Prospective comparison of endosonography, magnetic resonance imaging and surgical findings in anorectal fistula and abscess complicating Crohn's disease

Orsoni, P; Barthet, Marc; Portier, François; Panuel, M.; Desjeux, Ariadne; Grimaud, J. C.

doi:10.1046/j.1365-2168.1999.01020.x

Cited by 203 publications

(117 citation statements)

References 18 publications

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“…In the general context of pelvic sepsis and anorectal fistulae complicating CD, anal endosonography has been reported as the best modality in 1 study. 38 However, state of the art comparative data is clearly warranted in CD. The lack of a need to introduce an endoluminal device, unlimited view and perfect comparison between different examinations, with less dependence on a specially skilled operator favors MR, anal endosonography being a good alternative.…”

Section: Discussionmentioning

confidence: 99%

Sensitivity and Specificity of Magnetic Resonance Enterography in the Clinical Management of Fistulizing Crohnʼs Disease

Papadia

Maffei²,

Río

et al. 2013

Inflammatory Bowel Diseases

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Section: Discussionmentioning

confidence: 99%

Sensitivity and Specificity of Magnetic Resonance Enterography in the Clinical Management of Fistulizing Crohnʼs Disease

Papadia

Maffei²,

Río

et al. 2013

Inflammatory Bowel Diseases

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“…[12][13][14] The use of either technique is therefore determined by availability, expertise and preferences. In general, EUS can be used when low, simple tracks are expected, while MRI can be used in any patient and especially when the presence of complex fistula is suspected.…”

Section: Mrimentioning

confidence: 99%

Fistulizing Crohn’s disease: Diagnosis and management

et al. 2013

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Fistulizing Crohn's disease represents an evolving, yet unresolved, issue for multidisciplinary management. Perianal fistulas are the most frequent findings in fistulizing Crohn's disease. While enterocutaneous fistulas are rare, they are associated with considerable morbidity and mortality. Detailed evaluation of the fistula tract by advanced imaging techniques is required to determine the most suitable management options. The fundamentals of perianal fistula management are to evaluate the complexity of the fistula tract, and exclude proctitis and associated abscess. The main goals of the treatment are abscess drainage, which is mandatory, before initiating immunosuppressive medical therapy, resolution of fistula discharge, preservation of continence and, in the long term, avoidance of proctectomy with permanent stoma. The management of enterocutaneous fistulas comprises of sepsis control, skin care, nutritional optimization and, if needed, delayed surgery.

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“…Estimates of the sensitivity and specificity for detecting abscesses have been reported in a somewhat higher range, i.e. between 71 and 100 for the sensitivity and between 77 and 94% for the specificity [27,[29][30][31][32] .…”

Section: Detection Of Complicationmentioning

confidence: 99%

Significance of Abdominal Ultrasound in Inflammatory Bowel Disease

Dietrich

2009

Dig Dis

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Transabdominal ultrasound is most commonly used to examine the liver, hepatobiliary-pancreatic and urogenital tract. Its use for imaging the intestinal tract is less well established and has been considered more difficult in the past. Improvements in technology and increasing experience with sonographic findings in a variety of intestinal diseases including inflammatory bowel disease (IBD), however, have contributed to firmly establishing the role of ultrasound as a clinically important, non-invasive and widely available imaging modality. In addition, newer techniques such as harmonic imaging and contrast-enhanced ultrasound have recently gained attention. Transabdominal ultrasound is clinically useful in the initial diagnosis of IBD by evaluating bowel wall thickness and surrounding structures including peri-intestinal inflammatory reaction, extent and localization of involved bowel segments and detection of extraluminal complications such as fistula, abscesses, carcinoma and ileus. Transabdominal ultrasound is currently accepted as a clinically important first-line tool in assessing patients with Crohn’s disease irrespective of their clinical symptoms and/or disease activity. It helps to better characterize the course of the disease in individual patients and can guide therapeutic decisions. The topic of this review is to provide an updated overview of the role of transabdominal ultrasound in IBD including Crohn’s disease, ulcerative colitis, tuberculosis and neutropenic colitis while summarizing the results of recent studies with special reference to sensitivity/specificity in detecting the disease and sonomorphologic features to evaluate disease activity and its luminal and extraluminal complications.

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Prospective comparison of endosonography, magnetic resonance imaging and surgical findings in anorectal fistula and abscess complicating Crohn's disease

Abstract: AES with a linear probe is more accurate than MRI in detecting anorectal abscesses complicating Crohn's disease, and much more accurate in the evaluation of complex fistulas.

Cited by 203 publications

References 18 publications

Sensitivity and Specificity of Magnetic Resonance Enterography in the Clinical Management of Fistulizing Crohnʼs Disease

Sensitivity and Specificity of Magnetic Resonance Enterography in the Clinical Management of Fistulizing Crohnʼs Disease

Fistulizing Crohn’s disease: Diagnosis and management

Significance of Abdominal Ultrasound in Inflammatory Bowel Disease

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