Diagnosis of acute ulcerative colitis and colonic Crohn's disease by colonic sonography

Limberg, Bernd

doi:10.1002/jcu.1870170106

Cited by 86 publications

(64 citation statements)

References 19 publications

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“…For example, in a thin patient with a fluid-filled stomach, a layered structure can be imaged in the healthy stomach and in patients with peptic ulcer disease [4]. Water can even be introduced in to the colon by enema to facilitate transabdominal US delineation of pathological thickening as seen in ulcerative colitis or colorectal cancer [5][6][7]. A layered structure can also be visualized and is helpful in the diagnosis of acute appendicitis [8,9].…”

Section: Ultrasound Imaging Of the Gi Wallmentioning

confidence: 99%

High-frequency ultrasonographic imaging of the gastrointestinal wall

Ødegaard

Nesje

Lærum

et al. 2012

Expert Review of Medical Devices

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Section: Ultrasound Imaging Of the Gi Wallmentioning

confidence: 99%

High-frequency ultrasonographic imaging of the gastrointestinal wall

Ødegaard

Nesje

Lærum

et al. 2012

Expert Review of Medical Devices

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“…An important feature of Crohn's disease is the discontinuity, and the inhomogeneity of the transmural inflammation [20] is an important feature of differential diagnosis with ulcerative colitis. Limberg et al [21] showed that sonography made possible the differentiation of colonic Crohn's disease from ulcerative colitis in 93 % of the cases relying on features of the bowel walls. The definitive diagnosis of Crohn's disease should rely on endoscopic and histological examination of pathological tissues [20].…”

Section: Small Intestine Contrast Ultrasonography (Sicus)mentioning

confidence: 99%

Ultrasonographic findings in Crohn’s disease

2014

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In recent years transabdominal bowel sonography has become a first-line modality both in the diagnosis and in the follow-up of inflammatory bowel diseases, especially Crohn's disease, reaching values of sensitivity ranging from 84 to 93 %. In particular, its role is very useful in the early diagnosis of complications such as stenosis, phlegmons, abscesses and fistulae. According to the available literature the ability of US to provide information about disease activity is still under debate and further studies are necessary. In this regard, of fundamental importance is the use of additional techniques such as color-and power-Doppler and contrast-enhanced ultrasound. The purpose of this paper is to report the main sonographic intestinal and extraintestinal findings detectable in Crohn's disease.Keywords Transabdominal bowel sonography Á Crohn's disease Á Color and power Doppler Á CEUS Á Disease activity Riassunto Nel corso degli ultimi anni l'ecografia delle anse intestinali è andata affermandosi come metodica di prima linea nella diagnosi e nel follow-up delle malattie infiammatorie croniche intestinali, soprattutto nella malattia di Crohn, con valori di accuratezza diagnostica dell'84-93 %. In particolare il suo ruolo risulta preminente nella precoce diagnosi delle complicanze, quali stenosi, flemmoni, ascessi e fistole. In accordo con la letteratura disponibile più discussa rimane la capacità di fornire informazioni circa l'attività di malattia ed ulteriori studi appaiono necessari. A tal proposito è fondamentale l'utilizzo di metodiche quali color e power Doppler e l'ecografia con mezzo di contrasto (CEUS). Scopo del presente lavoro è quello di riportare i principali quadri ecografici intestinali ed extra-intestinali evidenziabili nella malattia di Crohn.

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“…The value of color Doppler in the evaluation of children and adults with intestinal inflammatory processes is already well established, and the resource has already been used for some years [25][26][27][28]. The first studies in children were performed by Quillin and Siege [29,30] that noted that in the color Doppler can differentiate extrinsic causes of intestinal disease, such as peritonitis, to primary intestinal processes and identify different locations compromised.…”

Section: Gray Scale and Color Doppler Ultrasoundmentioning

confidence: 99%

The Role of Ultrasound in Intestinal Inflammatory Processes in Children and Adolescents

Epifânio¹,

Sgnaolin²,

Baldisserotto³

2013

OJRad

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Purpose: To disseminate the current knowledge about the intestinal inflammatory processes in children and its approach by ultrasound (US) and provide necessary information to pediatricians for early diagnosis through this complementary method. Source of Data: The sources of data were selected by Medline, the international manuscripts, international medical journals more relevant in the last 20 years about Gray Scale and Color Doppler Ultrasound in the evaluation of inflammatory bowel disease in children and adolescents. Conclusions: Several authors have suggested that the ultrasound should be the first study in the diagnostic investigation process in suspected inflammatory bowel disease to determine the most affected region and monitor the therapy response. While colonoscopy still remains as the reference diagnostic method, the literature suggests that US can be an extremely useful tool in the context of the suspected diagnosis of a wide variety of intestinal inflammatory processes in children.

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Diagnosis of acute ulcerative colitis and colonic Crohn's disease by colonic sonography

Cited by 86 publications

References 19 publications

High-frequency ultrasonographic imaging of the gastrointestinal wall

High-frequency ultrasonographic imaging of the gastrointestinal wall

Ultrasonographic findings in Crohn’s disease

The Role of Ultrasound in Intestinal Inflammatory Processes in Children and Adolescents

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