Ingrid Marková, Kateřina Poláková, Jozef Květenský
SBFT (small bowel follow-through) has only a secondary role in small bowel imaging. CE (conventional enteroclysis) is replaced with new cross – sectional imaging techniques CTEc/CTEg or MREc/MREg (CT enteroclysis/CT enterography or MR enteroclysis/MR enterography). CTEc combines the advantages of CT (computed tomography) and CE. MREc combines the advantages of MRI (magnetic resonance imaging) and CE. Some authors prefer CTEg or MREg with per oral bowel preparation and they strictly avoid nasojejunal intubations under fluoroscopic control. MREc has better soft tissue contrast, showing it to be more sensitive in detecting of mucosal lesions than CTEc in inflammatory diseases. In the most cases CTEg/MREg are better tolerated techniques by patients in follow-up of the inflammatory diseases, radiologists are not uniform about their role in imaging process. CTEc/MREc as well as CTEg/MREg are appropriate complementary to endoscopic methods in the investigation of small-bowel tumors. Wireless capsule enteroscopy (WCE) gives the best imaging of the mucosal surface of the small bowel especially in obscure gastrointestinal bleeding and inflammatory diseases.