Precapsule Endoscopy

Except for emergent clinical investigation for possible small bowel diseases where abdominal CT will remain the primary method of investigation, the role of imaging is likely to undergo reassessment based on results of WCE in the elective work-up of patients [1]. In the patient without risk factors for a potentially obstructing small bowel lesion, radiology has a limited role. As stated earlier, where the indication raises the possibility of early Crohn's or NSAID enteropathy, air double-contrast enteroclysis is the most reliable method of imaging (Fig. 7). CTE should otherwise suffice for all pre-capsule radiologic investigations where there is a possibility of a potentially obstruct-

Nsaid Enteropathy Enteroclysis

Fig.4. Axial image of neutral enteral contrast CTE in a 62-year-old female with Crohn's disease showing a long fistulous track (black arrowheads) extending from the inflamed cecum (black arrow) to an abscess (white arrow). Prior terminal ileal resection is evidenced by surgical clips (white arrowhead). Note the late arterial phase of iv contrast bolus, indicated by enhancement of left renal cortex (K)

Fig.4. Axial image of neutral enteral contrast CTE in a 62-year-old female with Crohn's disease showing a long fistulous track (black arrowheads) extending from the inflamed cecum (black arrow) to an abscess (white arrow). Prior terminal ileal resection is evidenced by surgical clips (white arrowhead). Note the late arterial phase of iv contrast bolus, indicated by enhancement of left renal cortex (K)

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