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Year :2017
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Month :
July-August
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Volume :
6
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Issue :
3
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Page :
RO32 - RO36
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Efficacy of CT Enteroclysis in Small Bowel Disorders: A Prospective Study
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Correspondence Address :
Anand Shrikant Gajakos, Jyoti TaTapadia,
Dr. Anand Shrikant Gajakos,
Assistant Professor, Department of Radiology,
Ashwini Rural Medical College and Research Centre,
Kumbhari, Solapur-413006, Maharastra, India.
E-mail: drgajakos@gmail.com
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Introduction: Introduction: CT-Enteroclysis (CT-E) is a method of examining the small intestine which combines the advantage of enteral volume challenge with those of cross sectional imaging and multiplanar reformatting to improve detection of intra and extra intestinal manifestation of small bowel disease. This technique attempts to overcome the individual shortcomings of routine CT.
Aim: To determine site/level/cause of the obstruction in patients, clinically suspected of Sub-Acute Intestinal Obstruction (SAIO), to determine extent (length) of small bowel disease, to evaluate small bowel in case of unexplained anemia with gastrointestinal bleeding and abdominal pain, and to confirm the diagnosis of small bowel tuberculosis.
Materials and Methods: In this prospective study 50 patients who were above the age of 12 years both male and female referred from Surgery/Medicine/Gynaecology OPD of ARMCH&RC, with suspicion of small bowel pathology were evaluated by CT-E.
Results: Out of fifty patients, six patients were normal. Tuberculosis (20) was the most common detected pathology followed by sub-acute intestinal obstruction (12). The sensitivity of CT-E for the detection of small bowel tuberculosis was found to be 95.23% and specificity was 100%. Positive predictive value was 100% and negative predictive value was 96.66%.
Conclusion: CT-E is a rapid, well tolerated and reliable imaging modality for demonstration of small bowel pathology. CT-E helps in diagnosing small bowel pathologies such as inflammatory diseases with their intra and extra intestinal manifestations, benign and malignant neoplasms; and helps in their staging, mechanical low grade intestinal obstruction.
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