Contents
Download PDF
pdf Download XML
180 Views
160 Downloads
Share this article
Research Article | Volume 14 Issue:1 (Jan-Feb, 2024) | Pages 153 - 159
Evaluation of Bowel Pathologies Using Mannitol as Negative Contrast Agent in Abdominal Contrast Enhanced CT
1
Junior Resident, Department of Radiology, Mysore Medical College and Research Institute, Mysore, Karnataka, India.
Under a Creative Commons license
Open Access
DOI : 10.5083/ejcm
Received
Dec. 4, 2023
Revised
Dec. 21, 2023
Accepted
Jan. 4, 2024
Published
Jan. 20, 2024
Abstract

Background:  This study was conducted to evaluate the diagnostic value of CT enterography using mannitol as a negative contrast agent for demonstrating and diagnosing bowel diseases and correlating it with the histopathological diagnosis. Methods: This was a hospital-based prospective cross-sectional observational study conducted among 60 patients with suspected bowel pathologies in the Department of Radiology, Mysore Medical College and Research Institute, attached to K. R. Hospital, Mysore, over a period of 18 months from January 2021 to June 2022 after obtaining clearance from the institutional ethics committee and written informed consent from the study participants. Results: Of the 60 patients studied, 35 were males and 25 were females, with a slight male predominance. Most of the patients with benign lesions were in the age group of 30-39 years and those with malignant lesions were in the age group of 50-59 years. Most of the patients had bowel distension grade 3 (>80%) and grade 2 (50-80%), suggesting bowel distension was excellent in most of the patients. Sensitivity, specificity, positive predictive value and negative predictive value of CTE in the diagnosis of benign intestinal diseases were 97%, 93%, 97%, and 93% respectively and sensitivity, specificity, positive predictive value and negative predictive value of CTE in the diagnosis of malignant intestinal diseases were 93%, 97%, 93% and 97% respectively. Conclusion: CT enterography is an acceptable and applicable modality in routine practice in the diagnosis and differentiation of bowel pathologies and also in differentiating benign from malignant lesions. The taste of mannitol is good, acceptable, and tolerable, all of which helped in achieving adequate luminal distension and a good quality of image with the fewest artefacts.

Keywords
Recommended Articles
Research Article
Correlation of Platelet Indices with Thrombocytosis: A Clinicopathological Study in a Tertiary Care Hospital
Published: 30/06/2023
Download PDF
Research Article
A Study on Complication During Therapeutic Plasma Exchange in A Tertiary Care Hospital of Central India
...
Published: 08/02/2025
Download PDF
Research Article
Fixation of pertrochanteric fracture with proximal femoral nail in adults
Published: 20/09/2018
Download PDF
Research Article
A Study of Assessment of The Superiority of Endovascular Laser Technique Over Conventional Venous Stripping in Patients with Varicose Vein.
...
Published: 06/02/2025
Download PDF
Chat on WhatsApp
Copyright © EJCM Publisher. All Rights Reserved.