CT Entercolysis- Need info

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WantRelief
Regular Member


Date Joined Feb 2006
Total Posts : 261
   Posted 11/7/2007 2:06 PM (GMT -7)   
Has anyone had this procedure done and what can you tell me about it.  Prep, sedation, pain etc?  My gi wants me to have one done so we can determine how much of my small intestine is affected and then will most likely have a surgical consult.


31year old female
CD of Terminal Illeum and Rectum Diagnosed 12/04
Current Meds: Pentasa,Entocort, Fosomax, Vicodin

Post Edited (WantRelief) : 11/7/2007 6:35:08 PM (GMT-7)


WantRelief
Regular Member


Date Joined Feb 2006
Total Posts : 261
   Posted 11/7/2007 6:32 PM (GMT -7)   
bump...anyone?

31year old female
CD of Terminal Illeum and Rectum Diagnosed 12/04
Current Meds: Pentasa,Entocort, Fosomax, Vicodin


gachrons
Veteran Member


Date Joined Mar 2007
Total Posts : 4527
   Posted 11/7/2007 7:19 PM (GMT -7)   
Hi I did not have it done but did look it up. It is better then the enteroclysis for looking at the small bowel and detecting CD in the small bowel as well as fis, abc. so it sounds like an effective DX tool.lol gail

WantRelief
Regular Member


Date Joined Feb 2006
Total Posts : 261
   Posted 11/8/2007 5:52 PM (GMT -7)   
Anybody? Surely there is someone who has gone through this......
31year old female
CD of Terminal Illeum and Rectum Diagnosed 12/04
Current Meds: Pentasa,Entocort, Fosomax, Vicodin


april07
Regular Member


Date Joined Nov 2007
Total Posts : 30
   Posted 11/10/2007 12:53 PM (GMT -7)   
I have had this done 3 times. It is very easy. I had it done in three different facilities and two were the same prep. So i am thinking that it is the common of the two that I have had.
What I had to do was have nothing to eat from midnight on, drink 3 bottles of an oral contrast called Volumen. It is one bottle every 20 minutes and then you are scanned about 10-15 minutes after the third bottle. It is a little hard to get the 3 bottles done but well worth it. It did give me D for the day it goes in white and runny and comes out the same. It also has a real fake sweet taste to it so the third is hard to get down. Some places will give you a shot of glucogon (?sp) to slow the bowel down this goes under the skin (like a TB test). You also have to have IV contrast. Usually Omnipaque this will make you feel real warm all over give you a metalic taste in your mouth and make you feel like you are peeing your pants. You won't but it sure feels that way. You will need to drink plenty of fluids after the test to help rid your body of the IV contrast and the oral. The IV gets filtered out by you kidneys.
This test will show the small bowel real well. This how my fistula was found and it also shows the extent of the damage from the CD. It will also show all of your other organs. The scan images the body from the base of the lungs thru the pelvic area. It is also amazing the 3D reconstructions that can be done with this info as well.
I was very happy with the amount of information that the scan was able to show. From what I have seen and what I have had done this is a very easy very useful exam!
If you have any other questions feel free to ask. I have had these tests done but I also preform these tests as well. Hope that this has helped.
Good luck on the test!!!

JudyK89
Veteran Member


Date Joined Dec 2006
Total Posts : 1986
   Posted 11/10/2007 1:14 PM (GMT -7)   
I just had this done and thought it was just a CT scan with contrast, lol. I only had to drink one bottle because my bowel is so short. Hopefully it shows enough detail that they can figure out if I have another abscess brewing.


april07,

Are you an X-ray tech or a radiologist? Just wondering because I'm rethinking my career choice (on the waiting list for nursing school) and was wondering how you like it?
Judy
49 years old, Crohn's Disease   
Six resection surgeries, permanent ostomy, adverse reactions to Remicadeback on 6MP for maintenance, hoping for a long remission from this last surgery. 
 
 


WantRelief
Regular Member


Date Joined Feb 2006
Total Posts : 261
   Posted 11/10/2007 5:36 PM (GMT -7)   
the directions that the doc gave me include a mag citrate prep the day before. IV sedation and an ng tube placed for them to infuse barium into the small intestine.

31year old female
CD of Terminal Illeum and Rectum Diagnosed 12/04
Current Meds: Pentasa,Entocort, Fosomax, Vicodin


april07
Regular Member


Date Joined Nov 2007
Total Posts : 30
   Posted 11/10/2007 5:49 PM (GMT -7)   
It should show if there is an abscess there. CT is a great tool. I still have all of my bowel so the 3 bottles were a must.
I am an X-ray tech. I do x-ray, CT and mammography. I love my job!! but like all health care professions there is a lot of stress to the job. I went to a hospital based program. I have meet people who went to a college based school and would have to say that the feeling is that you are more prepared for the job if you attend a hospital based program. Most programs are 2 years. With seeing what nurses have to go though I am very happy with my choice. There is no real attachment to the patient that you are caring for they are in and out. Where as a nurse you are with a patient for days at a time. everyone has there place in life and a field that they belong to . There are so many modalities that you can branch off to. So hospitals will even pay you and for your schooling to branch out to fields such as rad therapy or ultrasound. You are never board in x-ray there are so many different things to do!
Have you job shadowed for nursing. That is what I did for radiology. It helped me decide what I wanted to do. Sometimes my work has no time for my CD. but I am sure it is the same for all people with CD. the stress of the job can make CD miserable. Whatever you decide clinic work is nice, if I had a choice i would move to a clinic that had many modalities.
Best wishes in whatever you decide!!! Any other questions please ask. I will try to answer them the best that I can, or I will find out the answer for you.

