Comparison of virtual computed tomography enteroscopy using carbon dioxide with small-bowel enteroclysis and capsule endoscopy in patients with small-bowel tuberculosis
Objective Comparison of virtual CT enteroscopy (VCTE) using carbon dioxide with small-bowel enteroclysis (SBE) and capsule endoscopy (CE) in small-bowel tuberculosis (SBTB). Methods This prospective study comprised consecutive patients suspected to have SBTB. VCTE and SBE were performed on the same...
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| Veröffentlicht in: | European radiology 2021-05, Vol.31 (5), p.3297-3305 |
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| creator | Kalra, Naveen Gulati, Ajay Gupta, Pankaj Dhaka, Narendra Sehgal, Shaurya Singh, Shravya Gupta, Vikas Sharma, Kusum Vaiphei, Kim Rajwanshi, Arvind Sinha, Saroj Kant Kochhar, Rakesh Khandelwal, Niranjan Chawla, Yogesh K Sandhu, Manavjit Singh Bettmann, Michael A |
| description | Objective
Comparison of virtual CT enteroscopy (VCTE) using carbon dioxide with small-bowel enteroclysis (SBE) and capsule endoscopy (CE) in small-bowel tuberculosis (SBTB).
Methods
This prospective study comprised consecutive patients suspected to have SBTB. VCTE and SBE were performed on the same day and evaluated by independent radiologists. CE was performed within 2 weeks. VCTE was performed following insufflation of carbon dioxide via catheters in the jejunum and anorectum. A contrast-enhanced CT was followed by a delayed non-contrast CT. Image processing was done using virtual colonoscopy software. Findings on VCTE, SBE, and CE were compared. The final diagnosis of SBTB was based on either histopathological or cytological findings, response to antitubercular treatment, or a combination of these.
Results
Of the 55 patients in whom VCTE was performed, complete data was available in 52 patients. A final diagnosis of SBTB was established in 37 patients. All patients had VCTE and SBE. CE was performed in 34 patients. Adequate luminal distension was achieved in all patients with SBE and 35 patients with VCTE. SBE showed more strictures in jejunum (10.8%) and ileum (75.7%) compared with VCTE (jejunum, 8.1%, and ileum, 64.9%) and CE (jejunum, 5.9%, and ileum, 61.8%). However, difference was not statistically significant. VCTE revealed a greater length of strictures in both the jejunum and ileum compared with SBE and CE.
Conclusion
VCTE allows adequate evaluation of the bowel in most patients with SBTB. It allows detection of greater length of abnormality in jejunum and ileum compared with SBE and CE.
Key Points
•
The use of VCTE using CO
2
bowel insufflation in patients with SBTB should be considered.
•
VCTE allows detection of a greater length of abnormality in the jejunum and ileum. |
| doi_str_mv | 10.1007/s00330-020-07410-7 |
| format | Article |
