As difficult as Crohn's can be, especially in the small intestine, I would want the most experienced tech doing this type of ultrasound as possible - and also the most experienced Crohn's radiiologist I could find to read the films.
As a recent example, I had a CTE done locally and the radiologist indicated there was some mild inflammation in the jejunem and duodenum. Since I've had Crohn's since 1975 and it has remained confined to just the original site in the mid-ileum and a small area near the TI all these years I sent the films on CD to my Mayo Clinic gastro and asked that a Mayo radiologist read the films. This local CTE was done almost exactly one year after a CTE done at Mayo last year. The Mayo radiologist even compared the films and found no change and no inflammation in the jejunem or duodenum.
On the basis of that I declined the Entorcort my gastro wanted me to start on and take until our appontment in October. However, trusting soul that I am, since my Crohn's had always responded well to antibiotics and since I also have COPD and had spent a GOOD year (symptom wise) on low dose Zithromax as part of a COPD clinical trial I discussed a round of Zithromax and that is what I am doing now. Medium daily dose of Zithromax for 30 days - along w/a good probiotic, of course.
Hopefully, the 3 month delay in your having this small bowel ultrasound is to be sure it is done by a tech and radiologist w/experience in recognizing Crohn's activity in the small bowel via ultrasound.
I did correspond w/a Mayo radiologist last year who said they are working w/MRI Enterography for Crohn's. So far the CTE is still superior except in the anal/rectal region where MRE is superior - but - they are working on perfecting the technology and their skills. That could be a real breakthru in small bowel Crohn's recognition w/o the radiation risks!! Especially for those of us w/strictures who can't do the pill cam!
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.
Post Edited (CrohnieToo) : 6/13/2009 7:21:37 AM (GMT-6)