Recommended procedure for small bowel examination in patients with Crohn’s disease

Czech version

Authors: Luděk Hrdlička
Authors‘ workplace: Klinické a výzkumné centrum pro střevní záněty, ISCARE Lighthouse a 1. LF UK Praha
Published in: Gastroent Hepatol 2011; 65(2): 65-69
Category: IBD: Review Article

Overview

Crohn’s disease (CD) is a chronic, transmural and granulomatous inflammation of the small and (or) large bowel, which often leads to severe structural damage to the digestive tube, including fistulas, abscesses, perienteric or retroperitoneal infiltrations and bowel strictures. Imaging methods are used for the diagnosis, therapy response assessment and detection of disease complications. Currently, “the gold standard” are MR or CT enterography and ileocolonoscopy for small bowel and large bowel investigation, respectively. In patients with perianal disease, MR of the pelvic floor is the most effective non-invasive procedure. Ultrasound evaluation of the small bowel, capsule endoscopy and enteroscopy represent other complementary methods. Described are major indications and efficacy in terms of sensitivity and specificity of imaging methods in clinical practice.

Key words:
Crohn’s disease – small bowel – enteroclysis – MRI – CT enterography – digestive tube ultrasound – capsule enteroscopy – push enteroscopy – double/single balloon enteroscopy

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