Background: Although Crohn disease (CD) can affect the entire alimentary tract, the proportion of patients with small bowel inflammation proximal to the terminal ileum is still unclear. Magnetic resonance imaging (MRI...Background: Although Crohn disease (CD) can affect the entire alimentary tract, the proportion of patients with small bowel inflammation proximal to the terminal ileum is still unclear. Magnetic resonance imaging (MRI) combined with smallbowel enteroclysis can detect inflammatory lesions of the small bowel. Hence, we applied MR enteroclysis to assess the percentage of patients with small bowel inflammation proximal to the terminal ileum among patients with CD and abdominal pain. Methods: Twenty five consecutive patients with low, active CD of the colon and/or terminal ileum and episodes of abdominal pain were examined by both MR enteroclysis and conventional enteroclysis. The findings of MR enteroclysis were compared with endoscopic and histological results in the terminal ileum and conventional enteroclysis in the small bowel proximal to the terminal ileum. Results: In 13 of the 25 patients, inflammation of the small bowel proximal to the terminal ileum was shown by MR enteroclysis, whereas in only 4 of the 25 patients, signs of inflammation of the small bowel proximal to the terminal ileum were shown by conventional enteroclysis, all of which were demonstrated by MR enteroclysis. MR enteroclysis confirmed the findings in 22 of 25 patients in whom endoscopy and histology had shown inflammation (16 of 18) or no inflammation (6 of 7) of the terminal ileum. Conclusion: In symptomatic patients with CD even of low activity, inflammation of the small bowel proximal to the terminal ileum is frequent.展开更多
本文总结了经小肠灌肠造影诊断经手术病理证实的克隆氏病10例,从以下几点分析了克隆氏病的 X 线表现:1.病变的跳跃分布;2.线样征;3.病变轮廓对称;4.病变肠段呈多发结节样切迹;5.卵石征;6.同时出现三级不同程度和形态的病变;7.狭窄前扩张...本文总结了经小肠灌肠造影诊断经手术病理证实的克隆氏病10例,从以下几点分析了克隆氏病的 X 线表现:1.病变的跳跃分布;2.线样征;3.病变轮廓对称;4.病变肠段呈多发结节样切迹;5.卵石征;6.同时出现三级不同程度和形态的病变;7.狭窄前扩张;8.瘘管和窦道钡影;9.回肠末端粘膜增粗紊乱。其中尤以第3、4、5、6项 X 线征象更具重要诊断意义。展开更多
文摘Background: Although Crohn disease (CD) can affect the entire alimentary tract, the proportion of patients with small bowel inflammation proximal to the terminal ileum is still unclear. Magnetic resonance imaging (MRI) combined with smallbowel enteroclysis can detect inflammatory lesions of the small bowel. Hence, we applied MR enteroclysis to assess the percentage of patients with small bowel inflammation proximal to the terminal ileum among patients with CD and abdominal pain. Methods: Twenty five consecutive patients with low, active CD of the colon and/or terminal ileum and episodes of abdominal pain were examined by both MR enteroclysis and conventional enteroclysis. The findings of MR enteroclysis were compared with endoscopic and histological results in the terminal ileum and conventional enteroclysis in the small bowel proximal to the terminal ileum. Results: In 13 of the 25 patients, inflammation of the small bowel proximal to the terminal ileum was shown by MR enteroclysis, whereas in only 4 of the 25 patients, signs of inflammation of the small bowel proximal to the terminal ileum were shown by conventional enteroclysis, all of which were demonstrated by MR enteroclysis. MR enteroclysis confirmed the findings in 22 of 25 patients in whom endoscopy and histology had shown inflammation (16 of 18) or no inflammation (6 of 7) of the terminal ileum. Conclusion: In symptomatic patients with CD even of low activity, inflammation of the small bowel proximal to the terminal ileum is frequent.
文摘本文总结了经小肠灌肠造影诊断经手术病理证实的克隆氏病10例,从以下几点分析了克隆氏病的 X 线表现:1.病变的跳跃分布;2.线样征;3.病变轮廓对称;4.病变肠段呈多发结节样切迹;5.卵石征;6.同时出现三级不同程度和形态的病变;7.狭窄前扩张;8.瘘管和窦道钡影;9.回肠末端粘膜增粗紊乱。其中尤以第3、4、5、6项 X 线征象更具重要诊断意义。
