New Topic Post Reply Printable Version
[ << Previous Thread | Next Thread >> ]

westat
Regular Member


Date Joined Jun 2008
Total Posts : 167
   Posted 10/9/2008 5:19 AM (GMT -7)   
Does anyone know if a CT can distinguish the difference between scar tissue and imflamation.

I have one in a couple of days and I forgot to ask the dr this question. This would be my determining factor in surgery timeframe.

Thanks for any info.
Dx with Crohn's in 1997 after 5 years of worsening symptoms.
Resection a few months after dx after 1 month on TPN and IV steroids.
Also have severe asthma.

Tried: Pentasa, Cholestyramine

Presently taking: 3.2 grams Asacol, 150 Imuran, now on 40 mg prednisone, Humira(start on Sept26/08), probiotics.
For asthma I take Advair 500, singulair, arieus


d2parrotperson
Regular Member


Date Joined Aug 2008
Total Posts : 320
   Posted 10/9/2008 9:58 AM (GMT -7)   
I am not sure if a CT scan can do this, but I know for sure that a SBFT can. That was how I was finally justified to my dr. I would flare, he would have me get blood work. The sed rate didn't show inflammation. He would say I wasn't in a flare. Round & round! Finally he broke down and got me a sbft and had to admit that I had deep inflammation that had worsened my stricture. Also turned out I had strictures, as opposed to singular!
150mg Azathioprine, Lomotil, Iron, Nexium 2/day, Fentanyl patch, Oxycodone, Baclofin
Crohn's, Fibromyalgia, Several bulging discs, Bone spurs, Osteoarthritis, Osteopenia, Reflux, Stenosis, Strictures, Dengenerating facet joints
2 resections
 
Stephanie
When I am weak, then am I strong


westat
Regular Member


Date Joined Jun 2008
Total Posts : 167
   Posted 10/9/2008 10:15 AM (GMT -7)   
My sbft showed significant narrowing of the bowel. It never specified how much was imflamation and how much was scar tissue. With the c scope it was too narrow for the baby size camera to get in to the ileum, or what is now the ileum.

I go in on Wednesday (after convincing my dr I could wait a week, cause I am no worse than I was 3 weeks ago, just not better) for mega dose of IV steroids. I now have been on 40mg of pred for 25 days along with weeks of liquid diet so I am not sure if the IV stuff is going to make a huge difference. If not enough improvement after a few days I will have surgery now. If I can get some relief I will postpone surgery a bit until it is more convenient for me.

I was hoping the ct could give me a better picture now. My blood work never shows anything, even when I had a full obstruction, my blood work said I was healthy.
Dx with Crohn's in 1997 after 5 years of worsening symptoms.
Resection a few months after dx after 1 month on TPN and IV steroids.
Also have severe asthma.

Tried: Pentasa, Cholestyramine

Presently taking: 3.2 grams Asacol, 150 Imuran, now on 40 mg prednisone, Humira(start on Sept26/08), probiotics.
For asthma I take Advair 500, singulair, arieus


Nanners
Elite Member


Date Joined Apr 2005
Total Posts : 14995
   Posted 10/9/2008 11:00 AM (GMT -7)   
I am not sure what a standard CT shows, but I just had a CT Enterography done. My GI called with the results and said it looked really good, no active inflammation or Crohns, and no areas other than the previous surgical reconnection had any narrowing either.

Before I took the test he said this was the newest way to get a good picture of the small bowel. He said this test would replace the SBFT. So its supposed to be better than the SBFT.

Hope that helps a little.
Been living with Crohn's Disease for 32 years.  Currently on Asacol, Prilosec 60 mg, Estrace, Prinivil, Diltiazem, Percoset prn for pain and Calcium.  Resections in 2002 and 2005.  Recently diagnosed with Fibromyalgia and doing tests to see if I have Inflammatory Arthritis or AS.


CrohnieToo
Veteran Member


Date Joined May 2003
Total Posts : 9448
   Posted 10/9/2008 1:16 PM (GMT -7)   
I just called our local radiology center out of curiosity. Their radiologist said that the CTE can detect inflammation causing narrowing.
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.


beave
Veteran Member


Date Joined Mar 2007
Total Posts : 1091
   Posted 10/9/2008 2:39 PM (GMT -7)   
The CT Enterography is indeed replacing SBFT, as it gives better images. It can definitely detect narrowing, thickening of bowel walls, etc, but sometimes it is very difficult to determine whether that comes from active disease or scar tissue. Active disease and scar tissue tend to show up slightly different on scans and the computer software can often help distinguish the two, but sometimes they look pretty much the same.
New Topic Post Reply Printable Version
Forum Information
Currently it is Wednesday, December 07, 2016 7:13 PM (GMT -7)
There are a total of 2,734,407 posts in 301,211 threads.
View Active Threads


Who's Online
This forum has 151329 registered members. Please welcome our newest member, OleMiss1990.
343 Guest(s), 9 Registered Member(s) are currently online.  Details
chrisp1, Rikky1, Sarebear89, Xmaslover, KChrispcat, aloha234, poopme, Annie88, julymorning


Follow HealingWell.com on Facebook  Follow HealingWell.com on Twitter  Follow HealingWell.com on Pinterest
Advertisement
Advertisement

©1996-2016 HealingWell.com LLC  All rights reserved.

Advertise | Privacy Policy & Disclaimer