EFSUMB Recommendations for Gastrointestinal Ultrasound Part 3: Endorectal, Endoanal and Perineal Ultrasound

Nuernberg, Dieter; Săftoiu, Adrian; Barreiros, Ana Paula; Burmester, Eike; Ivan, Elena; Clevert, D.‐A.; Dietrich, Christoph F.; Gilja, Odd Helge; Lorentzen, T.; Maconi, Giovanni; Mihmanlı, İsmail; Nolsøe, Christian Pállson; Pfeffer, F.; Rafaelsen, Søren Rafael; Spârchez, Zeno; Vilmann, Peter; Waage, Jo Erling Riise

doi:10.1055/a-0825-6708

Cited by 44 publications

(36 citation statements)

References 132 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…However, ultrasound should be used in non-critical patients for better efficiency and targeted use of CT examination 16 . Even in rare congenital and acquired abdominal diseases, ultrasound patterns have already been described 18 19 20 21 22 23 24 25 26 .…”

Section: Introductionmentioning

confidence: 99%

Clinical Awareness and Acceptance of Sonographically Diagnosed Epiploic Appendagitis (EA): A Retrospective Analysis of EA in a Single Tertiary Academic Referral Center

Zadeh

Kindermann

Dietrich

et al. 2020

Ultrasound Int Open

View full text Add to dashboard Cite

Purpose To describe the clinical awareness and acceptance of ultrasound-diagnosed acute epiploic appendagitis (EA) and their importance to avoid unnecessary therapeutic and imaging measures. Patients and Methods The data were obtained of n=54 patients with acute, localized, peritonitic pain and EA diagnosed by B-mode ultrasound and contrast-enhanced ultrasound examination from November 2003 to September 2020. All examinations were performed by a German Society for Ultrasound in Medicine (DEGUM) Level III qualified examiner. Based on documentation by the treating physicians, the clinical awareness and acceptance of EA diagnosis was determined in all patients and compared between subgroups diagnosed before 2013 and from 2013 onwards. In 2013, a local educational training program regarding the diagnosis of and therapy for EA was initiated for physicians. Results In all patients, EA was sonographically diagnosed by a DEGUM level III qualified examiner. At enrollment, EA was mentioned as a suspected clinical diagnosis in n=1/54 (1.9%) patient. Furthermore, in n=39/54 (72.2%) cases, the EA was documented and accepted by the treating physicians at the time of patient discharge as the final clinical diagnosis. The clinical acceptance was significantly higher from 2013 onwards compared with before 2013 (p<0.05). Moreover, in n=26/54 (48.1%) patients, unnecessary therapeutic measures were initiated, with no significant difference between pre-2013 and post-2013 numbers (p>0.05). Conclusion In our retrospective study, we showed that awareness and acceptance of the disease EA are low. Low diagnostic acceptance of EA by the clinician leads to unnecessary therapeutic and imaging measures and is a general problem related to rare diseases in the healthcare system.

show abstract

Section: Introductionmentioning

confidence: 99%

Clinical Awareness and Acceptance of Sonographically Diagnosed Epiploic Appendagitis (EA): A Retrospective Analysis of EA in a Single Tertiary Academic Referral Center

Zadeh

Kindermann

Dietrich

et al. 2020

Ultrasound Int Open

View full text Add to dashboard Cite

show abstract

“…TRUS has been accepted as the most suitable imaging modality for evaluating anal abnormalities and perianal abscesses [3,4]. An anal abscess on ultrasound imaging appears as a hypoechoic lesion with mixed internal echoes showing posterior acoustic enhancement [5].…”

Section: Transrectal Ultrasoundmentioning

confidence: 99%

Ultrasound and CT Evolution of Severe Anal Injury with the Abscess Caused by a Small Chicken Bone: A Case Report

Jin¹,

Huang²,

Lu³

2020

Advanced Ultrasound in Diagnosis and Therapy

View full text Add to dashboard Cite

This report presents the case of a 59-year-old man with the anal abscess caused by fragments of chicken bones. Transrectal ultrasound (TRUS) was performed first to evaluate the anal and perianal region for detection of the lesion and then CT scan was used to show the entire region of the pelvis and anal structures. CT first identified the foreign body within the abscess and then TRUS was able to show hyperechoic foci with acoustic shadowing in the abscess indicated foreign bodies. Diagnosed of abscess with chicken bones was made based on both TRUS and CT and confirmed during the open surgery. CT scan can have a global view of the lesion and surrounding structures while TRUS can provide detail information of the perianal lesion and guide the clinical management.

show abstract

“…Under the auspices of the European Federation of Societies for Ultrasound in Medicine and Biology (EFSUMB), a task force group (TGF) was dedicated to investigating the role of GIUS. The creation of the TGF and the modified Delphi procedure that, relying on the data of the literature, led to the development of clinical recommendations and guidelines regarding GIUS for different specific clinical settings have been reported elsewhere 2 3 4 5 6 7 . This paper, the last of this consortium, authored by members of the TFG with scientific and clinical experience in the field of FGID who agreed to cooperate on the document, gives an overview of the role of GIUS for assessing FGID and some GI diseases with functional impairment.…”

Section: Introductionmentioning

confidence: 99%

Gastrointestinal Ultrasound in Functional Disorders of the Gastrointestinal Tract - EFSUMB Consensus Statement

Maconi

Hausken

Dietrich

et al. 2021

Ultrasound Int Open

Self Cite

View full text Add to dashboard Cite

Abdominal ultrasonography and intestinal ultrasonography are widely used as first diagnostic tools for investigating patients with abdominal symptoms, mainly for excluding organic diseases. However, gastrointestinal ultrasound (GIUS), as a real-time diagnostic imaging method, can also provide information on motility, flow, perfusion, peristalsis, and organ filling and emptying, with high temporal and spatial resolution. Thanks to its noninvasiveness and high repeatability, GIUS can investigate functional gastrointestinal processes and functional gastrointestinal diseases (FGID) by studying their behavior over time and their response to therapy and providing insight into their pathophysiologic mechanisms. The European Federation of Societies for Ultrasound in Medicine and Biology (EFSUMB) has established a Task Force Group consisting of GIUS experts, which developed clinical recommendations and guidelines on the role of GIUS in several acute and chronic gastrointestinal diseases. This review is dedicated to the role of GIUS in assisting the diagnosis of FGID and particularly in investigating patients with symptoms of functional disorders, such as dysphagia, reflux disorders, dyspepsia, abdominal pain, bloating, and altered bowel habits. The available scientific evidence of GIUS in detecting, assessing, and investigating FGID are reported here, while highlighting sonographic findings and its usefulness in a clinical setting, defining the actual and potential role of GIUS in the management of patients, and providing information regarding future applications and research.

show abstract

EFSUMB Recommendations for Gastrointestinal Ultrasound Part 3: Endorectal, Endoanal and Perineal Ultrasound

Cited by 44 publications

References 132 publications

Clinical Awareness and Acceptance of Sonographically Diagnosed Epiploic Appendagitis (EA): A Retrospective Analysis of EA in a Single Tertiary Academic Referral Center

Clinical Awareness and Acceptance of Sonographically Diagnosed Epiploic Appendagitis (EA): A Retrospective Analysis of EA in a Single Tertiary Academic Referral Center

Ultrasound and CT Evolution of Severe Anal Injury with the Abscess Caused by a Small Chicken Bone: A Case Report

Gastrointestinal Ultrasound in Functional Disorders of the Gastrointestinal Tract - EFSUMB Consensus Statement

Contact Info

Product

Resources

About