Reporting Templates for MRI and Water-Soluble Contrast Enema in Patients With Ileal Pouch-Anal Anastomosis: Experience From a Large Referral Center
| Autor: | Alec J. Megibow, Michael H. Grieco, Bari Dane, Chenchan Huang, Eren Esen, Feza H. Remzi, Justin M. Ream |
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| Rok vydání: | 2020 |
| Předmět: |
medicine.medical_specialty
Colon Contrast Media Enema Anastomosis 030218 nuclear medicine & medical imaging 03 medical and health sciences 0302 clinical medicine Postoperative Complications Medicine Humans Radiology Nuclear Medicine and imaging In patient Reference standards Referral and Consultation business.industry Water soluble contrast enema Proctocolectomy Restorative Rectum General Medicine Image Enhancement Magnetic Resonance Imaging Surgery Ileal Pouch Anal Anastomosis 030220 oncology & carcinogenesis Referral center business |
| Zdroj: | AJR. American journal of roentgenology. 217(2) |
| ISSN: | 1546-3141 |
| Popis: | Ileal pouch-anal anastomosis (IPAA) surgery is the reference standard surgical procedure for treatment of ulcerative colitis and most patients with familial adenomatous polyposis. This procedure allows preservation of fecal continence and gastrointestinal continuity. However, it is associated with a wide variety of complications, which often have nonspecific and overlapping clinical presentations, making imaging an important part of workup for pouch dysfunction. The purpose of this article is to propose structured reporting templates for MRI and water-soluble contrast enema (WSCE), based on our referral pouch center's experience, in patients who have undergone IPAA surgery. We review salient surgical technique, pouch anatomy, and imaging protocols, with an emphasis on a systematic search pattern for evaluation of ileal pouch complications using proposed structured reporting templates for MRI and WSCE. |
| Databáze: | OpenAIRE |
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