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Computed Tomography (CT)

Medical imaging using X-rays.

CT enterocolongraphy

CT enterography (CTE) is a non-invasive technique for the diagnosis of small bowel disorders.

Indications for CT enterography include:

most common indication

suspected small bowel bleeding, usually performed after negative endoscopy

suspected small bowel tumor, e.g. carcinoid, polyposis syndromes

celiac disease: assess for complications such as lymphoma

partial small bowel obstructions, e.g. postoperative adhesions, radiation enteritis, scleroderma

chronic diarrhea and/or abdominal pain.

  • Inflammatory Bowel Disease (IBD): To assess the extent and severity of conditions such as Crohn’s disease or ulcerative colitis, which can cause inflammation and damage to the gastrointestinal tract.

  • Evaluation of Abdominal Pain or Discomfort: If you are experiencing chronic or unexplained abdominal pain, a CT enterocolonography can help identify the cause, including conditions such as diverticulitis, colorectal cancer, or other gastrointestinal disorders.

  • Colorectal Cancer Screening: As a non-invasive alternative to traditional colonoscopy, CT enterocolonography can be used for colorectal cancer screening, especially in individuals who are unable or unwilling to undergo a colonoscopy.

  • Assessment of Bowel Obstruction: To evaluate the presence and cause of bowel obstructions, which can be due to tumors, adhesions, or other conditions.

  • Detection of Polyps and Lesions: CT enterocolonography can identify polyps, lesions, or abnormalities in the colon and small intestine.

  • Monitoring Treatment Response: For individuals with known gastrointestinal conditions, a CT enterocolonography may be performed to monitor the response to treatment and assess disease progression or regression.

  • Evaluation of Gastrointestinal Bleeding: To locate the source of gastrointestinal bleeding, helping healthcare providers determine the appropriate course of action.

  • Assessment of Complications: In cases of known gastrointestinal conditions or surgeries, a CT enterocolonography can help assess for complications such as strictures, fistulas, or abscesses.

  • You should wear comfortable, loose-fitting clothing to your exam.
  • Metal objects, including jewelry, eyeglasses, dentures and hairpins should be left at home or removed prior to your exam. You may also be asked to remove hearing aids and removable dental work. Women will be asked to remove bras containing metal underwire. You may be asked to remove any piercings, if possible.
  • You should inform the technologist if you have a pacemaker.
  • You may be asked not to eat or drink anything for a few hours beforehand, especially if a contrast material will be used in your exam.
  • You should inform your physician of all medications you are taking and if you have any allergies.
  • Inform your doctor of any recent illnesses or other medical conditions and whether you have a history of heart disease, asthma, diabetes, and kidney disease or thyroid problems.
  • Women should always inform their physician and the CT technologist if there is any possibility that they may be pregnant.
  • Your diet will be restricted to clear liquids the day before the examination
  • Be sure to inform your physician if you have heart, liver or kidney disease to be certain that the bowel prep will be safe.

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