| fullrecord | <record><control><sourceid>proquest_cross</sourceid><recordid>TN_cdi_proquest_miscellaneous_2457671782</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sourcerecordid>2512160276</sourcerecordid><originalsourceid>FETCH-LOGICAL-c375t-42163d933c82c6aaa10c1a8377e6eef40a0f8866cd30bf47ebdb4e81b8baec3d3</originalsourceid><addsrcrecordid>eNp9kc2KFDEURoMoTjv6Ai4k4MZN6U0lXalaSjOOwoCbcR3yc6snQ6pSJhXHfiMf08x0q6DgIgRyz_kS8hHyksFbBiDfZQDOoYG2LikYNPIR2TDB24ZBLx6TDQy8b-QwiDPyLOdbABiYkE_JGedMdHLgG_JjF6dFJ5_jTONIv_m0Fh2oradlRUfXOMV90svNgeK8YorZxuVAS_bznlqdTPWcj9-9Q3rn1xuaJx1CY-IdhpNhwyH7TPXsqrDkErAO3CnIz3TRq69k_tdfi8FkS4jVf06ejDpkfHHaz8mXDxfXu4_N1efLT7v3V43lcrs2omUddwPntm9tp7VmYJnuuZTYIY4CNIx933XWcTCjkGicEdgz0xuNljt-Tt4cc5cUvxbMq5p8thiCnjGWrFqxlZ1ksm8r-vov9DaWNNfXqXbL6kOglV2l2iNl6-flhKNakp90OigG6r5HdexR1R7VQ49KVunVKbqYCd1v5VdxFeBHINfRvMf05-7_xP4ENUOuLw</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>2512160276</pqid></control><display><type>article</type><title>Comparison of virtual computed tomography enteroscopy using carbon dioxide with small-bowel enteroclysis and capsule endoscopy in patients with small-bowel tuberculosis</title><source>MEDLINE</source><source>SpringerLink Journals</source><creator>Kalra, Naveen ; Gulati, Ajay ; Gupta, Pankaj ; Dhaka, Narendra ; Sehgal, Shaurya ; Singh, Shravya ; Gupta, Vikas ; Sharma, Kusum ; Vaiphei, Kim ; Rajwanshi, Arvind ; Sinha, Saroj Kant ; Kochhar, Rakesh ; Khandelwal, Niranjan ; Chawla, Yogesh K ; Sandhu, Manavjit Singh ; Bettmann, Michael A</creator><creatorcontrib>Kalra, Naveen ; Gulati, Ajay ; Gupta, Pankaj ; Dhaka, Narendra ; Sehgal, Shaurya ; Singh, Shravya ; Gupta, Vikas ; Sharma, Kusum ; Vaiphei, Kim ; Rajwanshi, Arvind ; Sinha, Saroj Kant ; Kochhar, Rakesh ; Khandelwal, Niranjan ; Chawla, Yogesh K ; Sandhu, Manavjit Singh ; Bettmann, Michael A</creatorcontrib><description>Objective
Comparison of virtual CT enteroscopy (VCTE) using carbon dioxide with small-bowel enteroclysis (SBE) and capsule endoscopy (CE) in small-bowel tuberculosis (SBTB).
Methods
This prospective study comprised consecutive patients suspected to have SBTB. VCTE and SBE were performed on the same day and evaluated by independent radiologists. CE was performed within 2 weeks. VCTE was performed following insufflation of carbon dioxide via catheters in the jejunum and anorectum. A contrast-enhanced CT was followed by a delayed non-contrast CT. Image processing was done using virtual colonoscopy software. Findings on VCTE, SBE, and CE were compared. The final diagnosis of SBTB was based on either histopathological or cytological findings, response to antitubercular treatment, or a combination of these.
Results
Of the 55 patients in whom VCTE was performed, complete data was available in 52 patients. A final diagnosis of SBTB was established in 37 patients. All patients had VCTE and SBE. CE was performed in 34 patients. Adequate luminal distension was achieved in all patients with SBE and 35 patients with VCTE. SBE showed more strictures in jejunum (10.8%) and ileum (75.7%) compared with VCTE (jejunum, 8.1%, and ileum, 64.9%) and CE (jejunum, 5.9%, and ileum, 61.8%). However, difference was not statistically significant. VCTE revealed a greater length of strictures in both the jejunum and ileum compared with SBE and CE.
Conclusion
VCTE allows adequate evaluation of the bowel in most patients with SBTB. It allows detection of greater length of abnormality in jejunum and ileum compared with SBE and CE.
Key Points
•
The use of VCTE using CO
2
bowel insufflation in patients with SBTB should be considered.
