Current State of CT Enterography in Diagnostics and Surgical Tactics in Crohn’s Disease (Literature Review)
https://doi.org/10.52560/2713-0118-2024-6-67-83
Abstract
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. 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. Epidemiology of Crohn's disease, diagnostic capabilities of CTE and their role in surgery planning for patients with complicated CD are considered.
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.
About the Authors
A. L. AprosimovRussian Federation
Aprosimov Alexander Leonidovich, radiologist, postgraduate student of the radiology department of faculty of dentistry.
8, Peschanaya str., Moscow, 125057.
+7 (914) 264-56-18
D. A. Lezhnev
Russian Federation
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
Yu. V. Kulezneva
Russian Federation
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
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Review
For citations:
Aprosimov A.L., Lezhnev D.A., Kulezneva Yu.V. Current State of CT Enterography in Diagnostics and Surgical Tactics in Crohn’s Disease (Literature Review). Radiology - Practice. 2024;(6):67-83. (In Russ.) https://doi.org/10.52560/2713-0118-2024-6-67-83