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Abstract Background: The small bowel has always been considered a difficult structure for evaluation, because of its anatomical characterization and its position in the digestive tract. CT Enterography offers better small bowel visualization compared to standard Abdomino-pelvic CT and provides complementary diagnostic information to capsule endoscopy and MR Enterography. Objectives: Purpose of this work is to study the role of CT Enterography in the assessment of different small bowel diseases. Patients & methods: the study was performed over 43 patients in the period from December 2013 till February 2018, Complaining from abdominal pain, chronic diarrhea, loss of weight and recurrent vomiting. CT Enterography technique was performed by luminal distention using a large volume of neutral oral contrast agent and intravenously administered contrast agent optimizing bowel wall enhancement to maximize conspicuity of small bowel pathology. All patient had full clinical assessment and laboratory investigations and results were compared to the upper and lower GIT endoscopies as well as and histopathology results. Results: the most frequent finding were inflammatory bowel disease with 95% sensitivity, neoplastic with sensitivity 92%, malabsorption 83.4% sensitivity and vascular diseases Conclusion: CT Entrography is a safe well tolerated imaging technique that represents simple and effective method in assessment of different small bowel diseases as it is sensitive to early intestinal wall changes and evaluating the associated mesenteric and extra intestinal alterations as well. |