•
VCTE allows detection of a greater length of abnormality in the jejunum and ileum.</description><identifier>ISSN: 0938-7994</identifier><identifier>EISSN: 1432-1084</identifier><identifier>DOI: 10.1007/s00330-020-07410-7</identifier><identifier>PMID: 33146793</identifier><language>eng</language><publisher>Berlin/Heidelberg: Springer Berlin Heidelberg</publisher><subject>Capsule Endoscopy ; Carbon Dioxide ; Catheters ; Colon ; Computed tomography ; Diagnosis ; Diagnostic Radiology ; Distension ; Endoscopy ; Endoscopy, Gastrointestinal ; Gastrointestinal ; Humans ; Ileum ; Image contrast ; Image enhancement ; Image processing ; Imaging ; Internal Medicine ; Interventional Radiology ; Jejunum ; Medicine ; Medicine & Public Health ; Neuroradiology ; Prospective Studies ; Radiology ; Small intestine ; Statistical analysis ; Stricture ; Tomography, X-Ray Computed ; Tuberculosis ; Ultrasound</subject><ispartof>European radiology, 2021-05, Vol.31 (5), p.3297-3305</ispartof><rights>European Society of Radiology 2020</rights><rights>European Society of Radiology 2020.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c375t-42163d933c82c6aaa10c1a8377e6eef40a0f8866cd30bf47ebdb4e81b8baec3d3</citedby><cites>FETCH-LOGICAL-c375t-42163d933c82c6aaa10c1a8377e6eef40a0f8866cd30bf47ebdb4e81b8baec3d3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://link.springer.com/content/pdf/10.1007/s00330-020-07410-7$$EPDF$$P50$$Gspringer$$H</linktopdf><linktohtml>$$Uhttps://link.springer.com/10.1007/s00330-020-07410-7$$EHTML$$P50$$Gspringer$$H</linktohtml><link.rule.ids>314,776,780,27901,27902,41464,42533,51294</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/33146793$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Kalra, Naveen</creatorcontrib><creatorcontrib>Gulati, Ajay</creatorcontrib><creatorcontrib>Gupta, Pankaj</creatorcontrib><creatorcontrib>Dhaka, Narendra</creatorcontrib><creatorcontrib>Sehgal, Shaurya</creatorcontrib><creatorcontrib>Singh, Shravya</creatorcontrib><creatorcontrib>Gupta, Vikas</creatorcontrib><creatorcontrib>Sharma, Kusum</creatorcontrib><creatorcontrib>Vaiphei, Kim</creatorcontrib><creatorcontrib>Rajwanshi, Arvind</creatorcontrib><creatorcontrib>Sinha, Saroj Kant</creatorcontrib><creatorcontrib>Kochhar, Rakesh</creatorcontrib><creatorcontrib>Khandelwal, Niranjan</creatorcontrib><creatorcontrib>Chawla, Yogesh K</creatorcontrib><creatorcontrib>Sandhu, Manavjit Singh</creatorcontrib><creatorcontrib>Bettmann, Michael A</creatorcontrib><title>Comparison of virtual computed tomography enteroscopy using carbon dioxide with small-bowel enteroclysis and capsule endoscopy in patients with small-bowel tuberculosis</title><title>European radiology</title><addtitle>Eur Radiol</addtitle><addtitle>Eur Radiol</addtitle><description>Objective
Comparison of virtual CT enteroscopy (VCTE) using carbon dioxide with small-bowel enteroclysis (SBE) and capsule endoscopy (CE) in small-bowel tuberculosis (SBTB).
Methods
This prospective study comprised consecutive patients suspected to have SBTB. VCTE and SBE were performed on the same day and evaluated by independent radiologists. CE was performed within 2 weeks. VCTE was performed following insufflation of carbon dioxide via catheters in the jejunum and anorectum. A contrast-enhanced CT was followed by a delayed non-contrast CT. Image processing was done using virtual colonoscopy software. Findings on VCTE, SBE, and CE were compared. The final diagnosis of SBTB was based on either histopathological or cytological findings, response to antitubercular treatment, or a combination of these.
Results
Of the 55 patients in whom VCTE was performed, complete data was available in 52 patients. A final diagnosis of SBTB was established in 37 patients. All patients had VCTE and SBE. CE was performed in 34 patients. Adequate luminal distension was achieved in all patients with SBE and 35 patients with VCTE. SBE showed more strictures in jejunum (10.8%) and ileum (75.7%) compared with VCTE (jejunum, 8.1%, and ileum, 64.9%) and CE (jejunum, 5.9%, and ileum, 61.8%). However, difference was not statistically significant. VCTE revealed a greater length of strictures in both the jejunum and ileum compared with SBE and CE.
Conclusion
VCTE allows adequate evaluation of the bowel in most patients with SBTB. It allows detection of greater length of abnormality in jejunum and ileum compared with SBE and CE.
Key Points
•
The use of VCTE using CO
2
bowel insufflation in patients with SBTB should be considered.
