Adel Maataoui MD, Presenter: Nothing to Disclose

Fawad Khan, Abstract Co-Author: Nothing to Disclose

Jessen Gurung MD, Abstract Co-Author: Nothing to Disclose

Elisa Reusch, Abstract Co-Author: Nothing to Disclose

Thomas Josef Vogl MD, Abstract Co-Author: Nothing to Disclose

Stefan Zangos MD, Presenter: Nothing to Disclose

Volkmar Jacobi MD, Abstract Co-Author: Nothing to Disclose

The purpose of this retrospective study was to assess the yield of enteroclysis in different clinical situations.

Medical records of 309 patients who underwent enteroclysis between 2000 and 2004 were reviewed. Clinical indications, symptoms and roentgenologic results were correlated.

The most frequent indications were evaluation of known Crohn´s disease (33.01%, 102/309), obscure gastrointestinal bleeding/ suspected malignancy (15.21%, 47/309), suspected Crohn´s disease (12.30%, 38/309), abdominal pain after abdominal surgery (11.97%, 37/309), chronic diarrhea (7.77%, 24/309), abdominal pain without surgical history (6.15%, 19/309) and other indications (13.59%, 42/309). 46.60% (144/309) of the studies gave normal results and 53.40% abnormal. The most common abnormalities detected were Crohn´s disease (24.92%, 77/309), adhesions/ stenosis (12.30%, 38/309), unspecific findings (3.56%, 11/309), small bowel diverticula (2.91%, 9/309), suspected malignancy (1.62%, 5/309) and other results (8.09%, 25/309). The highest rate of main findings detected by enteroclysis related to patients with Crohn´s disease (73.53% positive findings), followed by patients with abdominal pain and positive surgical history (67.57% positive findings) and without surgical history (52.63% positive findings), chronic diarrhea (41.67% positive findings), suspected Crohn´s disease (39.47% positive findings) and obscure gastrointestinal bleeding/ suspected malignancy (19.15% positive findings).

We conclude that enteroclysis provides essential information in the evaluation of Crohn´s disease and in the detection of adhesions resulting in small bowel stenosis.

Enteroclysis remains the gold-standard for the detection of early changes in crohn's disease and adhesions following operation

Maataoui, A, Khan, F, Gurung, J, Reusch, E, Vogl, T, Zangos, S, Jacobi, V, Enteroclysis: Indications and Results.  Radiological Society of North America 2007 Scientific Assembly and Annual Meeting, November 25 - November 30, 2007 ,Chicago IL. http://archive.rsna.org/2007/5012423.html