Experts Offer Guidance on Cross-sectional Enterography in Crohn ’ s Disease Experts Offer Guidance on Cross-sectional Enterography in Crohn ’ s Disease

New consensus guidelines aim to standardize the use of computed tomography enterography (CTE) and magnetic resonance enterography (MRE) in Crohn ’ s disease (CD) patients with small-bowel disease.Reuters Health Information
Source: Medscape Medical News Headlines - Category: Consumer Health News Tags: Medscape Today News Source Type: news

Related Links:

Source: Gastroenterology - Category: Gastroenterology Authors: Tags: AGA Abstracts Source Type: research
Healing of inflammatory lesions in Crohn ’s disease (CD) is the best predictor of favorable short- and long-terms outcomes in terms of clinical relapse, need for hospitalization, and surgery, and has been proposed as a therapeutic objective.1 However, because CD is a transmural disease, a key question is whether endoscopy is sufficient, or if a cross-sectional imaging technique such as magnetic resonance enterography (MRE), computed tomography enterography (CTE), or ultrasonography is required to determine healing.
Source: Clinical Gastroenterology and Hepatology - Category: Gastroenterology Authors: Tags: Editorial Source Type: research
Authors: Wei H, Ouyang C, Peng D, Lu F, Zhang J Abstract The present case report details a rare case of osteoporosis as the initial manifestation of Crohn's disease (CD). A 43-year-old male was referred to the Second Xiangya Hospital of Central South University (Changsha, China) for further examination of low back pain (LBP) without digestive symptoms. Bone mineral density (BMD) analysis indicated osteoporosis, particularly in the lumbar spine. Endoscopy revealed an inflamed and strictured ileocecal valve with less inflammation in the ascending, transverse colon, sigmoid colon and rectum, compatible with CD, which ...
Source: Experimental and Therapeutic Medicine - Category: General Medicine Tags: Exp Ther Med Source Type: research
We report two cases affected with emphysematous osteomyelitis due to varied underlying comorbidities. The purpose of this study is to (a) emphasize the importance of computed tomography in diagnosing emphysematous osteomyelitis and (b) to highlight an unusual location of this rare pathology.
Source: Indian Journal of Radiology and Imaging - Category: Radiology Authors: Source Type: research
Authors: Matsueda K, Toyokawa T, Sakata M, Fujita I, Horii J Abstract This case report refers to a 31-year-old patient with an 11-year history of Crohn's disease. The patient presented with an edematous elevated lesion in the splenic flexure. Two histological analyses revealed no signs of obvious dysplasia, and the patient subsequently began infliximab treatment. Nine months later, a worsening of the stricture of the edematous elevated lesion was observed in the splenic flexure, and transverse colonic resection was performed. A histological investigation of the lesion in the splenic flexure revealed advanced adenoc...
Source: Internal Medicine - Category: Internal Medicine Tags: Intern Med Source Type: research
AbstractSummaryBone disease is prevalent among patients with inflammatory bowel disease (IBD), though bone density screening remains underutilized. We used CT scans performed for other indications in IBD patients to identify and monitor osteopenia using CT attenuation values at the lumbar spine. Significant rates of bone disease were detected which would have otherwise gone undiagnosed.IntroductionOsteoporosis affects about 14 –42% of patients with IBD. Though screening is recommended in IBD patients with risk factors, it remains underutilized. In patients with newly diagnosed IBD, we used CT scans performed for othe...
Source: Osteoporosis International - Category: Orthopaedics Source Type: research
Radiology, Ahead of Print.
Source: Radiology - Category: Radiology Authors: Source Type: research
Computed tomography and magnetic resonance enterography have become routine small bowel imaging tests to evaluate patients with established or suspected Crohn ’s disease, but the interpretation and use of these imaging modalities can vary widely. A shared understanding of imaging findings, nomenclature, and utilization will improve the utility of these imaging techniques to guide treatment options, as well as assess for treatment response and complicati ons. Representatives from the Society of Abdominal Radiology Crohn’s Disease-Focused Panel, the Society of Pediatric Radiology, the American Gastroenterological...
Source: Gastroenterology - Category: Gastroenterology Authors: Tags: Special Report Source Type: research
A 46-year-old man was referred for evaluation of a 1-year history of progressive constipation, bloating, and 40-lb weight loss. These symptoms had previously been attributed to Crohn ’s colitis, but improvement was not achieved after several months of adalimumab. Computed tomography enterography demonstrated prominent distal small bowel dilation with several short segment strictures, bowel wall thickening, and mucosal hyperenhancement (Figure A, arrow). Laparotomy was pursued for surgical management of the strictures.
Source: Clinical Gastroenterology and Hepatology - Category: Gastroenterology Authors: Tags: Electronic Image of the Month Source Type: research
Conclusion The main chest HRCT findings in UC and CD are centrilobular nodules and bronchial wall thickening. There are differences in HRCT findings between UC and CD.
Source: Academic Radiology - Category: Radiology Source Type: research
More News: Crohn's Disease | CT Scan | Health