Author/Editor     Koprivnik, Mateja; Jamar, Breda
Title     Dedicated small bowel follow-through - experience of Clinical institute of radiology in Ljubljana
Translated title     Natančna radiološka preiskava ozkega črevesa - izkušnje na Kliničnem radiološkem inštitutu v Ljubljani
Type     članek
Source     Radiol Oncol
Vol. and No.     Letnik 37, št. 2
Publication year     2003
Volume     str. 67-72
Language     eng
Abstract     Background. Small bowell is a difficult part of the alimentary tract to examine. Radiologic modality most commonly used has been the conventional small bowel follow-through (SBFT), which has often been done in a cursory manner, without fluoroscopy and manual palpation. The purpose of our study is to present dedicated SBFT and to assess its sensibility and specificity. Patients and methods. We analysed 35 dedicated SBFT, performed from April to September 2002, in patients. Findings were evaluated according to clinical follow-up, endoscopy and surgery. Results. Our findings were consistent with clinical follow-up, endoscopy and surgery in 33 patients. In 2 patients our findings were false negative. Our results show 89.5% sensitivity and 100% specifity. Conclusions. An adequate per-oral examination remains the most reliable toll for diagnostic evaluation of the small bowel.
Summary     Izhodišča. Ozko črevo je del prebavnega trakta, ki ga je najteže pregledati. Največkrat uporabljena radiološka preiskava je jejunoileografija, ki pa je pogosto narejena brez fluoroskopije in pritiska na vse segmente ozkega črevesa. Rezultat preiskave je odvisen le od sprememb, prikazanih na rentgenogramih. Namen naše študije je prikazati natančnejšo radiološko preiskavo ozkega črevesa. Bolniki in metode. Od aprila do septembra 2002 smo na našem oddelku opravili 35 radioloških preiskav ozkega črevesa pri bolnikih, ki so jih napotili iz specialistične gastroenterološke ambulante. Rezultate naše preiskave smo primerjali s kliničnim potekom, endoskopskim izvidom in izvidom operativnega posega. Rezultati. V 33 primerih so bili rezultati naše preiskave potrjeni z drugimi preiskavami. V 2. primerih je bil rezultat naše preiskave lažno negativen. Senzitivnost preiskave je bila pri naši skupini pacientov 89,5% in specifičnost 100 %. Zaključki. Natančno opravljena radiološka preiskava ozkega črevesa s fluoroskopijo in pritiskom na vse segmente ozkega črevesa je zanesljiva diagnostična metoda.
Descriptors     INTESTINE, SMALL
CONTRAST MEDIA
BARIUM SULFATE
INTESTINAL DISEASES
FLUOROSCOPY
DYSPEPSIA
DUODENITIS
CELIAC DISEASE
CROHN DISEASE