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Exploration radiologique de l’intestin grêle en 2005

X-ray investigation of the small bowel in 2005

  • Published:
Acta Endoscopica

Résumé

L’exploration classique de l’intestin grêle repose sur les techniques d’opacification, notamment le transit baryté. Pour l’étude des lésions de surface, les opacifications sont concurrencées par les progrès de l’endoscopie (entéroscopie, vidéo-capsule), mais aussi par les techniques d’imagerie axiale (échographie, scanner, imagerie par résonance magnétique). Celles-ci permettent une exploration précise du contenu endoluminal, des parois jéjuno-iléales, une vision directe des structures mésentériques adjacentes et de l’ensemble de la cavité péritonéale. Ces éléments sont d’un intérêt diagnostique majeur pour les pathologies inflammatoires ou tumorales, et dans le domaine des urgences intestinales et mésentériques. Nous détaillerons à travers cette revue générale actualisée, la place des techniques d’imagerie radiologique moderne pour la prise en charge des lésions aiguës ou chroniques de l’intestin grêle.

Summary

The classical small bowel imaging investigation refers to opacification methods notably with barium. Progress in endoscopy (enteroscopy, videocapsule) as axial imaging methods (ultrasonography (US), computed tomography (CT) scan, magnetic resonance imaging (MRI)) were stepping over conventional imaging for the mucosal surface study.

Radiological imaging provides at a glance: an accurate evaluation of the luminal content and jejunoileal walls, a direct visual approach of surrounding mesenteric structures and lastly the whole peritoneal cavity. These data have a major diagnostic value in inflammatory diseases, tumors and intestinal or mesenteric emergencies. The present current review is focused on the place of modern radiological techniques in the management of acute and chronic small bowel lesions.

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Authors and Affiliations

  1. Service de Radiologie Digestive - Pavillon G-H, Hôpital Edouard Herriot, Place d’Arsonval, 69003, Lyon, France

    Marion Courbière, P. J. Valette & F. Pilleul

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  1. Marion Courbière
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  2. P. J. Valette
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  3. F. Pilleul
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Courbière, M., Valette, P.J. & Pilleul, F. Exploration radiologique de l’intestin grêle en 2005. Acta Endosc 35, 285–301 (2005). https://doi.org/10.1007/BF03003275

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  • DOI: https://doi.org/10.1007/BF03003275

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