New procedure in diagnosing small bowel disorders proves efficient and effective

Apr 11, 2008

Sonoenteroclysis, a new sonographic method in evaluating and diagnosing small bowel disorders is an effective alternative to the usual method of barium enteroclysis, according to a recent study conducted by researchers at the Postgraduate Institute of Medical Education and Research in Chandigarh, India. Sonoenteroclysis is a new way of doing transabdominal ultrasound. Patients are given fluid through the nasojejunal tube in order to alleviate gas in the bowel.

“Various techniques available until now for evaluating the small bowel have been either inadequate or have various disadvantages and limitations,” said Birinder Nagi, MD, lead author of the study. “Radiologic evaluation of the small bowel is usually done by barium examination which cannot evaluate the bowel wall and surrounding structures. With CT enteroclysis, another method, mucosal details cannot be well seen. Both of these techniques are associated with increased exposure to radiation.

PET-CT enteroclysis is a new promising technique, but also requires ionizing radiation. MR enteroclysis is not widely available and there is concern about patients vomiting in the gantry while they are undergoing the examination.

The study consisted of 50 patients with suspected small bowel disorder who underwent sonoenteroclysis followed by barium enteroclysis. The findings of the two were compared. The researchers noted small bowel thickness, luminal diameter, peristalsis and extra intestinal lesions. Of the 50 patients, 10 showed normal small bowel on both sonoenteroclysis and barium enteroclysis. The study also showed that 25 of the remaining 40 patients showed abnormality in the form of: strictures, dilated loops, thickened folds, mass lesions, etc. on both techniques as well. Additional findings on sonoenteroclysis were thickened bowel wall with loss of stratification, ascites, and lymphadenopathy. These were later diagnosed as cases of tuberculosis.

“The results of sonoenteroclysis were comparable to barium enteroclysis and also provided additional information regarding bowel wall and surrounding structures,” said Dr. Nagi. “This examination is simple, non-invasive, without radiation, cheap and can be used as an initial investigation in patients with suspected small bowel diseases,” he said.

Source: American Roentgen Ray Society

Explore further: Recombinant peptide for transplantation of pancreatic islets in mice models of diabetes

add to favorites email to friend print save as pdf

Related Stories

Italian olive tree disease stumps EU

6 hours ago

EU member states are divided on how to stop the spread of a disease affecting olive trees in Italy that could result in around a million being cut down, officials said Friday.

Festo has BionicANTs communicating by the rules for tasks

6 hours ago

Germany-based automation company Festo, focused on technologies for tasks, turns to nature for inspiration, trying to take the cues from how nature performs tasks so efficiently. "Whether it's energy efficiency, ...

Jury decides Silicon Valley firm did not discriminate

7 hours ago

A jury decided Friday that a prestigious venture capital firm did not discriminate or retaliate against a female employee in a case that shined a light on gender imbalance and working conditions for women ...

Intel in talks with Altera on tie-up

7 hours ago

US tech giant Intel is in talks with rival Altera on a tie-up to broaden the chipmaker's product line amid growth in Internet-connected devices, the Wall Street Journal reported Friday.

Recommended for you

Novel nanoparticle therapy promotes wound healing

Mar 26, 2015

An experimental therapy developed by researchers at Albert Einstein College of Medicine of Yeshiva University cut in half the time it takes to heal wounds compared to no treatment at all. Details of the therapy, ...

User comments : 0

Please sign in to add a comment. Registration is free, and takes less than a minute. Read more

Click here to reset your password.
Sign in to get notified via email when new comments are made.