanka Manchala, S. Shruthi and M. Veena. A Study of Small Bowel Lesions Using Computed Tomography Enterography.
DOI: https://doi.org/10.36478/10.36478/makrjms.2024.6.478.484
URL: https://www.makhillpublications.co/view-article/1815-9346/10.36478/makrjms.2024.6.478.484