| Magnetic Resonance Enterography Guiding Treatment in Children with Crohn's Jejunoileitis. | |
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MedLine Citation:
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PMID: 22251165 Owner: NLM Status: Publisher |
Abstract/OtherAbstract:
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Aim: To determine the usefulness of magnetic resonance enterography in treatment of paediatric patients with Crohn's disease. Methods: To evaluate small bowel involvement, 45 children with Crohn's disease were scheduled for magnetic resonance enterography. Two radiologists blinded to the patient data independently re-evaluated the images. Findings in images were compared to macroscopic findings at surgery or endoscopy. Results: The terminal ileum was visualized in all with a completed procedure (43/45). The treatment remained conservative in 74% after imaging. In all 13 patients who underwent ileocolonoscopy within three months of magnetic resonance enterography the findings were comparable to, or magnetic resonance enterography revealed a more extensive disease. Bowel resection was performed in 26% after imaging. The macroscopic findings in the bowel corresponded to the magnetic resonance enterography findings in 73%. In three magnetic resonance enterography suggested a more severe disease than was verified intraoperatively. Conclusions: Magnetic resonance enterography identifies disease involvement in the small bowel in young patients with Crohn's disease and may guide decisions on the need for intestinal surgery or adjustment of medication. |
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Authors:
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M Piekkala; T Kalajoki-Helmiö; L Martelius; M Pakarinen; R Rintala; K-L Kolho |
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Publication Detail:
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Type: JOURNAL ARTICLE Date: 2012-1-17 |
Journal Detail:
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Title: Acta paediatrica (Oslo, Norway : 1992) Volume: - ISSN: 1651-2227 ISO Abbreviation: - Publication Date: 2012 Jan |
Date Detail:
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Created Date: 2012-1-18 Completed Date: - Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 9205968 Medline TA: Acta Paediatr Country: - |
Other Details:
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Languages: ENG Pagination: - Citation Subset: - |
Copyright Information:
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Acta Paediatrica © 2012 Foundation Acta Paediatrica. |
Affiliation:
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Children's hospital, University of Helsinki, PO Box 281, FIN-00029 HUS, Helsinki, Finland. |
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From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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