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MR Enterography No Substitute for Endoscopy

J Pediatr Gastroenterol Nutr; ePub 2017 Dec 28; Church et al

Publish date:: January 11, 2018

Magnetic resonance enterography is not a reliable way to evaluate upper GI lesions in children with Crohn’s disease, concludes a study that compared MI enterography to esophagogastroduodenoscopy.

Among 188 children who were evaluated, local and central radiologists could not agree on the existence of upper GI inflammation when using MR enterography (Kappa coefficient -0.02).
MR enterography could not accurately confirm esophagogastroduodenoscopy findings.
Investigators concluded that MR enterography is not an accurate way to assess upper GI inflammation in children, nor should it replace esophagogastroduodenoscopy, at least for this specific purpose.

Citation:

Church PC, Kuint RC, Ledder O, et al. Magnetic resonance enterography cannot replace upper endoscopy in pediatric Crohn's disease: An Imagekids Sub-study. [Published online ahead of print December 28, 2017]. J Pediatr Gastroenterol Nutr. doi:10.1097/MPG.0000000000001869.

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