| Abstract | Crohn's disease has its peak age of onset in the third decade (1). Since there is no known cure, and it typically runs a relapsing course, patients are recurrently reinvestigated. In North America, a standard approach to reassessing small bowel disease is to use oral barium and a small bowel follow-through (SBFT). The SBFT has long been a standard radiological approach to the investigation for small bowel Crohn's disease. It is thought to be a reliable and acceptable approach to imaging the small bowel by experts provided that it is a dedicated study, incorporating fluoroscopy with manual palpation (2). Some prefer a small bowel enteroclysis (SBE) (3,4) using a nasoenteric tube; however, our group has previously shown that SBFT can be at least as sensitive as SBE and is preferred by patients as no nasal intubation is required (5). |
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