%0 Journal Article
%T Using of magnetic resonance enterography in the management of Crohn's disease of the small intestine: First year of experience Uso de la enterograf¨ªa por resonancia magn¨¦tica en el manejo de la enfermedad de Crohn de intestino delgado: primer a o de experiencia
%A Juan L. Mendoza
%A Yago Gonz¨¢lez-Lama
%A Carlos Taxonera
%A Cristina Su¨¢rez-Ferrer
%J Revista Espa£¿ola de Enfermedades Digestivas
%D 2012
%I The Spanish Society of Digestive Pathology
%X Objective: to describe the experience at two tertiary centres during the first year of use of magnetic resonance enterography (MRE) for the management of Crohn's disease (CD): indications and influence of the technique in clinical decision making. Material and method: retrospective descriptive study in which patients who underwent MRE were included consecutively. Epidemiological and clinical data were collected from the patients, as well as the indication for the study and how it influenced clinical decision making in the 10 days following the radiological study. Results: 24 MREs were performed in suspected CD and 126 known CD; partial bowel obstruction in 53 patients (42%), monitoring of medical treatment in 34 (27%), due to incomplete ileocolonoscopy in 16 (13%), extension study of the small intestine in 15 (12%) and suspected complicated CD in 8 patients (6%). The MRE influenced in a change in treatment in 83 (55.3%) patients: 16 (10.7%) started with immunosuppressants, 41 (27.3%) with anti-TNF¦Á were started on or switched, 15 (10%) were ordered surgery and in 3 (2%) changed from combined therapy to monotherapy. The MRE had less influence on clinical decision making in the group in which the indication was suspected CD (p < 0.05). Conclusions: the use of MRE helped on decision making in more than half of patients, especially with regards to decisions related to the use of biological therapies and the indication for surgery. MRE was less useful in suspected CD patients. Objetivo: describir la experiencia de dos centros terciarios durante el primer a o de uso de la enterograf¨ªa por resonancia magn¨¦tica (enteroRM) para el manejo de la enfermedad de Crohn (EC): indicaciones e influencia en la toma de decisiones cl¨ªnicas. Material y m¨¦todos: estudio descriptivo retrospectivo. Se incluyeron de forma consecutiva a pacientes a los que se realizaba una enteroRM. Se recogieron los datos epidemiol¨®gicos y cl¨ªnicos de los pacientes, la indicaci¨®n de la prueba y como influy¨® sobre la toma de decisiones cl¨ªnicas en los 10 d¨ªas posteriores a la realizaci¨®n de la prueba radiol¨®gica. Resultados: se realizaron 24 enteroRM por sospecha de EC y 126 por seguimiento cl¨ªnico en pacientes con EC conocida: cl¨ªnica suboclusiva en 53 (42%), monitorizaci¨®n de los tratamientos m¨¦dicos en 34 (27%), completar el estudio por ileocolonoscopia incompleta en 16 (13%), estudio de extensi¨®n en intestino delgado en 15 (12%) y finalmente la sospecha de EC complicada en 8 pacientes (6%). La realizaci¨®n de la enteroRM influy¨® en el tratamiento en 83 (55,3%) pacientes. Diecis¨¦is (10,7%) paci
%K Enfermedad de Crohn
%K Enterograf¨ªa
%K Resonancia magn¨¦tica
%K Diagn¨®stico
%K Crohn's disease
%K Enterography
%K Magnetic resonance
%K Diagnostic
%U http://scielo.isciii.es/scielo.php?script=sci_arttext&pid=S1130-01082012001100005