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Investigations For Crohn's Disease
Investigations For Crohn's Disease
DIAGNOSIS
The diagnosis of Crohns disease is made by a combination of 1) Clinical 2) Endoscopic features 3) Radiologic
ENDOSCOPIC FEATURES
CAPSULE ENDOSCOPY
1) New tool.
2) Can detect subtle mucosal lesions that are not apparent on small bowel X rays.
1) Should be performed in all cases, best means for assessing the small bowel. 2) Characteristic features are :- skip lesions,contour defects, longitudinal &transverse ulcers, cobblestonelike mucosal pattern, strictures, thickening of haustral margin, irregular nodular defects. 3) But ileosigmoid & ileovesical fistulas are not typically demonstrated.
CT ABDOMEN
1) Routine CT is not necessary. 2) Very useful in identifying the complications. 3) Identify thickened & dilated gut loops, inflammatory masses or abscesses. 4) Demonstrate hydronephrosis due to retroperitoneal fibrosis & ureteral narrowing. 5) Most sensitive indictor for presence of enterovesical fistula.
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