6 High concentration of bile and its metabolites in duodenum compared to jejunum and ileum have been attributed as a cause of increased risk by Lowenfels 9 Diagnostic tools, as CT enteroclysis
has a sensitivity and specificity of 100% and 95% respectively.
Comparison of capsule endoscopy and magnetic resonance (MR) enteroclysis
in suspected small bowel disease.
Rollandi, "Multislice CT enteroclysis
in the diagnosis of bowel endometriosis," European Radiology, vol.
(3, 4) A comparison of barium enteroclysis
and abdominal CT performed in the same patients with small-bowel Crohn's disease has demonstrated a much higher yield of CT in revealing mural and extraluminal manifestations of disease, including abscesses, while enteroclysis
was superior for luminal abnormalities including low-grade bowel obstruction from stenosis, ulcerations, and demonstration of fistulae mainly as a result of the enteral volume challenge generated by the controlled infusion of the contrast agent.
(5,8) The enteroclysis
and enteroscopy are the best diagnostic imaging, however, in emergency situations like in the present case due to time constraints its utility is limited.
findings of intestinal Behcet disease: A comparative study with Crohn disease.
It also has new images and expanded discussions of high-resolution CT, lung nodule assessment and lung cancer screening, CT pulmonary embolism diagnosis, CT enterography, CT enteroclysis
, CT colonography, and optimizing CT techniques in musculoskeletal diagnosis, in addition to updated descriptions and illustrations of normal anatomy and incidental findings, and updated disease classifications, including those for pulmonary adenocarcinoma, diffuse lung diseases, and pancreatic lesions.
If the diagnostic procedures performed fail to determine the source of bleeding in the colon, various methods of small intestine exploration follow (enteroclysis
, enteroscopy, videoendoscopic capsule, Meckel diverticulum scintigraphy).
and CT-enteroclysis were performed without result.
Kurugoglu et al., "Enteroclysis
findings of intestinal Behccet disease: a comparative study with Crohn disease," Abdominal Imaging, vol.
Patients: From January 2009 to March 2012, there were 253 patients using CE in our hospitals, sixty- two patients (28 women) with an average age of 55.4 years (range 23 to 78 years) in whom it had not been possible to determine the causes of small bowel bleeding, abdominal pain or diarrhea using conventional diagnostic procedures, such as gas- troscopy, colonoscopy, radiological small bowel follow-throughs, enteroclysis
, angiography, scin- tigraphy, computed tomography (CT) or magnetic resonance imaging (MRI) scans of the abdomen used in some patients were enrolled in the study.