Biko DM, Mamula P, Chauvin NA, Anupindi SA. Colonic strictures in children and young adults with Crohn's disease: Recognition on MR enterography.
Clin Imaging 2017;
48:122-126. [PMID:
29100078 DOI:
10.1016/j.clinimag.2017.10.011]
[Citation(s) in RCA: 3] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/07/2017] [Revised: 10/09/2017] [Accepted: 10/17/2017] [Indexed: 12/14/2022]
Abstract
OBJECTIVES
Identify MRE features of colonic strictures in children/young adults with Crohn's disease.
METHODS
Included are patients with colonic strictures on colonoscopy imaged with MRE. Bowel wall thickening (BWT) with luminal narrowing, pre-stenotic dilatation (PSD), bowel wall enhancement, and diffusion restriction were evaluated.
RESULTS
All potential strictures (n=12) had BWT with luminal narrowing on MRE. 8/12 had PSD, meeting our MRE stricture criteria. MRE diagnosed 8/12 colonic strictures compared to colonoscopy but was concordant with findings in all surgical patients.
CONCLUSION
Strictures on MRE did not always agree with colonoscopy, but when correlating with surgery, MRE findings were all concordant.
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