Papel da ultrassonografia endoscópica na avaliação da fístula perianal na doença de Crohn.

Molteni, Rafaela; Bonin, Eduardo A.; Júnior, Antônio Baldin; Barreto, Renan Arrais Ykeda; Brenner, Antônio Sérgio; Lopes, Thaís Rosental Gabriel; Volpato, Ana Paula Della Justina; Sartor, Maria Cristina

doi:10.1590/0100-6991e-20181840

Cited by 5 publications

(2 citation statements)

References 28 publications

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“…It also has the advantage of assessing the macroscopic aspect of the recto-colonic mucosa and the ability to identify the internal orifice of the fistulous tract. EUS has limitations in identifying supra sphincteric and posteriorly located fistulous trajectories, while MRI has difficulty evaluating short, superficial, anteriorly located or anovaginal trajectories 39 . A study that compared the effectiveness of three methods (examination under anesthesia, MRI and EUS) for the evaluation of perianal CD patients included 34 patients (40 fistulas and 13 abscesses) and found no significant differences between the three methods.…”

Section: Perianal/rectal Endsoscopic Point Of Care Ultrasoundmentioning

confidence: 99%

Endoscopic Point of Care Ultrasound: Foundations, Present Applications, Future Potentials

Rabinowitz,

Sharma,

Grossman

2023

MRAJ

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Introduction: The present review details the evolution of endoscopic ultrasound, the acquisition of subepithelial imaging of the gastrointestinal tract during endoscopy, in pediatrics. Similar to its use in adults, the majority of its present applications involve obtaining fluid and or tissue for diagnosis. Simultaneously, the indications for point of care ultrasound, in which physicians caring for a patient personally obtains images which can be incorporated immediately into diagnosis and management, are also expanding. A history of endoscopic ultrasound from its inception to its current utilization is presented. The data reflecting its successful current employment as the procedure of choice to analyze and drain pancreatic cysts, to diagnose biliary tract and pancreatic diseases, to direct subepithelial biopsies, and to evaluate gastrointestinal tumors as well as less common gastrointestinal pathologies, is summarized with an emphasis on pediatric studies. In addition, the recent expansion of point of care ultrasound and endoscopic ultrasound to yield images to analyze subepithelial pathology including fibrosis in eosinophilic esophagitis and in inflammatory bowel disease is highlighted. A brief summary of the challenges, range of instruments, costs, and safety provides the reader with the background to fully appreciate this emerging technique. Finally, there is an overview of exciting new developments that will further extend its indications. Conclusions: With anticipated improvements including better resolution of endoscopic ultrasound probes, the routine incorporation of point of care elastography and contrast enhanced ultrasound, and the potential of artificial intelligence to provide more reproducible and uniform analysis of endosonographic images, new indications are anticipated to enable endoscopic point of care ultrasound, E-POCUS, to further improve patient care in the near future

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Section: Perianal/rectal Endsoscopic Point Of Care Ultrasoundmentioning

confidence: 99%

Endoscopic Point of Care Ultrasound: Foundations, Present Applications, Future Potentials

Rabinowitz,

Sharma,

Grossman

2023

MRAJ

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“…It plays an important role in limiting. Additionally, MRI images can be used to define the anatomic relationship of the perianal fistula and forecast the likelihood of postoperative faecal incontinence (Amato et al, 2020;Criado et al, 2018;Molteni et al, 2018;Shahzad et al, 2021;Sharma et al, 2020;Westbrook & Talbot, 2019).…”

Section: Introductionmentioning

confidence: 99%

MRI Case Report of Perianal Fistula with T2 TSE SPIR Sequence

et al. 2023

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MRI is a diagnostic imaging tool crucial for pelvic examination in perianal fistula cases. MRI imaging offers some advantages, especially in showing the area of spesi and secondary dilatation. Both have a high recurrence rate after surgery and an important role in determining surgical outcomes and minimizing complications. This study aims to evaluate pelvic MRI examination of perianal fistulas using the T2 TSE SPIR (Turbo Spin Echo Spectral Presaturation with Inversion Recovery) sequence. Research design used a qualitative descriptive method with participatory observation through a case study approach to Perianal Fistula using T2 TSE_SPIR. It was carried out at the Radiology Department of Mayapada Hospital in South Jakarta from August to December 2022. The MRI equipment Philips Achieva 1.5 Tesla with Sense Body Coil. MRI contrast agent of gadoteric acid, Vitamin E capsule, was attached to the perianal fistula location to make it easier for the radiologist to see the path of the perianal fistula. The results of Pelvis MRI images in perianal fistulas using the T2 TSE SPIR sequence shown with clear boundaries of perianal fistulas with anal organs, sigmoid colon, bladder, and prostate between one organ and another. Implementing the selection of the T2 TSE SPIR sequence to visualize fluid images becomes hyper-intensive by suppressing fat signals so that only fluid is visible in the perianal abscess and fistula images.

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