belleenstein
Veteran Member


Date Joined Feb 2007
Total Posts : 1010
   Posted 11/10/2007 7:28 PM (GMT -7)   
That is the old way of doing the enteroclysis. Yucky, but it should still give good results. Many facilities are moving to the new procedure, as described by April. Much less invasive -- no NG tube etc.
Belleenstein:

30+ years living with Crohn's.


JudyK89
Veteran Member


Date Joined Dec 2006
Total Posts : 1986
   Posted 11/10/2007 10:19 PM (GMT -7)   
Thanks april,

I've had so many tests done this year and I've talked to all the techs and they seem to love their job. I'm going to look into the schools in this area and see what kind of waiting lists there are. The nursing program is 2-3 years depending on the school. It's silly, you have to take all your pre reqs then you sit around and wait for years. I'll forget everything by the time I start, lol.

Anyway, it's just something I've been thinking about lately. I think the patient exposure is a little less as a tech, and I'm speaking strictly about my immune system in regards to all the sick people here. It looks like I'll be on immuno suppressant type drugs for the rest of my life, I'm starting to worry about that aspect of the nursing.

I'm not sure what the difference is in wages, I'll have to ask around about that. If I have another 2 or 3 years of schooling on top of the waiting period (depending on the school) I may want to make sure I get the most bucks for the bang, lol.


Judy
49 years old, Crohn's Disease   
Six resection surgeries, permanent ostomy, adverse reactions to Remicadeback on 6MP for maintenance, hoping for a long remission from this last surgery. 
 
 


timmysang
Regular Member


Date Joined Sep 2007
Total Posts : 75
   Posted 11/19/2007 6:16 PM (GMT -7)   
I had the enteroclysis done at the end of Sept. I was a bit nervous before the test because I heard that they used the NG Tube. I didn't have to do any prepping at home before the test. The morning of the test while on the xray table, I inhaled some medication to numb my throat. They then gave me a mild sedative to take the edge off, as the tech put it. They injected the contrast through the NG Tube so I didn't have to drink any of it. I didn't feel any of it because I really didn't know what was going on. The test was nothing like I had been fretting about. It's not bad at all.

crohns37
New Member


Date Joined Nov 2007
Total Posts : 9
   Posted 11/27/2007 8:54 AM (GMT -7)   
I have got to have the Ct Entercolysis test done on the 11th of next month, I am so scared they said they would go down my nose and that I would not be sedated, can anyone give me any more explantations on this exam????

WantRelief
Regular Member


Date Joined Feb 2006
Total Posts : 261
   Posted 11/27/2007 9:27 AM (GMT -7)   
Ok, so I had my entercolysis w/ CT a couple of weeks ago.  First off, I had to do the bowel prep just like for a colonoscopy, then nothing to eat or drink after midnight.  When I got to the hospital, they started and IV, sprayed some liquid up my nose that I then had swallow to numb up my throat.  It wasn't that bad, just felt like I had a big lump in my throat.  After that they gave me versed for sedation and fentanyl for any pain. After I was sedated, they put the NG tube down my nose and into my small intestine.  I had to lay they while they infused 2 liters of water and contrast dye.  When the infusion was about half way done, I started to wake up out of the sedation.  They moved me to a cart and transported me to the CT scanner.  By this time, I could tell that my insides were getting 'full' of the liquid that they were putting in, but it was tolerable.  They slid me into the CT scanner and did their pictures which took less than five minutes.  By this time, I was pretty awake and they removed the NG tube.  It felt weird but didn't hurt, and my throat was still kind of numb so I didn't gag or choke.  They assisted me to the bathroom for a "blow-out" of all of the fluid they had put in and I was good to go home.  I must say my colonoscopy was easier, they did propophol and I was completely out until I woke up in the recovery room.  Overall though the entercolysis was very tolerable.
31year old female
CD of Terminal Illeum and Rectum Diagnosed 12/04
Current Meds: Pentasa,Entocort, Fosomax, Vicodin


crohns37
New Member


Date Joined Nov 2007
Total Posts : 9
   Posted 11/27/2007 10:56 AM (GMT -7)   
Thanks for the info, that helped to relieve some of my aniextey, but the dr. office said that would not sedate me so I hope that is not true. Do you think that I would be able to go to work after having this test done. Thanks

crohns37
New Member


Date Joined Nov 2007
Total Posts : 9
   Posted 11/27/2007 11:02 AM (GMT -7)   
Also, they told me clear liquids on the day before, I am assuming that I can have jello as long as its not red.
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