CC BY-NC-ND 4.0 · Journal of Coloproctology 2015; 35(04): 217-222
DOI: 10.1016/j.jcol.2015.06.006
Original Article

CT enterography in the evaluation of Crohn's disease

Enterografia por tomografia computadorizada na avaliação da doença de Crohn
Carlos Henrique Marques dos Santos
a  Service of Coloproctology, Hospital Universitário Maria Aparecida Pedrossian, Campo Grande, MS, Brazil
,
Jovino Nogueira da Silva Menezes
b  Service of General Surgery, Hospital Universitário Maria Aparecida Pedrossian, Campo Grande, MS, Brazil
,
Thiago Franchi Nunes
c  Service of Radiology, Hospital Universitário Maria Aparecida Pedrossian, Campo Grande, MS, Brazil
,
Letícia de Assis Martins
c  Service of Radiology, Hospital Universitário Maria Aparecida Pedrossian, Campo Grande, MS, Brazil
› Author Affiliations

Abstract

Proposition Crohn's disease (CD) is a chronic inflammatory process that affects various parts of the gastrointestinal tract, from the mouth to the anus with unknown etiology and variable clinical presentation. CD diagnosis is based on clinical and complementary tests. Among the complementary tests, enterography with CT enterography has shown good results in the evaluation of this disease.

Methods The patients evaluated were submitted to a questionnaire on the clinical manifestations of the disease and an CT enterography was obtained. The studies were reviewed by an experienced radiologist looking for radiological signs of CD.

Results The mean age was 40 years, with a predominance of women. The main clinical manifestations are diarrhea in 24 (70%), hematochezia in 19 (55%), abdominal pain in 29 (85%) and weight loss in 22 (64%) patients. The main findings on CT enterography were an intestinal wall enhancement signal in 23 patients (67%), vascular engorgement (vasa recta) in 20 (58%), parenteral fat densification in 14 (41%), intestinal wall thickening in 22 (64%), and lymph node enlargement in 17 (50%) of patients.

Conclusion This study showed that CT enterography presents a good assessment of intestinal involvement by CD.

Resumo

Proposição A doença de Crohn (DC) é um processo inflamatório crônico que acomete vários locais do trato gastrointestinal, desde a boca até o ânus, tendo etiologia desconhecida e apresentação clinica variável. Seu diagnóstico baseia- se no exame clinico e em testes complementares. Dentre os exames complementares, a Enterografia por Tomografia Computadorizada (Entero-TC) tem mostrado bons resultados na avaliação dessa doença.

Metodologia Os pacientes avaliados foram submetidos a um questionário sobre as manifestações clinicas da doença e realizaram Entero-TC. Esses exames foram analisados por um radiologista experiente, à procura de sinais radiológicos da DC.

Resultados A idade média foi de 40 anos, com predomínio de mulheres. As principais manifestações clínicas foram diarreia em 24 (70%), hematoquezia em 19 (55%), dor abdominal em 29 (85%) e perda de peso em 22 (64%) dos pacientes. Os principais achados na Entero-TC foram o sinal de realce de parede intestinal em 23 pacientes (67%), ingurgitamento vascular (vasa recta) em 20 (58%), densificação de gordura perientérica em 14 (41%), espessamento de parede intestinal em 22 (64%) e linfonodomegalia em 17 (50%) dos pacientes avaliados.

Conclusão O presente estudo mostrou que a Entero-TC apresenta boa avaliação do acometimento intestinal pela DC.



Publication History

Received: 28 March 2015

Accepted: 08 June 2015

Publication Date:
17 February 2021 (online)

© 2015. Sociedade Brasileira de Coloproctologia. This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonDerivative-NonCommercial License, permitting copying and reproduction so long as the original work is given appropriate credit. Contents may not be used for commecial purposes, or adapted, remixed, transformed or built upon. (https://creativecommons.org/licenses/by-nc-nd/4.0/)

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