Abstract
MR enterography is the accepted imaging reference standard for small bowel assessment in inflammatory bowel disease. There is an increasing cohort of children with inflammatory bowel disease presenting at an early age (<5 years) with severe disease. Younger children present a technical challenge for enterography because of the need for sedation/general anaesthesia to allow image optimisation and the need for oral contrast to allow adequate luminal assessment. Through our experiences, MR enteroclysis under general anaesthesia has proven to be a successful imaging technique for the work-up of these patients. In this paper, we present our institutional practice for performing MR enteroclysis under general anaesthesia.
This is a preview of subscription content, log in via an institution to check access.
Similar content being viewed by others
References
Levine A, Koletzko S, Turner D et al (2014) ESPGHAN revised Porto criteria for the diagnosis of inflammatory bowel disease in children and adolescents. J Pediatr Gastroenterol Nutr 58:795–806
Taylor SA, Avni F, Cronin CG et al (2016) The first joint ESGAR/ESPR consensus statement on the technical performance of cross-sectional small bowel and colonic imaging. Eur Radiol 10:1–13
Benchimol EI, Mack DR, Nguyen GC et al (2014) Incidence, outcomes and health services burden of very early onset inflammatory bowel disease. Gastroenterology 147:803–813
Aloi M, Lionetti P, Barabino A et al (2014) Phenotype and disease course of early-onset pediatric inflammatory bowel disease. Inflamm Bowel Dis 20:597–605
Kammermeier J, Dziubak R, Pescarin M et al (2017) Phenotypic and genotypic characterisation of inflammatory bowel disease presenting before the age of 2 years. J Crohns Colitis 11:60–69
Moy L, Levine J (2007) Wireless capsule endoscopy in the pediatric age group: experience and complications. J Pediatr Gastroenterol Nutr 44:516–520
Thomson M, Venkatesh K, Elmalik K et al (2010) Double balloon enteroscopy in paediatrics: diagnosis, treatment and safety. World J Gastroenterol 16:56–62
Olsson GL, Hallen B, Hambraeus-Jonzon K (1986) Aspiration during anaesthesia: a computer-aided study of 185,358 anaesthetics. Acta Anaesthesiol Scand 30:84–92
Tolan DJ, Greenhalgh R, Zealley IA et al (2010) MR enterographic manifestations of small bowel Crohn disease. Radiographics 30:367–384
Mutalib M, Borrelli O, Blackstock S et al (2014) The use of sirolimus (rapamycin) in the management of refractory inflammatory bowel disease in children. J Crohns Colitis 8:1730–1734
Horsthuis K, Bipat S, Bennink RJ et al (2008) Inflammatory bowel disease diagnosed with US, MR, Scintigraphy and CT: Meta-analysis of prospective studies. Radiology 247:64–79
Torkzad M, Masselli G, Halligan S et al (2015) Indications and selection of MR enterography vs. MR enteroclysis with emphasis on patients who need small bowel MRI and general anaesthesia: results of a survey. Insights Imaging 6:339–346
Mollard B, Smith E, Lai ME et al (2016) MR enterography under the age of 10 years: a single institutional experience. Pediatr Radiol 46:43–49
Author information
Authors and Affiliations
Corresponding author
Ethics declarations
Conflicts of interest
None
Rights and permissions
About this article
Cite this article
Sadigh, S., Chopra, M., Sury, M.R. et al. Paediatric magnetic resonance enteroclysis under general anaesthesia – initial experience. Pediatr Radiol 47, 877–883 (2017). https://doi.org/10.1007/s00247-017-3836-7
Received:
Revised:
Accepted:
Published:
Issue Date:
DOI: https://doi.org/10.1007/s00247-017-3836-7