[Advances in radiography of the small intestine: computed tomography enteroclysis]. / Avances en radiología del intestino delgado: enteroclisis por tomografía computarizada.

Computed tomography (CT) enteroclysis is a new technique consisting of helical CT of the abdomen and pelvis after administration of water through a nasojejunal tube and intravenous contrast, resulting in adequate distension and visualization of the small bowel wall. The use of this technique is especially recommended in patients with gastrointestinal bleeding of unknown etiology, possible neoplastic processes of the small bowel, partial small bowel obstruction, and inflammatory bowel disease. One-hundred consecutive patients underwent CT enteroclysis (multiple detectors; 8, 16, or 64) over a 1-year period for suspected lesions of the small bowel. Of these, 31 were positive: Crohn's disease (17), tumors (8), partial obstruction (2), radiation enteritis (1), sprue (1), pneumatosis cystoids (1), and dilatation of bowel loops (1). In 28 of the 31 patients, the findings were confirmed by pathology, endoscopy or clinical follow-up.

Avances en radiología del intestino delgado: enteroclisis por tomografía computarizada / Advances in intestinal radiology: computed tomography enteroclysis

La enteroclisis por tomografía computarizada (TC) es una nueva técnica que consiste en una TC helicoidal con múltiples detectores realizada tras la administración de agua a través de una sonda nasoyeyunal y medio de contraste intravenoso, lo que permite una adecuada distensión y visualización del intestino delgado. El uso de esta técnica está especialmente indicado en pacientes con enfermedad inflamatoria intestinal, hemorragia digestiva de causa no precisada, obstrucción parcial de intestino delgado y sospecha de neoplasia intestinal. Un total de 100 pacientes consecutivos se sometieron a una enteroclisis por TC (multiples detectores: 8, 16 o 64) debido a la sospecha de lesión en el intestino delgado. De ellos, 31 presentaron lesiones en esa localización: enfermedad de Crohn (n = 17), tumores (n = 8), obstrucción intestinal (n = 2), enteritis actínica (n = 1), enfermedad celíaca (n = 1), neumatosis cistoide (n = 1) y dilatación de asas (n = 1); 28 de los 31 casos fueron confirmados por anatomía patológica, hallazgos endoscópicos o seguimiento clínico

Computed tomography (CT) enteroclysis is a new technique consisting of helical CT of the abdomen and pelvis after administration of water through a nasojejunal tube and intravenous contrast, resulting in adequate distension and visualization of the small bowel wall. The use of this technique is especially recommended in patients with gastrointestinal bleeding of unknown etiology, possible neoplastic processes of the small bowel, partial small bowel obstruction, and inflammatory bowel disease. One-hundred consecutive patients underwent CT enteroclysis (multiple detectors; 8, 16, or 64) over a 1-year period for suspected lesions of the small bowel. Of these, 31 were positive: Crohn's disease (17), tumors (8), partial obstruction (2), radiation enteritis (1), sprue (1), pneumatosis cystoids (1), and dilatation of bowel loops (1). In 28 of the 31 patients, the findings were confirmed by pathology, endoscopy or clinical follow-up