Are there specific endosonographic features in Crohn's patients with perianal fistulae?
| Autor: | Marc Beer-Gabel, Dan Carter, Nir Horesh, Oded Zmora, Vered Bucholtz, Andrew P. Zbar |
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| Rok vydání: | 2013 |
| Předmět: |
Adult
Male Endoscopic ultrasound medicine.medical_specialty Adolescent Fistula Sensitivity and Specificity Gastroenterology Endosonography Young Adult Imaging Three-Dimensional Crohn Disease Predictive Value of Tests Internal medicine Positive predicative value medicine Humans Rectal Fistula Pathologic fistula In patient Aged Crohn's disease medicine.diagnostic_test business.industry Incidence General Medicine Middle Aged medicine.disease Predictive value of tests Female business Kappa |
| Zdroj: | Journal of Crohn's and Colitis. 7:490-496 |
| ISSN: | 1873-9946 |
| DOI: | 10.1016/j.crohns.2012.07.024 |
| Popis: | Both 2-dimensional and 3-dimensional endoanal ultrasounds have been shown to be accurate in the definition of the anatomy of complex fistulae-in-ano in patients with perianal Crohn's disease. Recently, a Crohn's Ultrasound Fistula Sign (CUFS) has been suggested as a discriminating feature of perianal Crohn's disease as has the presence of fistulous debris and fistular bifurcation. We blindly assessed 197 patients (39 Crohn's fistulae and 158 cryptogenic fistulae) to determine if these signs differentiated fistula types. The incidence of CUFS in Crohn's cases was 17/39 (43.6%) and in cryptogenic cases was 4/158 (2.5%) (P < 0.0001). The sensitivity, specificity, positive and negative predictive values and accuracy for CUFS were 43.6%, 97.5%, 80.9%, 87.5% and 86.8%, respectively. The presence of debris and fistula bifurcation in evaluable cases had a high specificity (87.2% and 81.8%, respectively) but poor sensitivity. The kappa values for or against CUFS, debris and bifurcation in Crohn's cases between 2 observers blinded to the diagnosis were 0.85, 0.72 and 0.93, respectively and in cryptogenic fistulae were 0.89, 0.85 and 0.80, respectively. The kappa values of an agreed consensus for CUFS in Crohn's disease, cryptogenic fistulae and overall with a third observer with no ultrasound experience were 0.62, 0.85 and 0.77, respectively. The presence of CUFS differentiates Crohn's-related from cryptogenic fistulae-in-ano with a high level of agreement for this sign between experienced and inexperienced observers blinded to the underlying diagnosis. |
| Databáze: | OpenAIRE |
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