The role of computed tomography (CT) enteroclysis in the imaging of small bowel diseases is expanded with recent technological advances in multidetector CT system. Computed tomography enteroclysis is the examination of choice for patients with symptoms of intermittent small bowel obstruction, especially when there is a history of prior complex abdominal surgery, abdominal tumor, radiation therapy, and also in high grade obstructions with suspicion of extraintestinal internal fistula. Computed tomography enteroclysis is becoming the first-line modality for the evaluation of advanced and complicated small bowel Crohn disease. Computed tomography enteroclysis can also become an important complementary imaging technique to capsule endoscopy in the assessment of small bowel neoplasms and occult gastrointestinal hemorrhage. In this study, the technique and clinical applications of CT enteroclysis are reviewed; its advantages and limitations compared with the other imaging techniques and capsule endoscopy are discussed.
From the Department of Radiology, Istanbul Faculty of Medicine, Istanbul University, Istanbul, Turkey.
Received for publication October 18, 2006; accepted March 8, 2007.
Reprints: Gulgun Engin, MD, Department of Radiology, Istanbul Faculty of Medicine, Istanbul University, Millet street, Capa 34390, Istanbul, Turkey (e-mail: firstname.lastname@example.org; email@example.com).
This work was supported by the Research Fund of the University of Istanbul (project number BYP-971/2006).