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Volume 12 Issue 3 ( July-September ) 2023

Original Articles

Role of Multidetector Row CT Enterography in Evaluating the Spectrum of Small Bowel Pathologies
Ankit Prabhakar, Shivani Sharma, Sajjad Ahmad Dar, Shaafiya Ashraf

Background: The pathological processes occurring in the small bowel are seen in a number of patients attending hospital, irrespective of their age and sex.The present study was conducted to assess the outcomes of CT enterography in patients with small bowel diseases. Materials & Methods: 214 patients who presented with different small bowel pathologies referred by the Gastroenterology department and other departments of Government Medical College were selected. In all the CT enterography scans were performed with helical CT scanner – FOURTH GENERATION 256 SLICE CT SOMATOM DEFINITION AS FLASH machine. Results: The majority of the patients were in the age group of 20-40 years.The commonest presenting clinical feature was abdominal pain (83.14%). Rest included altered bowel habits (71.0%), weight loss (10.2%), fever (0.4%) and malena (0.2%). Conclusion: Computed tomography enterography (CTE) in patients with small bowel obstruction helps to determine the cause and site of obstruction that correlates well with the postoperative findings.CTE characteristics help in differentiating active Crohn’s disease from chronic Crohn’s disease. Hence, it should be routinely indicated for better localization of lesions, delineation of extent and mural enhancement pattern for suggesting the disease activity, to assess and track progression of extraintestinal manifestations and complications of disease.

 
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