question about inflammation and ct scans

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hana24
Regular Member


Date Joined Dec 2007
Total Posts : 354
   Posted 5/9/2008 4:44 PM (GMT -6)   
Does anyone know if they can see inflammation of the small intestines or large with ct scan?
Jessica 26/F On Entorcout again...
dicyclomine 10Mg before meals/bed
Citalopram 10 MG
Asacol 4pills /three times a day(from 2 pills/ three times a day)
Culturelle once daily
Tried (Entorcort EC 9ml/day and Prednisone)


teddybearweiser
Veteran Member


Date Joined Oct 2004
Total Posts : 3042
   Posted 5/9/2008 5:48 PM (GMT -6)   
Hi hana, The best test is the colonoscopy test is the best for seeing imflammation.
teddybear
Hi, I am teddybearweiser, I am a male.
I was diagnosed with crohns disease when i was admitted to the hospital

in 1992, in Jan of 1993 I was back in the hospital for surgery for my crohns. I had part of my right colon resectioned with ilecolonstomy.

My GI doctor has me on Asacol, Dicyclomine,Imuran,Celebrex and Remicade. B-12 injection once a month.
Also diagnosed with Osteoarthritis and Rheumatoid Arthritis


Illini
Regular Member


Date Joined Dec 2007
Total Posts : 298
   Posted 5/9/2008 10:14 PM (GMT -6)   

Probably not, if it's a regular CT scan, even with IV contrast.

However, you can see inflammation in the intestines if you have a CT enterograph--where you drink the oral contrast material before the scan. It's similar to the barium in a small bowel follow through but dilute and you drink more volume. But like teddy said, the colonoscopy with biopsies is best for seeing inflammation, at least in the large intestine. I personally had both, colonoscopy followed by CTE, because there was swelling around the terminal ileum and the doctor could not get the scope past there.


July 2007 Drug-Induced Liver Injury
January 2008 Crohn's Ileitis
Currently trying...
Enteral Nutrition, Omega-3 (Flax Oil and Fish Oil), VSL#3, Vitamin E, Folic Acid, Psyllium

Post Edited (Illini) : 5/9/2008 9:18:37 PM (GMT-6)


Ides
Forum Moderator


Date Joined Nov 2003
Total Posts : 6818
   Posted 5/9/2008 10:44 PM (GMT -6)   
CT enterography is quickly becoming one of the frontline tests to detect small bowel inflammation.
"Unlike routine CT, which has been used to detect the extraenteric complications of Crohn disease such as fistula and abscess, CT enterography clearly depicts the small bowel inflammation associated with Crohn disease by displaying mural hyperenhancement, stratification, and thickening; engorged vasa recta; and perienteric inflammatory changes. As a result, CT enterography is becoming the first-line modality for the evaluation of suspected inflammatory bowel disease. CT enterography has also become an important alternative to traditional fluoroscopy in the assessment of other small bowel disorders such as celiac sprue and small bowel neoplasms." [http://radiographics.rsnajnls.org/cgi/content/abstract/26/3/641]
Moderator Crohn's Disease Forum
CD, Ankylosing Spondylitis, small fiber peripheral neuropathy, avascular necrosis, diffuse connective tissue disease, Sjogren's Syndrome ?
 


CrohnieToo
Veteran Member


Date Joined May 2003
Total Posts : 9448
   Posted 5/10/2008 9:26 AM (GMT -6)   
Yup, I was recently at Mayo Clinic in Rochester, MN and Dr William Tremaine said that they were using CT Enterogrpaphy much more than the SBFT for Crohn's in the small intestine. They were also running a trial comparing MRI Enterography and CT Enterography and so far the CTE is giving far better results - except for the rectal area. Altho the SBFT has never been a big problem for me, I do like the CTE better - BUT - we get higher doses of radiation w/CTE than w/SBFT or MRI and given how much imaging crohnies often go thru during a lifetime there is some concern about that, thus the high interest in MRI Enterography.
Some people are like Slinkies... Not really good for anything, but they still bring a smile to your face when you push them down a flight of stairs.


hana24
Regular Member


Date Joined Dec 2007
Total Posts : 354
   Posted 5/10/2008 11:10 AM (GMT -6)   
I guess I'm not sure which ct scan they did. They made me drink 3 water bottles full of something. And they injected my arm with something. Maybe they did both? I had a colonoscopy and the biopsys came back UC but I don't have imflamation in my rectum and it skips places of healthy colon so some people have suggested it might be crohns.

Do you all know if it is common to have right sided pain that moves to the back with crohns? My colonoscopy was in november but they said I didn't have immflamtion in my terminal ileum.
Jessica 26/F On Entorcout again...
dicyclomine 10Mg before meals/bed
Citalopram 10 MG
Asacol 4pills /three times a day(from 2 pills/ three times a day)
Culturelle once daily
Tried (Entorcort EC 9ml/day and Prednisone)


CrohnieToo
Veteran Member


Date Joined May 2003
Total Posts : 9448
   Posted 5/10/2008 1:55 PM (GMT -6)   
3 bottles to drink and an IV, that was a CTE. If it skips its Crohn's.
Some people are like Slinkies... Not really good for anything, but they still bring a smile to your face when you push them down a flight of stairs.

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