MEDIX, God. 28 Br. 153/154  •  Pregledni članak  •  Gastroenterologija HR ENG

Radiološke slikovne metode i crijevna upalaRadiological imaging methods and intestinal inflammation

Renata Huzjan Korunić

Radiološke slikovne metode važne su u postavljanju dijagnoze upalnih bolesti crijeva, procjeni opsega zahvaćenosti probavnoga trakta i aktivnosti bolesti, stadija bolesti i razvoja eventualnih komplikacija bilo u probavnome traktu ili ekstraintestinalno. Mogućnosti slikovnih metoda posebno su važne u bolesnika s Crohnovom bolešću, dok su nešto ograničenije u bolesnika s ulceroznim kolitisom te upalnim bolestima druge etiologije. Prednost dijagnostike UZV-om i MR-om jest da se ne koriste ionizirajućim zračenjem, zbog čega su to metode izbora za djecu, mlade bolesnike i one koji trebaju periodične kontrolne preglede. CT je metoda izbora u hitnim stanjima te u slučaju zloćudne aliteracije kao metoda izbora za procjenu proširenosti bolesti

Ključne riječi:
Crohnova bolest; CT; enterografija; enterokliza; magnetska rezonancija; ulcerozni kolitis

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Radiological imaging is important in confirming the diagnosis of inflammatory bowel disease, assessing the level of involvement of intestinal tract, the disease activity and development of intestinal or extraintestinal complications. Possibilities of imaging are especially important in patients with Crohn’s disease, while they are somewhat more limited in patients with ulcerative colitis and other types of inflammatory intestinal diseases. The advantage of ultrasound and MR imaging is that the patients are not exposed to ionisation, making them methods of choice for children, young adults and patients that are susceptible to repeated follow-up examinations. CT is the method of choice in emergency situations and in the case of malignant alliteration as the method of choice for assessing the extent of the disease

Key words:
Crohn’s disease; CT; enteroclysis; entergraphy; magentic resonance imaging; ulcerative colitis