MR enterography versus capsule endoscopy in paediatric patients with suspected Crohn's disease.
Objective: The aim of this prospective study was to compare the diagnostic yield of MR enterography (MRE) with small-bowel capsule endoscopy (SBCE) in paediatric patients with suspected Crohn's disease (CD).Methods: Paediatric patients with suspected CD were considered eligible to be enrolled in the...
| Publicado en: | European Radiology Vol. 21; no. 4; pp. 823 - 832 |
|---|---|
| Autores principales: | , , , , , , , , , , , , , , , , , |
| Formato: | research Journal Article |
| Publicado: |
Springer Nature
Apr2011
|
| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=104835387&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 104835387 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 09387994 NPH jtl: European Radiology issn: 09387994 maglogo: N pubinfo: dt: Apr2011 vid: 21 iid: 4 pid: 237 pub: Springer Nature place: New York, New York artinfo: ui: 104835387 58721750 NLM20922391 2010967837 10.1007/s00330-010-1976-3 NLM20922391 104835387 ppf: 823 ppct: 9 formats: fmt: – @attributes: type: T – @attributes: type: P tig: atl: MR enterography versus capsule endoscopy in paediatric patients with suspected Crohn's disease. aug: au: Casciani E Masselli G Di Nardo G Polettini E Bertini L Oliva S Floriani I Cucchiara S Gualdi G Casciani, Emanuele Masselli, Gabriele Di Nardo, Giovanni Polettini, Elisabetta Bertini, Luca Oliva, Salvatore Floriani, Irene Cucchiara, Salvatore Gualdi, Gianfranco affil: Radiology DEA, Azienda Policlinico Umberto I, La Sapienza University, Via del Policlinico, 155, 00166 Rome, Italy sug: subj: Colonoscopy Methods Crohn Disease Diagnosis Crohn Disease Pathology Endoscopy Methods Intestine, Small Pathology Magnetic Resonance Imaging Methods Adolescence Child Colitis, Ulcerative Pathology Female Human Male Pediatrics Methods Prospective Studies Reproducibility of Results Sensitivity and Specificity Adolescent: 13-18 years Child: 6-12 years Female Male ab: Objective: The aim of this prospective study was to compare the diagnostic yield of MR enterography (MRE) with small-bowel capsule endoscopy (SBCE) in paediatric patients with suspected Crohn's disease (CD).Methods: Paediatric patients with suspected CD were considered eligible to be enrolled in the study. All patients underwent diagnostic work-up including 1.5-T MRE, ileo-colonoscopy and oesophagogastroduodenoscopy. SBCE was not performed if MRE showed SB stricture or extra-intestinal findings consistent with symptoms.Results: Sixty consecutive paediatric patients (36 male; average age 14) were enrolled into the study. A positive diagnosis for CD was made in 19 patients, 29 had a negative result and 12 were affected by other gastro-intestinal conditions. SBCE was performed in 37 patients (61.7%); 23 patients were excluded (strictures in five, extra-intestinal findings in 11 and parents' refusal in seven cases). The accuracy, sensitivity, and specificity of MRE and SBCE were 98.3%, 100%, 97.6%, and 91.9%, 90.9%, 92.3%, respectively.Conclusion: Both MRE and SBCE are accurate methods for patients with suspected CD. MRE can be used as a primary imaging technique in suspected CD, in that it allows access to the ileal stricture, which forms a contra-indication for SBCE and provides extra-intestinal information. pubtype: Academic Journal doctype: research Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
|---|