A RETROSPECTIVE STUDY OF THE EFFICTIVNESS OF COMPUTER TOMOGRAPHY IN CHRONIC NONSPECIFIC INFLAMMATORY BOWEL DISEASES
Original research article
Published December 30, 2020
Keywords
Crohn's disease
nonspecific ulcerative colitis
undifferentiated nonspecific colitis
nonspecific ulcerative colitis
undifferentiated nonspecific colitis
How to Cite
Koshelev E. G., Belyaev G. Y., Egorov A. A., Vinogradov V. N., Sokolova O. V. A RETROSPECTIVE STUDY OF THE EFFICTIVNESS OF COMPUTER TOMOGRAPHY IN CHRONIC NONSPECIFIC INFLAMMATORY BOWEL DISEASES // Kremlin Medicine Journal. 2020. VOL. 4. С. 5-17.
Abstract
Inflammatory bowel diseases (IBD) which include Crohn's disease, ulcerative colitis (UC) and undifferentiated nonspecific colitis (NNC) is a group of chronic intestinal inflammatory conditions which are predictive for neoplasm development. Late IBD diagnostics is also fraught with developing the resistance to treatment. Objective: To evaluate the computed tomographic semiotics and its effectiveness in IBD diagnostics. Material and methods: Ninety patients with IBD were taken into the trial in 2013-2019 periods. The obtained parameters included: patient’s characteristics, clinical and endoscopic findings, histopathology, CT examination of the abdominal cavity with bolus contrast enhancement. Results: Gender distribution of patients with IBD was: 48 (53%) females and 42 (47%) - males. CT examination revealed the following symptoms: 90 (100%) patients had thickened colon wall with pathological contrast enhancement and regional lymphadenopathy in 77 cases (85.5%); 72 (80.0%) had dilatation of mesenteric vessels; 64 (71%) - narrowed colon lumens. CT of the abdominal cavity with bolus contrast enhancement was highly effective in IBD diagnostics: in nonspecific ulcerative colitis, it amounted up to 68.2%; in Crohn's disease - up to 87.7% and in undifferentiated nonspecific colitis - 98.45%.References
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13. Laghi A. (ed.). MDCT protocols: whole body and emergencies //Springer Science & Business Media. - 2012. - P. 253.