Small bowel MRI (MR enterography)

Category: Digestive Tests & Procedures · All digestive tests & procedures

Small bowel MRI (MR enterography) — Digestive Tests & Procedures

What it is

MR enterography is an MRI scan focused on the small bowel. You drink a special fluid that distends the bowel so its wall can be assessed for inflammation, narrowing and other abnormalities, with no radiation involved.

Why it is done

It is mainly used in Crohn's disease — for diagnosis, mapping its extent and checking treatment response — and for other small-bowel problems when repeated imaging without radiation is valuable.

How to prepare

You will fast for several hours and then drink a measured volume of the distending fluid over about 45 minutes before the scan; it can cause loose stools later. Standard MRI metal-safety checks apply. Tell the team about kidney problems and allergies.

What happens during the procedure

During the scan (about 30 to 45 minutes) you lie in the MRI scanner, hold your breath for short sequences, and may be given an injection to relax the bowel and a contrast dye through a vein. The scanner is noisy and you wear ear protection.

Afterwards — recovery & results

You can go home afterwards. The drinks commonly cause diarrhoea for some hours, which is expected. The report is sent to your specialist team, usually within days.

Risks & considerations

There is no ionising radiation. Risks include discomfort from the bowel drinks, a small chance of reaction to the contrast dye, and the usual MRI cautions about implants and metal.

Frequently asked questions

Why drink so much fluid?

A collapsed bowel hides its wall. The drink inflates the small bowel so thickened or inflamed sections stand out clearly.

Why MRI rather than CT for Crohn's?

People with Crohn's often need repeated imaging over many years. MRI gives similar detail without radiation, so it is preferred for monitoring.

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Please note: This page is educational information about a medical procedure or test. It does not replace the instructions of your own care team, who know your situation and whose preparation, fasting and medication advice you should follow if it differs from anything here. If you have symptoms that worry you, or an appointment you do not understand, contact your clinical team.