Transperineale Sonographie bei rektoanalen Erkrankungen

Bonatti, Hugo; Lugger, P; Hechenleitner, Paul; Oberwalder, Michael; Kafka-Ritsch, R; Conrad, Friedrich; Aigner, Felix; Mallouhi, Ammar; Bodner, G.

doi:10.1055/s-2004-813100

Cited by 21 publications

(8 citation statements)

References 9 publications

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“…In this respect, TPUS has recently been shown to be as accurate as MR imaging in complex cases of fistulating perianal Crohn's disease [31] where a further advantage is in those patients presenting with anal canal distortion precluding the use of an endorectal probe assembly. Anovestibular and anovaginal fistulae are also well shown by TPUS, particularly when they are distantly disposed from the anal canal [31,32]. Specialized imaging also has bearing on the secondary features of destructive perirectal infection including the presence of external or internal anal sphincter damage (either from the infection itself or from prior surgery), destructive loss of the perineal body and an underlying ano-or rectovaginal fistula.…”

Section: Discussionmentioning

confidence: 98%

Transperineal versus hydrogen peroxide-enhanced endoanal ultrasonography in never operated and recurrent cryptogenic fistula-in-ano: a pilot study

2006

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Section: Discussionmentioning

confidence: 98%

Transperineal versus hydrogen peroxide-enhanced endoanal ultrasonography in never operated and recurrent cryptogenic fistula-in-ano: a pilot study

2006

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“…Indications for PNUS are anal and perianal pain, lesions of the entire perianal region and other perianal complaints (especially in children, in patients with venereal infections, HIV and IBD), suspicion and follow-up of fistulas and abscesses (especially in Crohn’s disease), anal and rectal cancer (regional staging, evaluation of the sphincter apparatus and follow-up after rectal amputation), anal incontinence and some other indications in gynecology and urology (complementary sphincter evaluation, e. g., diagnosis of fistulas, sphincter tears, etc.) 107 108 109 . In children, it should be the first instrumental examination after inspection and digital anorectal palpation.…”

Section: Perineal Ultrasoundmentioning

confidence: 99%

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

Nuernberg

Săftoiu

Barreiros

et al. 2019

Ultrasound Int Open

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This article represents part 3 of the EFSUMB Recommendations and Guidelines for Gastrointestinal Ultrasound (GIUS). It provides an overview of the examination techniques recommended by experts in the field of endorectal/endoanal ultrasound (ERUS/EAUS), as well as perineal ultrasound (PNUS). The most important indications are rectal tumors and inflammatory diseases like fistula and abscesses in patients with or without inflammatory bowel disease (IBD). PNUS sometimes is more flexible and convenient compared to ERUS. However, the technique of ERUS is quite well established, especially for the staging of rectal cancer. EAUS also gained ground in the evaluation of perianal diseases like fistulas, abscesses and incontinence. For the staging of perirectal tumors, the use of PNUS in addition to conventional ERUS could be recommended. For the staging of anal carcinomas, PNUS can be a good option because of the higher resolution. Both ERUS and PNUS are considered excellent guidance methods for invasive interventions, such as the drainage of fluids or targeted biopsy of tissue lesions. For abscess detection and evaluation, contrast-enhanced ultrasound (CEUS) also helps in therapy planning.

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“…In den genannten 4 Studien konnten pathologische Veränderungen mittels PAUS mit hoher Sensitivität und Spezifität im Vergleich zu den etablierten Methoden MRT [15], Proktoskopie in Narkose [13,14] bzw. Proktoskopie, Koloskopie, Operation, CT, MRT, Fistulographie, klinischer Verlauf [16] dargestellt werden. Fistulographie oder klinischer Verlauf dargestellt werden.…”

Section: Bisherige Studien Zur Diagnostik Perianaler Fisteln Mittels unclassified

Aktuelle Sonographie: Transkutaner, perianaler Ultraschall (PAUS) zur Diagnostik von Fisteln und Abszessen bei M. Crohn

Wedemeyer

Kirchhoff²,

Manns³

et al. 2004

Z Gastroenterol

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Pelvic MRI and transanal ultrasound constitute the gold standard for the imaging of perianal inflammatory lesions in Crohn's disease. Perianal ultrasound (PAUS), however, is rarely considered in recent literature. In contrast to the established methods, perianal ultrasound represents an easy, cost-effective and at the same time sensitive method for the imaging of perianal abscesses and fistulas. This article illustrates the performance of perianal ultrasound and shows typical images of pathological findings such as abscesses and fistulas. PAUS is especially useful for acute diagnostics to rule out perianal abscesses and for follow-up evaluation of fistula treatment. For example, complications such as abscesses can be detected in a timely manner.

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Transperineale Sonographie bei rektoanalen Erkrankungen

Abstract: Transperineal sonography proved to be an inexpensive, easily available diagnostic tool that may help in detecting a variety of pathological conditions of the lower rectum, the anus, and the perianal region.

Cited by 21 publications

References 9 publications

Transperineal versus hydrogen peroxide-enhanced endoanal ultrasonography in never operated and recurrent cryptogenic fistula-in-ano: a pilot study

Transperineal versus hydrogen peroxide-enhanced endoanal ultrasonography in never operated and recurrent cryptogenic fistula-in-ano: a pilot study

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

Aktuelle Sonographie: Transkutaner, perianaler Ultraschall (PAUS) zur Diagnostik von Fisteln und Abszessen bei M. Crohn

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