Skip to main content
Top
Published in: Pediatric Radiology 7/2017

01-06-2017 | Technical Innovation

Paediatric magnetic resonance enteroclysis under general anaesthesia – initial experience

Authors: Sophie Sadigh, Mark Chopra, Michael R. Sury, Neil Shah, Øystein E. Olsen, Tom A. Watson

Published in: Pediatric Radiology | Issue 7/2017

Login to get access

Abstract

MR enterography is the accepted imaging reference standard for small bowel assessment in inflammatory bowel disease. There is an increasing cohort of children with inflammatory bowel disease presenting at an early age (<5 years) with severe disease. Younger children present a technical challenge for enterography because of the need for sedation/general anaesthesia to allow image optimisation and the need for oral contrast to allow adequate luminal assessment. Through our experiences, MR enteroclysis under general anaesthesia has proven to be a successful imaging technique for the work-up of these patients. In this paper, we present our institutional practice for performing MR enteroclysis under general anaesthesia.
Literature
1.
go back to reference Levine A, Koletzko S, Turner D et al (2014) ESPGHAN revised Porto criteria for the diagnosis of inflammatory bowel disease in children and adolescents. J Pediatr Gastroenterol Nutr 58:795–806PubMed Levine A, Koletzko S, Turner D et al (2014) ESPGHAN revised Porto criteria for the diagnosis of inflammatory bowel disease in children and adolescents. J Pediatr Gastroenterol Nutr 58:795–806PubMed
2.
go back to reference Taylor SA, Avni F, Cronin CG et al (2016) The first joint ESGAR/ESPR consensus statement on the technical performance of cross-sectional small bowel and colonic imaging. Eur Radiol 10:1–13 Taylor SA, Avni F, Cronin CG et al (2016) The first joint ESGAR/ESPR consensus statement on the technical performance of cross-sectional small bowel and colonic imaging. Eur Radiol 10:1–13
3.
go back to reference Benchimol EI, Mack DR, Nguyen GC et al (2014) Incidence, outcomes and health services burden of very early onset inflammatory bowel disease. Gastroenterology 147:803–813CrossRefPubMed Benchimol EI, Mack DR, Nguyen GC et al (2014) Incidence, outcomes and health services burden of very early onset inflammatory bowel disease. Gastroenterology 147:803–813CrossRefPubMed
4.
go back to reference Aloi M, Lionetti P, Barabino A et al (2014) Phenotype and disease course of early-onset pediatric inflammatory bowel disease. Inflamm Bowel Dis 20:597–605 Aloi M, Lionetti P, Barabino A et al (2014) Phenotype and disease course of early-onset pediatric inflammatory bowel disease. Inflamm Bowel Dis 20:597–605
5.
go back to reference Kammermeier J, Dziubak R, Pescarin M et al (2017) Phenotypic and genotypic characterisation of inflammatory bowel disease presenting before the age of 2 years. J Crohns Colitis 11:60–69CrossRefPubMed Kammermeier J, Dziubak R, Pescarin M et al (2017) Phenotypic and genotypic characterisation of inflammatory bowel disease presenting before the age of 2 years. J Crohns Colitis 11:60–69CrossRefPubMed
6.
go back to reference Moy L, Levine J (2007) Wireless capsule endoscopy in the pediatric age group: experience and complications. J Pediatr Gastroenterol Nutr 44:516–520CrossRefPubMed Moy L, Levine J (2007) Wireless capsule endoscopy in the pediatric age group: experience and complications. J Pediatr Gastroenterol Nutr 44:516–520CrossRefPubMed
7.
go back to reference Thomson M, Venkatesh K, Elmalik K et al (2010) Double balloon enteroscopy in paediatrics: diagnosis, treatment and safety. World J Gastroenterol 16:56–62CrossRefPubMedPubMedCentral Thomson M, Venkatesh K, Elmalik K et al (2010) Double balloon enteroscopy in paediatrics: diagnosis, treatment and safety. World J Gastroenterol 16:56–62CrossRefPubMedPubMedCentral
8.
go back to reference Olsson GL, Hallen B, Hambraeus-Jonzon K (1986) Aspiration during anaesthesia: a computer-aided study of 185,358 anaesthetics. Acta Anaesthesiol Scand 30:84–92CrossRefPubMed Olsson GL, Hallen B, Hambraeus-Jonzon K (1986) Aspiration during anaesthesia: a computer-aided study of 185,358 anaesthetics. Acta Anaesthesiol Scand 30:84–92CrossRefPubMed
9.
go back to reference Tolan DJ, Greenhalgh R, Zealley IA et al (2010) MR enterographic manifestations of small bowel Crohn disease. Radiographics 30:367–384CrossRefPubMed Tolan DJ, Greenhalgh R, Zealley IA et al (2010) MR enterographic manifestations of small bowel Crohn disease. Radiographics 30:367–384CrossRefPubMed
10.
go back to reference Mutalib M, Borrelli O, Blackstock S et al (2014) The use of sirolimus (rapamycin) in the management of refractory inflammatory bowel disease in children. J Crohns Colitis 8:1730–1734CrossRefPubMed Mutalib M, Borrelli O, Blackstock S et al (2014) The use of sirolimus (rapamycin) in the management of refractory inflammatory bowel disease in children. J Crohns Colitis 8:1730–1734CrossRefPubMed
11.
go back to reference Horsthuis K, Bipat S, Bennink RJ et al (2008) Inflammatory bowel disease diagnosed with US, MR, Scintigraphy and CT: Meta-analysis of prospective studies. Radiology 247:64–79CrossRefPubMed Horsthuis K, Bipat S, Bennink RJ et al (2008) Inflammatory bowel disease diagnosed with US, MR, Scintigraphy and CT: Meta-analysis of prospective studies. Radiology 247:64–79CrossRefPubMed
12.
go back to reference Torkzad M, Masselli G, Halligan S et al (2015) Indications and selection of MR enterography vs. MR enteroclysis with emphasis on patients who need small bowel MRI and general anaesthesia: results of a survey. Insights Imaging 6:339–346CrossRefPubMedPubMedCentral Torkzad M, Masselli G, Halligan S et al (2015) Indications and selection of MR enterography vs. MR enteroclysis with emphasis on patients who need small bowel MRI and general anaesthesia: results of a survey. Insights Imaging 6:339–346CrossRefPubMedPubMedCentral
13.
go back to reference Mollard B, Smith E, Lai ME et al (2016) MR enterography under the age of 10 years: a single institutional experience. Pediatr Radiol 46:43–49CrossRefPubMed Mollard B, Smith E, Lai ME et al (2016) MR enterography under the age of 10 years: a single institutional experience. Pediatr Radiol 46:43–49CrossRefPubMed
Metadata
Title
Paediatric magnetic resonance enteroclysis under general anaesthesia – initial experience
Authors
Sophie Sadigh
Mark Chopra
Michael R. Sury
Neil Shah
Øystein E. Olsen
Tom A. Watson
Publication date
01-06-2017
Publisher
Springer Berlin Heidelberg
Published in
Pediatric Radiology / Issue 7/2017
Print ISSN: 0301-0449
Electronic ISSN: 1432-1998
DOI
https://doi.org/10.1007/s00247-017-3836-7

Other articles of this Issue 7/2017

Pediatric Radiology 7/2017 Go to the issue

Minisymposium: Quality and clinical practice management

Introduction to the minisymposium on quality and clinical practice management

Minisymposium: Quality and clinical practice management

An honest day’s work: pay for performance in a pediatric radiology department