Small intestine contrast ultrasonography (SICUS): An alternative to radiology in the assessment of small bowel disease in paediatric patients with Crohn's disease

Pallotta, Nadia; Viola, Franca; Carabotti, Marilia; Civitelli, Fortunata; Romeo, Erminia; Aloi, Marina; Vincoli, Giuseppina; Barbato, M.; Cucchiara, Salvatore; Corazziari, Enrico

doi:10.1016/j.dld.2008.07.194

Cited by 32 publications

(65 citation statements)

References 25 publications

(55 reference statements)

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…Operator dependence is the most important limit reported for SICUS, as for all ultrasonographic procedures. However, in the UK study, although the operator was only an experienced sonographer without subspecialist interest in SICUS, the results were similar to those produced by the experienced operator [23,25,38].…”

Section: Sicusmentioning

confidence: 57%

“…The US criteria for CD lesions include [23][24][25][26]: increased wall thickness (C3 mm), reported as the average of at least 3 measurements; ''stiff loop'' with increased bowel wall thickness; loss of stratification of the bowel wall; small bowel dilation, which is defined as a lumen diameter greater than 2.5 cm; bowel stricture, which is defined as a lumen diameter less than 1 cm with or without prestenotic dilation; fistulae, which are defined as the hypoechoic tract with or without hyperechoic content; mesenteric enlargement, lymph nodes and abscess, which are defined as a round-like mass with a diameter [2 cm.…”

Section: Ultrasound Findings In Ibdmentioning

confidence: 99%

“…SICUS has emerged as a valuable, well-accepted and radiation-free technique in the detection of intestinal damage in CD [29], and no previous studies have reported significant side effects or major complaints during or immediately after PEG ingestion. Studies comparing conventional ultrasonography with the use of oral contrast agents have shown an overall superior sensitivity in the detection of small bowel CD lesions with SICUS (sensitivity ranged from 57 to 96% and 96 to 100% for conventional ultrasound and SICUS, respectively) [23,25,27,28,30], and reduced inter-observer and intra-observer variability [27]. SICUS also appears to demonstrate reasonable accuracy in detecting CD-related complications, including strictures, abscesses, and internal fistulae that occur in approximately 50-70% of affected patients during the course of their disease [31].…”

Section: Sicusmentioning

confidence: 99%

See 2 more Smart Citations

SICUS and CEUS imaging in Crohn’s disease: an update

et al. 2017

View full text Add to dashboard Cite

Endoscopy remains the main technique in the diagnosis and treatment of Crohn's disease (CD); nevertheless, the recent development of innovative and non-invasive imaging techniques has led to a new tool in the exploration of small bowel in CD patients. This paper reviews the available data on ultrasound imaging used for the evaluation of CD, highlighting the role of small intestine contrast-enhanced ultrasonography with the use of oral and intravenous contrast agents.Keywords Crohn's disease Á Contrast-enhanced ultrasound Á Small intestine contrast ultrasonography Sommario Nell'iter diagnostico e terapeutico della malattia di Crohn l'endoscopia rappresenta la principale metodica strumentale. Tuttavia, la recente introduzione di tecniche di imaging innovative e non invasive ha implementato lo studio dell'intestino nelle malattie infiammatorie croniche intestinali. La seguente revisione raccoglie i dati disponibili in letteratura relativi all'utilizzo dell'ecografia con mezzo di contrasto, sia orale (SICUS) sia endovenoso (CEUS), nella valutazione dei pazienti affetti da malattia di Crohn.

show abstract

Section: Sicusmentioning

confidence: 57%

Section: Ultrasound Findings In Ibdmentioning

confidence: 99%

Section: Sicusmentioning

confidence: 99%

See 1 more Smart Citation

SICUS and CEUS imaging in Crohn’s disease: an update

et al. 2017

View full text Add to dashboard Cite

show abstract

“…In the last few years, abdominal ultrasonography performed after the ingestion of an intraluminal oral contrast has been proposed as a non-invasive technique which enables visualizing the entire small bowel [12,13], detecting not only established CD lesions but also minor changes of the intestinal wall [14], and has been shown to be comparable to radiology [15], in particular in the detection of strictures. According to Pallotta et al [16] SICUS seems appropriate to be indicated as an accurate method for the detection of small intestinal complications in CD; moreover it can play an important role in planning the treatment in patients affected by severe CD of small intestine.…”

Section: Small Intestine Contrast Ultrasonography (Sicus)mentioning

confidence: 99%

Ultrasonographic findings in Crohn’s disease

2014

View full text Add to dashboard Cite

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.

show abstract

“…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

View full text Add to dashboard Cite

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.

show abstract

Small intestine contrast ultrasonography (SICUS): An alternative to radiology in the assessment of small bowel disease in paediatric patients with Crohn's disease

Cited by 32 publications

References 25 publications

SICUS and CEUS imaging in Crohn’s disease: an update

SICUS and CEUS imaging in Crohn’s disease: an update

Ultrasonographic findings in Crohn’s disease

Surgery and diagnostic imaging in abdominal Crohn’s disease

Contact Info

Product

Resources

About