DOI: 10.36347/sjams.2017.v05i03.090

Pages: 1197-1203

The aim of this study was to evaluate the effectiveness of sonoenteroclysis with administration of polyethylene glycol solution in the diagnosis and assessment of small bowel lesions in comparison with CT enteroclysis findings. Sonoenteroclysis followed by CT enteroclysis was done for 105 patients suspected to have small bowel pathology. The characteristics of small bowel lesions such as luminal narrowing and dilatation, fold thickening, wall thickening, stratification abnormalities, intraluminal masses, extraluminal abnormalities and extent of lesion were assessed on sonoenteroclysis and CT enteroclysis. The features of both investigations were analysed by Cohen’s Kappa coefficient for statistical agreement. In this study, the overall sensitivity, specificity and accuracy of sonoenteroclysis obtained were 91%, 100% and 95.2% respectively for diagnosis of small bowel lesions. The sensitivity, specificity and accuracy were as follows - Luminal narrowing- 77%, 99%, 96% for jejunum; 100%, 99%, 96.4% for ileum, fold thickening- 69.3%, 98%, 85% for jejunum; 87%, 100%, 92.8% for ileum, wall thickening- 53%, 97.4%, 83.9% for jejunum; 82%, 100%, 87.5% for ileum, stratification abnormalities in the wall - 50%, 100%, 87% for jejunum; 80%, 100%, 98% for ileum, intraluminal masses - 75%, 100%, 98% for jejunum; 100%, 100%, 100% for ileum. The sensitivity, specificity and accuracy obtained were 92.8%, 98.9% and 98% respectively for a diagnosis of Crohn`s disease.