| セッション情報 |
International Session7(消化器内視鏡学会・消化器病学会合同)
Small bowel endoscopy-Where are we,and where to go?
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| タイトル |
内IS7-6：Evaluation of CE, DBE and CTE for the assessment of intestinal involvements in patients with Crohn's disease.
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| 演者 |
S. Kato（Department of Gastroenterology and Hepatology, Saitama Medical Center, Saitama Medical University） |
| 共同演者 |
K. Kani（Department of Gastroenterology and Hepatology, Saitama Medical Center, Saitama Medical University）, K. Yakabi（Department of Gastroenterology and Hepatology, Saitama Medical Center, Saitama Medical University） |
| 抄録 |
Aims: Here we investigate the usefulness of CE, DBE and CTE n patients with Crohn's disease. Methods: 18 patients underwent CE and 43 patients underwent CTE were enrolled. All patients underwent both CTE and DBE on the same day. Contrast 16-MDCT imaging was performed.Results: Patency capsules were performed in 18 patients and patency was recognized in 78% (14/18). Clinical types of these patients were 4 colonic types, 4 small intestinal types and 6 small intestinal and colonic types.Small bowel involvements were recognized 25% (1/4) patients of colonic types. Typical appearances, such as longitudinal ulcers or cobblestones were recognized in 83% (5/6) of patients with small intestinal involvements. Both sensitivity and specificity of CTE were 81.6% (31/38) and 100% (31/31). Also diagnostic accuracies of fistula and stenosis were 100% (6/6) and 62% (13/20). However, diagnostic accuracy of mucosal healing was low in anastomosis (45% (5/11)). The longitudinal ulcers and cobble stone like lesions were also detected by mucosal enhancement, mesenteric high density and comb sign.Conclusions: CE was useful in the detection of small bowel involvements through the small bowel. Also CTE had good sensitivity and specificity, especially in the detection of small bowel fistula and extra-intestinal inflammation. However, both CE and DBE were more accurate to evaluate the mucosal healing of small intestine |
| 索引用語 |
Capsute enteroscopy, CT enteroscopy |
