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ORIGINAL ARTICLE Head-to-Head Comparison of Oral Contrast Agents for Cross-sectional Enterography: Small Bowel Distention, Timing, and Side Effects Brett M. Young, MD,* Joel G. Fletcher, MD,Þ Fargol Booya, MD,Þ Scott Paulsen, BS,* Jeff Fidler, MD,Þ C. Daniel Johnson, MD,Þ James Huprich, MD,Þ John Barlow, MD,Þ and Andrew Trout, BS* Luminal distention is critical for diagnosis of small Objective: To determine small bowel distention, scanning time, and bowel pathology at CTE and MRE, as collapsed bowel may side effects of commercially available oral contrast agents used in obscure intraluminal pathology or mimic thickened or cross-sectional enterography. 9,10 segmentally hyperenhancing bowel. Luminal collapse Methods: Ten healthy volunteers ingested 2000 mL of water, may be due to absorption of water along the length of small methylcellulose, polyethylene glycol (PEG), or 1350 mL of low- bowel, poor timing between ingestion of the contrast agent concentration barium (LCB) followed by 500 mL water on different and scanning, delayed gastric emptying, or ingestion of days. Magnetic resonance imaging occurred every 10 minutes from inadequate contrast volumes. 30 to 90 minutes after ingestion. Small bowel distention was Multiple oral contrast agents have been used in cross- compared between time points and agents. Volunteers ranked side 11Y17
Journal of Computer Assisted Tomography – Wolters Kluwer Health
Published: Jan 1, 2008
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