Dr. Nikunj Jain
Co-Founder and HOD - Nuclear Medicine ,MBBS, DRM, DNB, FEBNM, FANMB, Dip. CBNC
CT Enterography is a specialized, non-invasive imaging test that uses computed tomography (CT) along with oral and intravenous contrast to provide detailed cross-sectional images of the small intestine. This advanced technique helps detect inflammation, tumors, bleeding, and other disorders of the small bowel, making it invaluable in diagnosing conditions like Crohn’s disease, obscure gastrointestinal bleeding, and other inflammatory bowel diseases (IBD). In Delhi, with its growing access to modern imaging centers, CT enterography is widely used in gastroenterology.
CT Enterography is particularly useful for evaluating the small intestine, which is difficult to image with standard techniques. Common clinical indications include:
Diagnosis of Crohn’s Disease: Detects active inflammation, strictures, fistulas, and complications.
Evaluation of Obscure GI Bleeding: Identifies bleeding sources missed by endoscopy or colonoscopy.
Detection of Small Bowel Tumors: Locates and characterizes benign or malignant tumors.
Assessment of Inflammatory Bowel Disease (IBD): Evaluates severity and extent of inflammation.
Investigation of Chronic Abdominal Pain or Diarrhea: Aids diagnosis of unexplained symptoms.
Monitoring Treatment Response: Tracks effectiveness of therapies for Crohn’s disease or tumors.
Evaluation of Small Bowel Obstruction: Detects narrowed or blocked intestinal segments.
CT enterography offers superior visualization of bowel wall abnormalities and subtle mucosal changes compared to routine abdominal CT.
CT enterography is an outpatient procedure taking about 1 to 2 hours including preparation.
Preparation Before the Scan
Fasting for 4 to 6 hours is required.
You will drink 1 to 1.5 liters of a special oral contrast solution over 45 to 60 minutes to distend the small bowel.
Inform staff about allergies, kidney issues, or pregnancy.
Use of Intravenous Contrast
Iodine-based contrast dye is injected into a vein to enhance visualization of blood vessels and tissues.
A warm sensation or metallic taste may occur temporarily.
During the Scan
You lie on the CT table as it moves through the scanner.
The scanner rotates around your abdomen capturing detailed images.
Breath-holding may be requested briefly.
Post-Procedure Care
Most patients resume normal activities immediately.
Drink fluids to flush out contrast dye.
Reports are typically ready within 24–48 hours.
The procedure is generally well tolerated; minor bloating or nausea due to oral contrast may occur. Serious allergic reactions are rare.
Typical cost range: ₹6,000 to ₹12,000
Factors affecting cost include:
Type and technology of CT scanner
Use of oral and intravenous contrast
Diagnostic center’s location and reputation
Emergency versus routine procedure
This cost usually includes the oral contrast, IV dye, scanning, and radiologist’s report. Confirm any additional charges with your provider.
CT Enterography is a highly effective and detailed imaging modality for the small intestine. It plays a crucial role in diagnosing and managing complex gastrointestinal diseases such as Crohn’s disease, small bowel tumors, and unexplained abdominal symptoms. Compared to traditional imaging, it offers superior visualization of bowel wall and mucosal changes, aiding timely diagnosis and treatment planning. In Delhi, where advanced diagnostic technology is widely available, CT enterography is a safe, accessible, and accurate choice for small bowel evaluation.
Consult your gastroenterologist or referring doctor to determine if CT enterography is appropriate for your symptoms and for guidance on preparation.
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