Magnetic resonance enterography, small bowel ultrasound and colonoscopy to diagnose and stage Crohn’s disease: patient acceptability and perceived burden

• DOI: 10.1007/s00330-018-5661-2
• Publication Date: 2018-08-20T11:52:57Z
• Authors: Anne Miles; Gauraang Bhatnagar; Steve Halligan; Arun Gupta; Damian Tolan; Ian Zealley; Stuart A. Taylor
• Keywords: Interventional radiology; Neuroradiology; Crohn disease

To compare patient acceptability and burden of magnetic resonance enterography (MRE) ultrasound (US) to each other, other enteric investigations, particularly colonoscopy.159 patients (mean age 38, 94 female) with newly diagnosed or relapsing Crohn's disease, prospectively recruited a multicentre diagnostic accuracy study comparing MRE US completed an experience questionnaire on the small bowel investigations between December 2013 September 2016. Acceptability, recovery time, scan willingness repeat test were analysed using Wilcoxon signed rank McNemar tests; group differences in Mann-Whitney U Kruskal-Wallis tests.Overall, 128 (88%) rated as very fairly acceptable, lower than (144, 99%; p < 0.001), but greater colonoscopy (60, 60%; 0.001). time was longer (p shorter Patients less willing undergo again (127 vs. 133, 91% = 0.012), more for (68, 75%; 0.017). generated although scores low. Younger emotional distress associated burden. Higher discomfort preference 0.053). important discomfort.MRE are well tolerated. Although generates burden, is preferred US, it acceptable colonoscopy. Patients, however, place emphasis burden.• by most superior • significantly times younger those high levels distress. Most prefer undergoing MRE; rate importance