Intestinal Ultrasound in the Assessment of Luminal Crohn’s Disease

Autor: Anuj Bohra, Daniel R. Van Langenberg, Abhinav Vasudevan
Jazyk: angličtina
Rok vydání: 2022
Předmět:
Zdroj: Gastrointestinal Disorders, Vol 4, Iss 4, Pp 249-262 (2022)
Druh dokumentu: article
ISSN: 2624-5647
DOI: 10.3390/gidisord4040024
Popis: Crohn’s disease is a chronic inflammatory disease affecting the gastrointestinal tract. Expert guidelines now recommend regular objective assessments as part of a treat-to-target approach. Intestinal ultrasound provides a noninvasive, patient-friendly modality for assessing Crohn’s disease without the risk of radiation exposure and does not require fasting or bowel preparation. Enhancement techniques, including oral and intravenous contrast, can improve disease-activity and complication detection. Due to its acceptability, intestinal ultrasound can be performed frequently, allowing for closer disease-activity monitoring and treatment adjustments. There have been significant advances in the utility of intestinal ultrasound; particularly for assessing disease activity during pregnancy and fibrosis detection utilising elastography. This review provides a comprehensive overview of performing intestinal ultrasound, the diagnostic accuracy, role in disease-activity monitoring, and recent advances in utilising ultrasound for the assessment of luminal Crohn’s disease.
Databáze: Directory of Open Access Journals