Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
. 2008 May;38(5):497-510.
doi: 10.1007/s00247-008-0754-8. Epub 2008 Feb 7.

Fluoroscopic and CT enteroclysis in children: initial experience, technical feasibility, and utility

Shanaree Brown  1 , Kimberly E Applegate, Kumar Sandrasegaran, S Greg Jennings, Joshua Garrett, Arunan Skantharajah, Dean T Maglinte
Affiliations

Fluoroscopic and CT enteroclysis in children: initial experience, technical feasibility, and utility

Shanaree Brown et al. Pediatr Radiol. 2008 May.

Abstract

Background: Partial small-bowel obstruction can be difficult to diagnose on clinical examination. These obstructions might not be detected on routine abdominal/pelvic CT.

Objective: To evaluate the feasibility, safety, and techniques of fluoroscopic enteroclysis (FE) and CT enteroclysis (CTE), and to review their indications and findings in children.

Materials and methods: We retrospectively reviewed all enteroclysis studies in children younger than 18 years performed between January 2002 and March 2007. We correlated the results with other abdominal imaging and surgical and pathological findings.

Results: The review revealed 112 FE and 74 CTE studies performed in 175 children (mean age 14 years, range 3-18 years). FE and CTE studies were performed most commonly for evaluation of known Crohn disease (FE 38%, CTE 29%) and abdominal pain (FE 26%, CTE 26%). One FE study was terminated because of patient anxiety, and one CTE study was terminated because of patient discomfort. No complications of FE or CTE were reported. The findings were normal in 54% of the FE studies and 46% of the CTE studies. The most common small bowel diagnoses were Crohn disease (FE 34%, CTE 28%) and partial small bowel obstruction (FE 3%, CTE 10%). Two FE studies (2%) and 14 CTE studies (19%) showed abnormalities outside the small bowel. In 54 patients with inflammatory bowel disease, 11 FE studies and 25 CTE studies showed additional bowel abnormalities. Overall, 14 and 21 patients had surgery as a result of the findings of FE and CTE, respectively.

Conclusion: FE and CTE are safe, feasible, and accurate in depicting small-bowel pathology in children. These techniques can be particularly useful in children with Crohn disease involving the small bowel.

PubMed Disclaimer

Similar articles

See all similar articles

Cited by

References

    1. Clin Gastroenterol Hepatol. 2005 Mar;3(3):264-70 - PubMed
    1. Radiology. 2005 Sep;236(3):763-7 - PubMed
    1. J Comput Assist Tomogr. 2005 May-Jun;29(3):401-7 - PubMed
    1. Int J Colorectal Dis. 2006 Mar;21(2):97-104 - PubMed
    1. Eur Radiol. 2006 Mar;16(3):648-60 - PubMed

MeSH terms