Crohn's Disease Activity Evaluation by Transabdominal Ultrasonography: Correlation with Double-Balloon Endoscopy
| Autor: | Ryo Takagi, Reizo Onishi, Takehiko Katsurada, Kana Yamanashi, Kazunori Nagashima, Kenji Kinoshita, Satomi Omotehara, Shinsuke Otagiri, Kensuke Sakurai, Mutsumi Nishida, Naoya Sakamoto |
|---|---|
| Rok vydání: | 2020 |
| Předmět: |
Crohn’s disease
Adult Male medicine.medical_specialty Adolescent Gastroenterology Severity of Illness Index double‐balloon endoscopy 030218 nuclear medicine & medical imaging Correlation Disease activity 03 medical and health sciences Young Adult 0302 clinical medicine Crohn Disease Internal medicine medicine Humans Radiology Nuclear Medicine and imaging Double balloon endoscopy Rank correlation Aged Ultrasonography Crohn's disease 030219 obstetrics & reproductive medicine Radiological and Ultrasound Technology medicine.diagnostic_test business.industry Endoscopy Gold standard (test) Middle Aged medicine.disease digestive system diseases transabdominal ultrasonography Female business disease activity small intestine Transabdominal ultrasonography |
| Zdroj: | Journal of ultrasound in medicine : official journal of the American Institute of Ultrasound in MedicineReferences. 40(12) |
| ISSN: | 1550-9613 |
| Popis: | Objectives Transabdominal ultrasonography (US) has been reported as a useful tool for evaluating Crohn's disease (CD) activity. Endoscopic findings and Crohn's disease activity index (CDAI) are currently considered the gold standard for assessing CD activity. We assessed the correlation between US and double-balloon endoscopy (DBE), and CDAI for evaluating CD activity. Methods We analyzed patients with CD undergoing US and DBE within 10 days between the procedures. The intestine was divided into four segments and analyzed by the US scoring system (US-CD) and the simple endoscopic score for Crohn's disease (SES-CD). CDAI was compared with US-CD and SES-CD. Spearman's rank correlation coefficient was used for statistical analysis. Results Twenty-five patients with CD (11 women, 14 men; mean age 35.4 +/- 14.9 years, range 16-65 years) were enrolled. Twenty-four patients received antitumor necrosis factor inhibitor therapy. CDAI was 128.1 (range 36-227). A significant moderate correlation was found between the US-CD and SES-CD in all segments (rho = .64, P < .01). The US-CD showed a strong correlation with CDAI (rho = .78, P < .01), whereas the SES-CD showed a moderate correlation (rho = .55, P < .05). Conclusions US-CD and SES-CD showed a moderate correlation for assessing CD activity. US-CD showed a stronger correlation with CDAI than SES-CD, suggesting that US could more accurately evaluate the disease activity. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
|
Plný text