•
VCTE allows detection of a greater length of abnormality in the jejunum and ileum.</description><subject>Capsule Endoscopy</subject><subject>Carbon Dioxide</subject><subject>Catheters</subject><subject>Colon</subject><subject>Computed tomography</subject><subject>Diagnosis</subject><subject>Diagnostic Radiology</subject><subject>Distension</subject><subject>Endoscopy</subject><subject>Endoscopy, Gastrointestinal</subject><subject>Gastrointestinal</subject><subject>Humans</subject><subject>Ileum</subject><subject>Image contrast</subject><subject>Image enhancement</subject><subject>Image processing</subject><subject>Imaging</subject><subject>Internal Medicine</subject><subject>Interventional Radiology</subject><subject>Jejunum</subject><subject>Medicine</subject><subject>Medicine & Public Health</subject><subject>Neuroradiology</subject><subject>Prospective Studies</subject><subject>Radiology</subject><subject>Small intestine</subject><subject>Statistical analysis</subject><subject>Stricture</subject><subject>Tomography, X-Ray Computed</subject><subject>Tuberculosis</subject><subject>Ultrasound</subject><issn>0938-7994</issn><issn>1432-1084</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2021</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>BENPR</sourceid><recordid>eNp9kc2KFDEURoMoTjv6Ai4k4MZN6U0lXalaSjOOwoCbcR3yc6snQ6pSJhXHfiMf08x0q6DgIgRyz_kS8hHyksFbBiDfZQDOoYG2LikYNPIR2TDB24ZBLx6TDQy8b-QwiDPyLOdbABiYkE_JGedMdHLgG_JjF6dFJ5_jTONIv_m0Fh2oradlRUfXOMV90svNgeK8YorZxuVAS_bznlqdTPWcj9-9Q3rn1xuaJx1CY-IdhpNhwyH7TPXsqrDkErAO3CnIz3TRq69k_tdfi8FkS4jVf06ejDpkfHHaz8mXDxfXu4_N1efLT7v3V43lcrs2omUddwPntm9tp7VmYJnuuZTYIY4CNIx933XWcTCjkGicEdgz0xuNljt-Tt4cc5cUvxbMq5p8thiCnjGWrFqxlZ1ksm8r-vov9DaWNNfXqXbL6kOglV2l2iNl6-flhKNakp90OigG6r5HdexR1R7VQ49KVunVKbqYCd1v5VdxFeBHINfRvMf05-7_xP4ENUOuLw</recordid><startdate>20210501</startdate><enddate>20210501</enddate><creator>Kalra, 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of virtual computed tomography enteroscopy using carbon dioxide with small-bowel enteroclysis and capsule endoscopy in patients with small-bowel tuberculosis</title><author>Kalra, Naveen ; Gulati, Ajay ; Gupta, Pankaj ; Dhaka, Narendra ; Sehgal, Shaurya ; Singh, Shravya ; Gupta, Vikas ; Sharma, Kusum ; Vaiphei, Kim ; Rajwanshi, Arvind ; Sinha, Saroj Kant ; Kochhar, Rakesh ; Khandelwal, Niranjan ; Chawla, Yogesh K ; Sandhu, Manavjit Singh ; Bettmann, Michael A</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c375t-42163d933c82c6aaa10c1a8377e6eef40a0f8866cd30bf47ebdb4e81b8baec3d3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2021</creationdate><topic>Capsule Endoscopy</topic><topic>Carbon Dioxide</topic><topic>Catheters</topic><topic>Colon</topic><topic>Computed tomography</topic><topic>Diagnosis</topic><topic>Diagnostic Radiology</topic><topic>Distension</topic><topic>Endoscopy</topic><topic>Endoscopy, Gastrointestinal</topic><topic>Gastrointestinal</topic><topic>Humans</topic><topic>Ileum</topic><topic>Image contrast</topic><topic>Image enhancement</topic><topic>Image processing</topic><topic>Imaging</topic><topic>Internal Medicine</topic><topic>Interventional Radiology</topic><topic>Jejunum</topic><topic>Medicine</topic><topic>Medicine & Public Health</topic><topic>Neuroradiology</topic><topic>Prospective Studies</topic><topic>Radiology</topic><topic>Small intestine</topic><topic>Statistical analysis</topic><topic>Stricture</topic><topic>Tomography, X-Ray Computed</topic><topic>Tuberculosis</topic><topic>Ultrasound</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Kalra, Naveen</creatorcontrib><creatorcontrib>Gulati, Ajay</creatorcontrib><creatorcontrib>Gupta, Pankaj</creatorcontrib><creatorcontrib>Dhaka, Narendra</creatorcontrib><creatorcontrib>Sehgal, 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Aerospace Collection</collection><collection>Biotechnology and BioEngineering Abstracts</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central China</collection><collection>MEDLINE - Academic</collection><jtitle>European radiology</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Kalra, Naveen</au><au>Gulati, Ajay</au><au>Gupta, Pankaj</au><au>Dhaka, Narendra</au><au>Sehgal, Shaurya</au><au>Singh, Shravya</au><au>Gupta, Vikas</au><au>Sharma, Kusum</au><au>Vaiphei, Kim</au><au>Rajwanshi, Arvind</au><au>Sinha, Saroj Kant</au><au>Kochhar, Rakesh</au><au>Khandelwal, Niranjan</au><au>Chawla, Yogesh K</au><au>Sandhu, Manavjit Singh</au><au>Bettmann, Michael A</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Comparison of virtual computed tomography enteroscopy using carbon dioxide with small-bowel enteroclysis and capsule endoscopy in patients with small-bowel tuberculosis</atitle><jtitle>European radiology</jtitle><stitle>Eur Radiol</stitle><addtitle>Eur Radiol</addtitle><date>2021-05-01</date><risdate>2021</risdate><volume>31</volume><issue>5</issue><spage>3297</spage><epage>3305</epage><pages>3297-3305</pages><issn>0938-7994</issn><eissn>1432-1084</eissn><abstract>Objective
Comparison of virtual CT enteroscopy (VCTE) using carbon dioxide with small-bowel enteroclysis (SBE) and capsule endoscopy (CE) in small-bowel tuberculosis (SBTB).
Methods
This prospective study comprised consecutive patients suspected to have SBTB. VCTE and SBE were performed on the same day and evaluated by independent radiologists. CE was performed within 2 weeks. VCTE was performed following insufflation of carbon dioxide via catheters in the jejunum and anorectum. A contrast-enhanced CT was followed by a delayed non-contrast CT. Image processing was done using virtual colonoscopy software. Findings on VCTE, SBE, and CE were compared. The final diagnosis of SBTB was based on either histopathological or cytological findings, response to antitubercular treatment, or a combination of these.
Results
Of the 55 patients in whom VCTE was performed, complete data was available in 52 patients. A final diagnosis of SBTB was established in 37 patients. All patients had VCTE and SBE. CE was performed in 34 patients. Adequate luminal distension was achieved in all patients with SBE and 35 patients with VCTE. SBE showed more strictures in jejunum (10.8%) and ileum (75.7%) compared with VCTE (jejunum, 8.1%, and ileum, 64.9%) and CE (jejunum, 5.9%, and ileum, 61.8%). However, difference was not statistically significant. VCTE revealed a greater length of strictures in both the jejunum and ileum compared with SBE and CE.
Conclusion
VCTE allows adequate evaluation of the bowel in most patients with SBTB. It allows detection of greater length of abnormality in jejunum and ileum compared with SBE and CE.
Key Points
•
The use of VCTE using CO
2
bowel insufflation in patients with SBTB should be considered.
•
VCTE allows detection of a greater length of abnormality in the jejunum and ileum.</abstract><cop>Berlin/Heidelberg</cop><pub>Springer Berlin Heidelberg</pub><pmid>33146793</pmid><doi>10.1007/s00330-020-07410-7</doi><tpages>9</tpages></addata></record> |
| fulltext | fulltext |
| identifier | ISSN: 0938-7994 |
| ispartof | European radiology, 2021-05, Vol.31 (5), p.3297-3305 |
| issn | 0938-7994 1432-1084 |
| language | eng |
| recordid | cdi_proquest_miscellaneous_2457671782 |
| source | MEDLINE; SpringerLink Journals |
| subjects | Capsule Endoscopy Carbon Dioxide Catheters Colon Computed tomography Diagnosis Diagnostic Radiology Distension Endoscopy Endoscopy, Gastrointestinal Gastrointestinal Humans Ileum Image contrast Image enhancement Image processing Imaging Internal Medicine Interventional Radiology Jejunum Medicine Medicine & Public Health Neuroradiology Prospective Studies Radiology Small intestine Statistical analysis Stricture Tomography, X-Ray Computed Tuberculosis Ultrasound |
| title | Comparison of virtual computed tomography enteroscopy using carbon dioxide with small-bowel enteroclysis and capsule endoscopy in patients with small-bowel tuberculosis |
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