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Evaluation of elementary radiologic images of Crohn's ileitis. Retrospective study of a homogeneous series of 238 double-contrast transits in the small intestine

Louvel, J.P.; Benozio, M.; Guiller, P.; Challine, B.; Lerisson, J.A.

Journal de Radiologie 67(12): 863-869

1986

ISSN/ISBN: 0221-0363
PMID: 3806474
Document Number: 284371
An homogeneous series of 238 double contrast examinations of the small bowel were reviewed. In this study, 32 regional enteritis (RE) were encountered. Statement of different semiologic signs of RE was established. This study exhibited various signs in RE; some of them were observed in various other enteritis (mainly tumors, ischemia and variation enteritis). Sensitivity varies between 6 and 84%. Highest values are noted with ulcerations, nodules, narrowing of the lumen wall. Specificity and predictive values vary from 64% to 100%. The best results are obtained with graduate lesions, fistulae, skipped area and cobblestone. Only graduate lesions are really pathognomonical but uncommon lesions. Analysis of double contrast small bowel examination has to be compared with the whole medical report in order to improve diagnosis accuracy.

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