radiologyРадиология — практикаRadiology - Practice2713-0118Центральный научно-исследовательский институт лучевой диагностики10.52560/2713-0118-2024-6-67-83radiology-692Research ArticleОРИГИНАЛЬНЫЕ СТАТЬИORIGINAL RESEARCHСовременное состояние вопроса КТ-энтерографии в диагностике и планировании хирургического лечения болезни Крона (обзор литературы)Current State of CT Enterography in Diagnostics and Surgical Tactics in Crohn’s Disease (Literature Review)https://orcid.org/0009-0007-6460-4507АпросимовА. Л.AprosimovA. L.

Апросимов Александр Леонидович, врач-рентгенолог, аспирант кафедры лучевой диагностики стоматологического факультета Научно-образовательного института стоматологии.

125057, Москва, ул. Песчаная, д. 8.

+7 (914) 264-56-18

Aprosimov Alexander Leonidovich, radiologist, postgraduate student of the radiology department of faculty of dentistry.

8, Peschanaya str., Moscow, 125057.

+7 (914) 264-56-18

sashaapr4@gmail.comhttps://orcid.org/0000-0002-7163-2553ЛежневД. А.LezhnevD. A.

Лежнев Дмитрий Анатольевич, доктор медицинских наук, профессор, заслуженный врач РФ, заведующий кафедрой лучевой диагностики стоматологического факультета Научно-образовательного института стоматологии.

127206, Москва, ул. Вучетича, д. 9а.

+7 (916) 163-40-40

Lezhnev Dmitry Anatol’evich, PhD, professor, Honored Doctor of the Russian Federation, Head of the Radiology Department of faculty of dentistry.

9а, Vucheticha str., Moscow, 127206.

+7 (916) 163-40-40

lezhnevd@mail.ruhttps://orcid.org/0000-0001-5592-839XКулезневаЮ. В.KuleznevaYu. V.

Кулезнева Юлия Валерьевна, доктор медицинских наук, профессор, руководитель отдела лучевых методов диагностики и лечения.

111123, Москва, ул. Новогиреевская, д. 1.

+7 (903) 791-62-55

Kulezneva Yuliya Valer’evna, PhD, professor, Head of the Department of Radiological methods of Diagnostics and Treatment.

1, Novogireyevskaya str., Moscow, 111123.

+7 (903) 791-62-55

kulezniova@yandex.ruФГБОУ ВО «Российский университет медицины» Минздрава России; ГБУЗ МКНЦ им. Логинова ДЗМРоссияFSBEI HE «ROSUNIMED» of MOH of Russia; GBUZ Moscow Clinical Scientific Center named after Loginov MHDRussian FederationФГБОУ ВО «Российский университет медицины» Минздрава РоссииРоссияFSBEI HE «ROSUNIMED» of MOH of RussiaRussian FederationГБУЗ МКНЦ им. Логинова ДЗМРоссияGBUZ Moscow Clinical Scientific Center named after Loginov MHDRussian Federation202419112024066783Copyright © Апросимов А.Л., Лежнев Д.А., Кулезнева Ю.В., 20242024Апросимов А.Л., Лежнев Д.А., Кулезнева Ю.В.Aprosimov A.L., Lezhnev D.A., Kulezneva Y.V.Данная работа распространяется под лицензией Creative Commons Attribution 4.0.This work is licensed under a Creative Commons Attribution 4.0 License.https://www.radp.ru/jour/article/view/692Цель исследования

Цель исследования. Анализ данных литературных источников о применении методики компьютерно-томографической энтерографии с внутривенным контрастированием (КТЭ) для оценки распространенности, активности и тяжести патологического процесса при болезни Крона (БК), а также определения предполагаемых границ резекции при необходимости оперативного лечения.

Материалы и методы

Материалы и методы. Для обзора литературы были отобраны наиболее крупные и цитируемые исследования, фундаментальные работы и рекомендации по диагностике и лечению воспалительных заболеваний кишечника (ВЗК), размещенные в научных базах данных в открытом доступе.

Результаты исследования

Результаты исследования. Рассматриваются вопросы эпидемиологии болезни Крона, диагностические возможности КТЭ и их роль в планировании хирургического лечения пациентов с осложненным течением БК.

Заключение

Заключение. Осложняющаяся эпидемиологическая ситуация обусловливает необходимость ранней диагностики, повышения эффективности лечения и снижения инвалидизации и смертности пациентов с БК. КТЭ является эффективной и широкодоступной методикой диагностики БК и продолжает развиваться. Необходимо дальнейшее изучение возможностей современной КТЭ для разработки подходов к отбору пациентов для хирургического лечения и выявления предикторов течения заболевания, так как раннее выявление показаний к хирургическому лечению БК и предоперационное определение объема резекции остаются актуальной проблемой.

Aim

Aim. Analysis of literature on the use of computed tomography enterography with intravenous contrast enhancement (CTE) in the assessment of the involvement, activity and severity of the Crohn's disease (CD), and expected resection margins in case surgical treatment is necessary.

Materials and Methods

Materials and Methods. The largest and the most cited studies, fundamental works and recommendations on the diagnosis and treatment of IBD, published in open access scientific databases, were selected for the literature review.

Results

Results. Epidemiology of Crohn's disease, diagnostic capabilities of CTE and their role in surgery planning for patients with complicated CD are considered.

Conclusions

Conclusions. The complicated epidemiological situation with CD requires early diagnosis, increased effectiveness of treatment, and reduction in disability and mortality in patients with CD. CTE is an effective and widely available method for the diagnosis of CD and continues to develop. Further study of the CTE possibilities, precise selection of patients for surgical treatment and preoperative assessment of the resection volume remains an actual problem.

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The authors declare that there are no conflicts of interest present.