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• Clinical Article •
Application of intestinal filling specifications of ESGAR and ESPR MR enterography recommendation in patients undergoing gastrointestinal tumor surgery
HAI Yucheng  NI Cheng  SHEN Yaqi  TAN Fangqin  HU Daoyu 

Cite this article as: Hai YC, Ni C, Shen YQ, et al. Application of intestinal filling specifications of ESGAR and ESPR MR enterography recommendation in patients undergoing gastrointestinal tumor surgery. Chin J Magn Reson Imaging, 2020, 11(2): 129-133. DOI:10.12015/issn.1674-8034.2020.02.011.


[Abstract] Objective: To investigate the feasibility of intestinal filling specifications of European Society of Gastrointestinal and Abdominal Radiology (ESGAR) and European Society of Paediatric Radiology (ESPR) recommendation of MR enterography in patients undergoing gastrointestinal tumor surgery and to analyze the effect of gastrointestinal surgery on bowel distention.Materials and Methods: A retrospective study was performed between Mar. 2017 and Mar. 2019, the consecutive patients who underwent gastrointestinal tumor surgery were included. Small bowel preparation was performed in accordance with the recommendation. The volume of the contrast agent was recorded. The patients who ingested 1500 mL of contrast agent were divided into the stomach tumor group, the small bowel tumor group and the colorectal tumor group according to the history of surgery. The diameters of the duodenum, jejunum (proximal and distal) and ileum (proximal and distal) were measured by two physicians and scored by 4 points and the image quality was assessed by 3 points. K-W test was used to compare the small bowel distension scores and the image quality of different groups.Results: There was no significant difference in the distension scores of duodenum, distal jejunum and proximal and distal ileum between each group (P>0.05). There was significantly better distention of the proximal jejunum (adjusted honestly significant difference, P<0.05) in stomach tumor group compared with the small bowel tumor group. There was significantly better distention of the proximal jejunum (adjusted honestly significant difference, P<0.05) in colorectal tumor group compared with the small bowel tumor group.Conclusions: ESGAR and ESPR techniques are recommended for people who need response assessment of post-operative gastrointestinal tumor evaluation. Gastrointestinal tumor surgery has no significant effect on the bowel distension with the exception of proximal jejunum.
[Keywords] gastrointestinal tumor；magnetic resonance imaging；bowel distention；European Society of Gastrointestinal and Abdominal Radiology；European Society of Paediatric Radiology

HAI Yucheng Department of Radiology, Tongji Hospital, Tongji Medical College, Huazhong University of Science and Technology (HUST), Wuhan 430030, China

NI Cheng Department of Radiology, Tongji Hospital, Tongji Medical College, Huazhong University of Science and Technology (HUST), Wuhan 430030, China

SHEN Yaqi Department of Radiology, Tongji Hospital, Tongji Medical College, Huazhong University of Science and Technology (HUST), Wuhan 430030, China

TAN Fangqin* Department of Radiology, Tongji Hospital, Tongji Medical College, Huazhong University of Science and Technology (HUST), Wuhan 430030, China

HU Daoyu Department of Radiology, Tongji Hospital, Tongji Medical College, Huazhong University of Science and Technology (HUST), Wuhan 430030, China

*Correspondence to: Tan FQ, E-mail: 854435864@qq.com

Conflicts of interest   None.

ACKNOWLEDGMENTS  This work was part of National Natural Science Foundation of China No.81701657, 81571642, 81801695, 81771801
Received  2019-10-28
Accepted  2019-11-29
DOI: 10.12015/issn.1674-8034.2020.02.011
Cite this article as: Hai YC, Ni C, Shen YQ, et al. Application of intestinal filling specifications of ESGAR and ESPR MR enterography recommendation in patients undergoing gastrointestinal tumor surgery. Chin J Magn Reson Imaging, 2020, 11(2): 129-133. DOI:10.12015/issn.1674-8034.2020.02.011.

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