Role of Intestinal Ultrasound in the Evaluation of Postsurgical Recurrence in Crohn’s Disease: Correlation with Endoscopic Findings
| Autor: | Cláudia Patricia Macedo, Mara Sarmento Costa, Elisa Gravito-Soares, Marta Gravito-Soares, Ana Margarida Ferreira, Francisco Portela, Pedro Figueiredo |
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| Jazyk: | angličtina |
| Rok vydání: | 2021 |
| Předmět: | |
| Zdroj: | GE: Portuguese Journal of Gastroenterology, Pp 1-9 (2021) |
| Druh dokumentu: | article |
| ISSN: | 2341-4545 2387-1954 00051799 |
| DOI: | 10.1159/000517999 |
| Popis: | Introduction: Endoscopy remains the exam of choice in the evaluation of activity in Crohn’s disease (CD) after surgery (ACD-AS). However, intestinal ultrasound (IUS) may represent a noninvasive alternative. The objective of this study is to determine the diagnostic accuracy of this modality compared to endoscopy. Material and Methods: This is a cross-sectional study, comprising a period of 14 months, carried out in patients with established CD and ileocecal resection due to the disease. IUS (HI-VISION Avius®, Tokyo, Japan) was performed with linear probe B-mode/Doppler prior to ileocolonoscopy. IUS and ileocolonoscopy were performed on the same day by 2 specialists in Gastroenterology dedicated to ultrasound and inflammatory bowel disease, in a double-blind mode. Collected demographic and clinical data (Harvey-Bradshaw Index [HBI]; remission ≤4), serological/fecal inflammatory parameters (leukocytes [4–10 × 109 cells/L], C-reactive protein [≤0.5 mg/dL], and fecal calprotectin [3 mm and/or Limberg score >1) was abnormal in 61.5% (n = 24) of the cases. Endoscopic remission (Rutgeerts score |
| Databáze: | Directory of Open Access Journals |
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