Assessment of the extension and the inflammatory activity in Crohn’s disease: comparison of ultrasound and MRI

Martínez, María Jesús; Ripollés, Tomás; Paredes, José María Rubio; Blanc, Esther; Martí‐Bonmatí, Luis

doi:10.1007/s00261-008-9365-y

Cited by 134 publications

(81 citation statements)

References 30 publications

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“…Subsequently, therapy was altered in 79% of these patients (12). MRE is highly accurate in detecting internal fistulas in CD, with sensitivities ranging from 71-100% and specificities from 92-100% (13,14). MRE is superior to CTE in detecting internal and perianal fistulas (15,16), has the major advantage of lacking ionizing radiation (11,(15)(16)(17) and has better contrast resolution (10,18).…”

Section: Discussionmentioning

confidence: 99%

Magnetic resonance enterography findings of a gastrocolic fistula in Crohn’s disease

Munster

Stolk

Kuypers

et al. 2016

Quant. Imaging Med. Surg.

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Section: Discussionmentioning

confidence: 99%

Magnetic resonance enterography findings of a gastrocolic fistula in Crohn’s disease

Munster

Stolk

Kuypers

et al. 2016

Quant. Imaging Med. Surg.

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“…Как метод первичной диагностики УЗИ не может полностью заменить рентгеноэндоско-пическое исследование, служит скрининговым тестом для постановки «рабочего» диагноза и определяет распространенность поражения кишечной стенки в 80% [33]. Чувствительность метода в выявлении кишечного стеноза состав-ляет 58-90%, уступая КТ и МРТ [34]. УЗИ игра-ет существенную роль в диагностике свищей и абсцессов -экстракишечных осложнений, ко-торые довольно часто встречаются при болезни Крона [35].…”

Section: диагностическая точностьunclassified

The potential of radiologic procedures in the diagnosis of inflammatory bowel disease

Дуброва

Stashuk

2016

Alʹm. klin. med.

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“…The objective of the preoperative workup should be to provide the most precise information possible on the number, extension, and characteristics of the lesions, including the presence and predominant nature (fibrotic or inflammatory) of strictures as well as the extramural extension of the inflammatory changes. Ultrasound is limited by its operator-dependency, but it is also widely available, and in addition to characterizing strictures (with or without the aid of acoustic contrast media proposed by some), it can also reveal extramural complications of Crohn's disease, although its accuracy in this setting is inferior to that of CT [42,45,90,91].…”

Section: Jejunoileal and Ileocolic Crohn's Diseasementioning

confidence: 99%

Surgery and diagnostic imaging in abdominal Crohn’s disease

et al. 2013

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Surgery is well-established option for the treatment of Crohn's disease that is refractory to medical therapy and for complications of the disease, including strictures, fistulas, abscesses, bleeding that cannot be controlled endoscopically, and neoplastic degeneration. For a condition like Crohn's disease, where medical management is the rule, other indications for surgery are considered controversial, because the therapeutic effects of surgery are limited to the resolution of complications and the rate of recurrence is high, especially at sites of the surgical anastomosis. In the authors' opinion, however, surgery should not be considered a last-resort treatment: in a variety of situations, it should be regarded as an appropriate solution for managing this disease. Based on a review of the literature and their own experience, the authors examine some of the possibilities for surgical interventions in Crohn's disease and the roles played in these cases by diagnostic imaging modalities.Riassunto La chirurgia è un'opzione terapeutica consolidata per il trattamento della malattia di Crohn refrattaria alla terapia medica e per le complicanze legate a tale patologia quali stenosi, fistole, ascessi, sanguinamento non trattabile endoscopicamente, oltre che per i casi di degenerazione neoplastica. Per condizioni come la malattia di Crohn nelle quali il trattamento medico ha un ruolo primario, altre indicazioni per la chirurgia sono controverse, poiché i suoi effetti terapeutici sono limitati alla risoluzione delle complicanze, e la frequenza di recidive è alta, soprattutto a livello dell'anastomosi. Secondo l'opinione degli autori, tuttavia, la chirurgia non deve essere considerata come ultima opzione di trattamento: in diverse situazioni dovrebbe essere ritenuta come una soluzione adeguata nel trattamento multidisciplinare della patologia. Basandosi sulla revisione della letteratura corrente e sulla propria esperienza, gli autori hanno esaminato alcune possibilità di intervento chirurgico nella malattia di Crohn ed il ruolo che svolgono in queste condizioni le tecniche di imaging.

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Assessment of the extension and the inflammatory activity in Crohn’s disease: comparison of ultrasound and MRI

Cited by 134 publications

References 30 publications

Magnetic resonance enterography findings of a gastrocolic fistula in Crohn’s disease

Magnetic resonance enterography findings of a gastrocolic fistula in Crohn’s disease

The potential of radiologic procedures in the diagnosis of inflammatory bowel disease

Surgery and diagnostic imaging in abdominal Crohn’s disease

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