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Erschienen in: Pediatric Radiology 1/2010

01.01.2010 | Review

CT enterography of pediatric Crohn disease

verfasst von: Jonathan R. Dillman, Jeremy Adler, Ellen M. Zimmermann, Peter J. Strouse

Erschienen in: Pediatric Radiology | Ausgabe 1/2010

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Abstract

CT enterography is an important tool in the noninvasive diagnosis and follow-up of pediatric Crohn disease. This imaging modality is particularly useful for assessing extent of disease (including both intestinal and extraintestinal manifestations), response to medical therapy, and disease-related complications. The purpose of this article is to provide a contemporary review of CT enterography technique as well as the spectrum of intestinal and extraintestinal findings in pediatric Crohn disease.
Literatur
1.
Zurück zum Zitat Kim SC, Ferry GD (2004) Inflammatory bowel diseases in pediatric and adolescent patients: clinical, therapeutic, and psychosocial considerations. Gastroenterology 126:1550–1560CrossRefPubMed Kim SC, Ferry GD (2004) Inflammatory bowel diseases in pediatric and adolescent patients: clinical, therapeutic, and psychosocial considerations. Gastroenterology 126:1550–1560CrossRefPubMed
2.
Zurück zum Zitat Siddiki HA, Fidler JL, Fletcher JG et al (2009) Prospective comparison of state-of-the-art MR enterography and CT enterography in small-bowel Crohn’s disease. AJR 193:113–121CrossRefPubMed Siddiki HA, Fidler JL, Fletcher JG et al (2009) Prospective comparison of state-of-the-art MR enterography and CT enterography in small-bowel Crohn’s disease. AJR 193:113–121CrossRefPubMed
3.
Zurück zum Zitat Lee SS, Kim AY, Yang SK et al (2009) Crohn disease of the small bowel: comparison of CT enterography, MR enterography, and small-bowel follow-through as diagnostic techniques. Radiology 251:751–761CrossRefPubMed Lee SS, Kim AY, Yang SK et al (2009) Crohn disease of the small bowel: comparison of CT enterography, MR enterography, and small-bowel follow-through as diagnostic techniques. Radiology 251:751–761CrossRefPubMed
4.
Zurück zum Zitat Jamieson DH, Shipman PJ, Israel DM et al (2003) Comparison of multidetector CT and barium studies of the small bowel: inflammatory bowel disease in children. AJR 180:1211–1216PubMed Jamieson DH, Shipman PJ, Israel DM et al (2003) Comparison of multidetector CT and barium studies of the small bowel: inflammatory bowel disease in children. AJR 180:1211–1216PubMed
5.
Zurück zum Zitat Hara AK, Leighton JA, Heigh RI et al (2006) Crohn disease of the small bowel: preliminary comparison among CT enterography, capsule endoscopy, small-bowel follow-through, and ileoscopy. Radiology 238:128–134CrossRefPubMed Hara AK, Leighton JA, Heigh RI et al (2006) Crohn disease of the small bowel: preliminary comparison among CT enterography, capsule endoscopy, small-bowel follow-through, and ileoscopy. Radiology 238:128–134CrossRefPubMed
6.
Zurück zum Zitat Applegate KE, Maglinte DD (2008) Imaging of the bowel in children: new imaging techniques. Pediatr Radiol 38(Suppl 2):S272–S274CrossRefPubMed Applegate KE, Maglinte DD (2008) Imaging of the bowel in children: new imaging techniques. Pediatr Radiol 38(Suppl 2):S272–S274CrossRefPubMed
7.
Zurück zum Zitat Booya F, Fletcher JG, Huprich JE et al (2006) Active Crohn disease: CT findings and interobserver agreement for enteric phase CT enterography. Radiology 241:787–795CrossRefPubMed Booya F, Fletcher JG, Huprich JE et al (2006) Active Crohn disease: CT findings and interobserver agreement for enteric phase CT enterography. Radiology 241:787–795CrossRefPubMed
