prikaz prve stranice dokumenta MR enterocolonography in patients with Crohn's disease and healthy volunteers – Do we achieve diagnostic bowel distension?
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Scientific paper - Original scientific paper
MR enterocolonography in patients with Crohn's disease and healthy volunteers – Do we achieve diagnostic bowel distension?
European Journal of Radiology, 129 (2020); 1-7. https://doi.org/10.1016/j.ejrad.2020.109100
Tkalčić, Lovro; Matana Kaštelan, Zrinka; Grubešić, Tiana; Mijandrušić Sinčić, Brankica; Milić, Sandra; Miletić, Damir

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Tkalčić, L., Matana Kaštelan, Z., Grubešić, T., Mijandrušić Sinčić, B., Milić, S. & Miletić, D. (2020). MR enterocolonography in patients with Crohn's disease and healthy volunteers – Do we achieve diagnostic bowel distension?. European Journal of Radiology, 129., 1-7. doi: 10.1016/j.ejrad.2020.109100

Tkalčić, Lovro, et al. "MR enterocolonography in patients with Crohn's disease and healthy volunteers – Do we achieve diagnostic bowel distension?." European Journal of Radiology, vol. 129, 2020, pp. 1-7. https://doi.org/10.1016/j.ejrad.2020.109100

Tkalčić, Lovro, Zrinka Matana Kaštelan, Tiana Grubešić, Brankica Mijandrušić Sinčić, Sandra Milić and Damir Miletić. "MR enterocolonography in patients with Crohn's disease and healthy volunteers – Do we achieve diagnostic bowel distension?." European Journal of Radiology 129 (2020): 1-7. https://doi.org/10.1016/j.ejrad.2020.109100

Tkalčić, L., et al. (2020) 'MR enterocolonography in patients with Crohn's disease and healthy volunteers – Do we achieve diagnostic bowel distension?', European Journal of Radiology, 129, pp. 1-7. doi: 10.1016/j.ejrad.2020.109100

Tkalčić L, Matana Kaštelan Z, Grubešić T, Mijandrušić Sinčić B, Milić S, Miletić D. MR enterocolonography in patients with Crohn's disease and healthy volunteers – Do we achieve diagnostic bowel distension?. European Journal of Radiology [Internet]. 2020 [cited 2024 November 09];129:1-7. doi: 10.1016/j.ejrad.2020.109100

L. Tkalčić, Z. Matana Kaštelan, T. Grubešić, B. Mijandrušić Sinčić, S. Milić and D. Miletić, "MR enterocolonography in patients with Crohn's disease and healthy volunteers – Do we achieve diagnostic bowel distension?", European Journal of Radiology, vol. 129, pp. 1-7, 2020. [Online]. Available at: https://urn.nsk.hr/urn:nbn:hr:184:487145. [Accessed: 09 November 2024]

Metadata
Title (english)MR enterocolonography in patients with Crohn's disease and healthy volunteers – Do we achieve diagnostic bowel distension?
AuthorLovro Tkalčić
AuthorZrinka Matana Kaštelan
AuthorTiana Grubešić
AuthorBrankica Mijandrušić Sinčić
AuthorSandra Milić
AuthorDamir Miletić
Author's institutionUniversity of Rijeka
Faculty of Medicine
(Department of Internal Medicine)
Author's institutionUniversity of Rijeka
Faculty of Medicine
(Department of Radiology)
Scientific / art field,
discipline and subdiscipline		BIOMEDICINE AND HEALTHCARE
Clinical Medical Sciences
Abstract (english)
Purpose: The aim of our prospective randomized study was to assess diagnostic quality and stability of bowel distension in patients with Crohn's disease (CD) and healthy volunteers subjected to synchronous magnetic resonance enterography and colonography (MREC), as well as to test the role of water enema and intravenous spasmolytics. The influence of gastric content, age, gender, and body mass on bowel distension was also evaluated. Method: Study groups included 164 CD patients and 53 healthy volunteers. After bowel preparation, randomized subgroups started ingestion ≥1000 mL of hyperosmolar solution within 30, 45, 60, 75, and 90 min before admission to MRI, respectively. Patients were examined in prone position and water enema was applied. Spasmolytics were administered prior to I.V. gadolinium. Distension of five bowel segments was independently assessed by two experienced radiologists. Results: MREC yields diagnostic distension of the jejunum in 81.1 % and 79.2 % patients in the CD group and controls, respectively. For the terminal ileum it was >94 % in both groups. Good and excellent distension was achieved in other bowel segments. Distension was maintained up to 75 min from the start of oral ingestion. Water enema and spasmolytics significantly and independently improved distension of the small bowel. Distension of the cecum after spasmolytics was decreased. Gastric content, age, gender and body mass had no significant influence of bowel distension. Conclusions: MREC enables diagnostic distension of the colon and ileum (including terminal segment) in CD patients and healthy volunteers and diagnostically acceptable distension of the jejunum.
Keywords (english)
Languageenglish
Publication typeScientific paper - Original scientific paper
Publication statusPublished
Peer reviewPeer review
Publication versionPublished version
Journal titleEuropean Journal of Radiology
Numberingvol. 129, pp. 1-7
p-ISSN0720-048X
DOIhttps://doi.org/10.1016/j.ejrad.2020.109100
URN:NBNurn:nbn:hr:184:487145
Publication2020
Document URLhttp://bib.irb.hr/1107070
Type of resourceText
Access conditionsInstitutional access
Terms of useLicence In copyright icon
Created on2022-02-25 16:05:40