Possibilities of computed tomography enterography in the diagnosis of complicated forms of Crohn’s disease

Abstract

The possibilities of computed tomographic enterography in the diagnosis of complicated forms of Crohn’s disease are substantiated. Presented are 2 clinical observations of patients being treated at the clinic of naval surgery of S.M. Kirov Military Medical Academy regarding the complicated form of Crohn’s disease. It was established that early diagnosis of the disease and the most accurate determination of the form of Crohn’s disease allows you to increase the period of remission of this disease. The standard for diagnosing Crohn’s disease is an endoscopic examination with multiple biopsies. Identification of extraintestinal complications determines the prognosis of the course of Crohn’s disease and directly affects the choice of treatment tactics. In this aspect, computed tomographic enterography comes first, which, in addition to determining the nature, localization and extent of structural changes in the intestinal wall, makes it possible to assess the state of the mesentery and parenchymal organs of the abdominal cavity. The high availability, speed and non-invasiveness of the study makes computed tomography enterography the method of choice among other imaging techniques. Currently, computed tomography enterography is a reliable and timely research technique for complicated forms of Crohn’s disease. Its results allow you to choose the most suitable tactics of conservative or surgical treatment, which allows you to improve the prognosis of the disease in each case, as well as track the dynamics of the pathological process and the effectiveness of the therapy