8.
Zurück zum Zitat Baker ME, Walter J, Obuchowski NA et al (2009) Mural attenuation in normal small bowel and active inflammatory Crohn’s disease on CT enterography: location, absolute attenuation, relative attenuation, and the effect of wall thickness. AJR 192:417–423CrossRefPubMed Baker ME, Walter J, Obuchowski NA et al (2009) Mural attenuation in normal small bowel and active inflammatory Crohn’s disease on CT enterography: location, absolute attenuation, relative attenuation, and the effect of wall thickness. AJR 192:417–423CrossRefPubMed
9.
Zurück zum Zitat Vandenbroucke F, Mortelé KJ, Tatli S et al (2007) Noninvasive multidetector computed tomography enterography in patients with small-bowel Crohn’s disease: is a 40-second delay better than 70 seconds? Acta Radiol 23:1–9 [Epub ahead of print] Vandenbroucke F, Mortelé KJ, Tatli S et al (2007) Noninvasive multidetector computed tomography enterography in patients with small-bowel Crohn’s disease: is a 40-second delay better than 70 seconds? Acta Radiol 23:1–9 [Epub ahead of print]
10.
Zurück zum Zitat Brown S, Applegate KE, Sandrasegaran K et al (2008) Fluoroscopic and CT enteroclysis in children: initial experience, technical feasibility, and utility. Pediatr Radiol 38:497–510CrossRefPubMed Brown S, Applegate KE, Sandrasegaran K et al (2008) Fluoroscopic and CT enteroclysis in children: initial experience, technical feasibility, and utility. Pediatr Radiol 38:497–510CrossRefPubMed
11.
Zurück zum Zitat Raptopoulos V, Schwartz RK, McNicholas MM et al (1997) Multiplanar helical CT enterography in patients with Crohn’s disease. AJR 169:1545–1550PubMed Raptopoulos V, Schwartz RK, McNicholas MM et al (1997) Multiplanar helical CT enterography in patients with Crohn’s disease. AJR 169:1545–1550PubMed
12.
Zurück zum Zitat Gaca AM, Jaffe TA, Delaney S et al (2008) Radiation doses from small-bowel follow-through and abdomen/pelvis MDCT in pediatric Crohn disease. Pediatr Radiol 38:285–291CrossRefPubMed Gaca AM, Jaffe TA, Delaney S et al (2008) Radiation doses from small-bowel follow-through and abdomen/pelvis MDCT in pediatric Crohn disease. Pediatr Radiol 38:285–291CrossRefPubMed
13.
Zurück zum Zitat Toma P, Granata C, Magnano G et al (2007) CT and MRI of paediatric Crohn disease. Pediatr Radiol 37:1083–1092CrossRefPubMed Toma P, Granata C, Magnano G et al (2007) CT and MRI of paediatric Crohn disease. Pediatr Radiol 37:1083–1092CrossRefPubMed
14.
Zurück zum Zitat Jabra AA, Fishman EK, Taylor GA (1994) CT findings in inflammatory bowel disease in children. AJR 162:975–979PubMed Jabra AA, Fishman EK, Taylor GA (1994) CT findings in inflammatory bowel disease in children. AJR 162:975–979PubMed
15.
Zurück zum Zitat Adler J, Punglia D, Dillman JR et al (2008) CT enterography findings correlate with tissue inflammation but not fibrosis in resected small bowel Crohn’s disease. Gastroenterology 134:A195 Adler J, Punglia D, Dillman JR et al (2008) CT enterography findings correlate with tissue inflammation but not fibrosis in resected small bowel Crohn’s disease. Gastroenterology 134:A195
16.
Zurück zum Zitat Hara AK, Alam S, Heigh RI et al (2008) Using CT enterography to monitor Crohn’s disease activity: a preliminary study. AJR 190:1512–1516CrossRefPubMed Hara AK, Alam S, Heigh RI et al (2008) Using CT enterography to monitor Crohn’s disease activity: a preliminary study. AJR 190:1512–1516CrossRefPubMed
17.
