Gastrointestinal Tract - Original Article

Assessment of Imaging Features of Crohn’s Disease with MR Enterography

Volume 32 · Issue 8 Publish Date: August 15, 2021
Mehmet Onay Ayşe Erden Ali Burak Binboğa Çetin Murat Altay Murat Törüner
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Turkish Journal of Gastroenterology

Volume 32 · Issue 8

Pages: 631-639

History

Published Online: August 15, 2021

Copyright © 2021 Mehmet Onay, Ayşe Erden, Ali Burak Binboğa, Çetin Murat Altay, Murat Törüner

Mehmet Onay
Department of Radiology, Dr. Ersin Arslan Training and Research Hospital, Gaziantep, Turkey
Ayşe Erden
Department of Radiology, Ankara University, School of Medicine, Ankara
Ali Burak Binboğa
Department of Radiology, Dr. Ersin Arslan Training and Research Hospital, Gaziantep, Turkey
Çetin Murat Altay
Department of Radiology, Dr. Ersin Arslan Training and Research Hospital, Gaziantep, Turkey
Murat Törüner
Department of Gastroenterology, Ankara University School of Medicine, Ankara, Turkey
Onay, M., Erden, A., Binboğa, A. B., Altay, Çetin M., & Törüner, M. (2021). Assessment of Imaging Features of Crohn’s Disease with MR Enterography. Turkish Journal of Gastroenterology, 32(8), 631–639. https://doi.org/10.5152/tjg.2021.20333
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Abstract

Background: To evaluate the frequency of pathological findings determined on magnetic resonance (MR) enterography (MRE) in patients with Crohn’s Disease. Methods: A retrospective analysis of the MRE images was made in 34 female and 41 male patients (mean age 41 years) with Crohn’s disease. The prevalence of bowel wall (mural thickening, mural edema, mural fat deposits, mucosal enhancement, ulceration, cobblestone appearance, pseudopolyps) and mesenteric fatty tissue alterations (fatty tissue proliferation, mesenteric hypervascularity, enlarged lymph nodes, peri-enteric inflammation, reactive fluid), complications due to penetrating (fistula, sinus tract, abscess) and stenosing processes (fibrotic and inflammatory stenosis, obstruction, dilatation), and involvement of the colon were determined. Results: The most frequently observed changes in the bowel wall and mesenteric fatty tissue were mural thickening (98.7%) and enlargement of mesenteric lymph nodes (76%), respectively. Stenosis was the most common complication (76%). The most frequently seen pathology of the colon was ileocecal valve thickening and enhancement (74.7%). Conclusion: MR enterography is a useful imaging modality for the evaluation of changes in both the mesenteric fatty tissue and the bowel wall. As there is no use of ionizing radiation, MR enterography should be the preferred imaging modality during follow-up of patients with Crohn’s disease.

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Article Info
Published In
Journal Turkish Journal of Gastroenterology
Volume / Issue Volume 32 · Issue 8
Pages 631-639
DOI 10.5152/tjg.2021.20333
History
Published Online August 15, 2021
Copyright
Copyright (c) 2021 Mehmet Onay, Ayşe Erden, Ali Burak Binboğa, Çetin Murat Altay, Murat Törüner
Affiliations
Mehmet Onay
Department of Radiology, Dr. Ersin Arslan Training and Research Hospital, Gaziantep, Turkey
Ayşe Erden
Department of Radiology, Ankara University, School of Medicine, Ankara
Ali Burak Binboğa
Department of Radiology, Dr. Ersin Arslan Training and Research Hospital, Gaziantep, Turkey
Çetin Murat Altay
Department of Radiology, Dr. Ersin Arslan Training and Research Hospital, Gaziantep, Turkey
Murat Törüner
Department of Gastroenterology, Ankara University School of Medicine, Ankara, Turkey
Cite this Article
Onay, M., Erden, A., Binboğa, A. B., Altay, Çetin M., & Törüner, M. (2021). Assessment of Imaging Features of Crohn’s Disease with MR Enterography. Turkish Journal of Gastroenterology, 32(8), 631–639. https://doi.org/10.5152/tjg.2021.20333
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