Diagnostic test

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ski bum
Regular Member


Date Joined Jan 2007
Total Posts : 451
   Posted 8/21/2007 4:28 PM (GMT -6)   
What is the best test to evaluate the status of a stricture in the terminal ileum? Small bowel follow-thru?
CD dx'd Aug 05. Initially on Pentasa, now on Imuran 125 mg and iron.


MikeB
Veteran Member


Date Joined Mar 2006
Total Posts : 1169
   Posted 8/22/2007 7:02 AM (GMT -6)   
Yes. A colonoscopy can not usually get that far into the TI to see, and most GIs are wary of using the capsule endoscopy pill where a stricture might retain it.

njmom
Veteran Member


Date Joined Apr 2006
Total Posts : 1885
   Posted 8/22/2007 10:51 AM (GMT -6)   

I agree with MikeB, but perhaps a high quality cat scan can help. My daughter's GI showed her the cat scan, which clearly showed a stricture as well as the ballooning of the intestinal wall just before the stricture.

Both SBFT and cat scan are preferable to colonoscopies if the small intestine is very inflamed. I believe the risk of perforation during a colonoscopy, albeit slight, rises if there is rampant inflammation.  

The SBFT was very useful in showing the state of the intestinal wall (granuloma) and whether there were any fistulas (none, in her case).


ski bum
Regular Member


Date Joined Jan 2007
Total Posts : 451
   Posted 8/23/2007 7:39 PM (GMT -6)   
Thanks for your responses. Before I agree to change medications (to Humira), I want an idea of how things look from the inside out. I just wish the small bowel study didn't involve swallowing all that dye. Yuck.
CD dx'd Aug 05. Initially on Pentasa, now on Imuran 125 mg and iron.

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