Zurück zum Zitat Lee SS, Ha HK, Yang SK et al (2002) CT of prominent pericolic or perienteric vasculature in patients with Crohn’s disease: correlation with clinical disease activity and findings on barium studies. AJR 179:1029–1036PubMed Lee SS, Ha HK, Yang SK et al (2002) CT of prominent pericolic or perienteric vasculature in patients with Crohn’s disease: correlation with clinical disease activity and findings on barium studies. AJR 179:1029–1036PubMed
18.
Zurück zum Zitat Simoneaux SF, Patrick LE (1997) Genitourinary complications of Crohn’s disease in pediatric patients. AJR 169:197–199PubMed Simoneaux SF, Patrick LE (1997) Genitourinary complications of Crohn’s disease in pediatric patients. AJR 169:197–199PubMed
19.
Zurück zum Zitat Markowitz J, Daum F, Aiges H et al (1984) Perianal disease in children and adolescents with Crohn’s disease. Gastroenterology 86:829–833PubMed Markowitz J, Daum F, Aiges H et al (1984) Perianal disease in children and adolescents with Crohn’s disease. Gastroenterology 86:829–833PubMed
20.
Zurück zum Zitat Tolia V (1996) Perianal Crohn’s disease in children and adolescents. Am J Gastroenterol 91:922–926PubMed Tolia V (1996) Perianal Crohn’s disease in children and adolescents. Am J Gastroenterol 91:922–926PubMed
21.
Zurück zum Zitat Solomon MJ (1996) Fistulae and abscesses in symptomatic perianal Crohn’s disease. Int J Colorectal Dis 11:222–226CrossRefPubMed Solomon MJ (1996) Fistulae and abscesses in symptomatic perianal Crohn’s disease. Int J Colorectal Dis 11:222–226CrossRefPubMed
23.
Zurück zum Zitat Peeters H, Vander Cruyssen B, Mielants H et al (2008) Clinical and genetic factors associated with sacroiliitis in Crohn’s disease. J Gastroenterol Hepatol 23:132–137PubMed Peeters H, Vander Cruyssen B, Mielants H et al (2008) Clinical and genetic factors associated with sacroiliitis in Crohn’s disease. J Gastroenterol Hepatol 23:132–137PubMed
24.
Zurück zum Zitat Leonard MB (2007) Glucocorticoid-induced osteoporosis in children: impact of the underlying disease. Pediatrics 119(Suppl 2):S166–S174CrossRefPubMed Leonard MB (2007) Glucocorticoid-induced osteoporosis in children: impact of the underlying disease. Pediatrics 119(Suppl 2):S166–S174CrossRefPubMed
25.
Zurück zum Zitat Dubner SE, Shults J, Baldassano RN et al (2009) Longitudinal assessment of bone density and structure in an incident cohort of children with Crohn’s disease. Gastroenterology 136:123–130CrossRefPubMed Dubner SE, Shults J, Baldassano RN et al (2009) Longitudinal assessment of bone density and structure in an incident cohort of children with Crohn’s disease. Gastroenterology 136:123–130CrossRefPubMed
26.
Zurück zum Zitat Gilsanz V, Perez FJ, Campbell PP et al (2009) Quantitative CT reference values for vertebral trabecular bone density in children and young adults. Radiology 250:222–227CrossRefPubMed Gilsanz V, Perez FJ, Campbell PP et al (2009) Quantitative CT reference values for vertebral trabecular bone density in children and young adults. Radiology 250:222–227CrossRefPubMed
27.
Zurück zum Zitat Parente F, Pastore L, Bargiggia S et al (2007) Incidence and risk factors for gallstones in patients with inflammatory bowel disease: a large case-control study. Hepatology 45:1267–1274CrossRefPubMed Parente F, Pastore L, Bargiggia S et al (2007) Incidence and risk factors for gallstones in patients with inflammatory bowel disease: a large case-control study. Hepatology 45:1267–1274CrossRefPubMed
Metadaten
Titel
CT enterography of pediatric Crohn disease
verfasst von
Jonathan R. Dillman
Jeremy Adler
Ellen M. Zimmermann
Peter J. Strouse
Publikationsdatum
01.01.2010
Verlag
Springer-Verlag
Erschienen in
Pediatric Radiology / Ausgabe 1/2010
Print ISSN: 0301-0449
Elektronische ISSN: 1432-1998
DOI
https://doi.org/10.1007/s00247-009-1465-5

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