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Ultrasound of bowel disease

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https://www.readbyqxmd.com/read/29651607/detecting-inflammation-in-inflammatory-bowel-disease-how-does-ultrasound-compare-to-magnetic-resonance-enterography-using-standardised-scoring-systems
#1
Joy L Barber, Alexsandra Zambrano-Perez, Øystein E Olsen, Fevronia Kiparissi, Mila Baycheva, Daniela Knaflez, Neil Shah, Tom A Watson
BACKGROUND: Magnetic resonance enterography (MRE) is the current gold standard for imaging in inflammatory bowel disease, but ultrasound (US) is a potential alternative. OBJECTIVE: To determine whether US is as good as MRE for the detecting inflamed bowel, using a combined consensus score as the reference standard. MATERIALS AND METHODS: We conducted a retrospective cohort study in children and adolescents <18 years with inflammatory bowel disease (IBD) at a tertiary and quaternary centre...
April 13, 2018: Pediatric Radiology
https://www.readbyqxmd.com/read/29571625/preoperative-mapping-of-the-aortoiliac-territory-with-duplex-ultrasound-in-patients-with-peripheral-arterial-occlusive-disease
#2
Miguel Muela Méndez, Pilar Caridad Morata Barrado, Estrella Blanco Cañibano, Beatriz García Fresnillo, Mercedes Guerra Requena
OBJECTIVE: Duplex ultrasound (DUS) arterial mapping of the aortoiliac area is limited by obesity, abdominal gas, and the need to use a low-frequency probe (and therefore poorer resolution) in the examination. The aim of this study was to analyze the degree of agreement between DUS mapping of the aortoiliac area and angiography or contrast-enhanced computed tomography angiography (CTA). METHODS: This was a retrospective observational study. Between November 2006 and June 2015, there were 173 patients with a surgical indication for aortoiliac occlusive disease included, with preoperative aortoiliac DUS mapping and subsequent CTA or intraoperative angiography...
March 20, 2018: Journal of Vascular Surgery
https://www.readbyqxmd.com/read/29571064/spontaneous-migration-of-thrombosed-synthetic-vascular-graft-to-the-duodenum-after-living-donor-liver-transplantation-a-case-report
#3
Ahmed Mohamed Sultan, Ahmed Shehta, Tarek Salah, Mohamed Elshoubary, Mohamed Abdel Wahab
INTRODUCTION: Spontaneous migration of synthetic grafts had been described after abdominal vascular procedures into the duodenum and small bowel. In the setting of liver transplantation, synthetic grafts are commonly used for overcoming shortened or poor-quality vasculatures. We describe a case of spontaneous migration of thrombosed synthetic vascular graft after living-donor liver transplantation (LDLT). PRESENTATION: A 59 years male patient with end stage liver disease underwent LDLT utilizing a right hemi-liver graft...
March 15, 2018: International Journal of Surgery Case Reports
https://www.readbyqxmd.com/read/29566419/efsumb-recommendations-and-clinical-guidelines-for-intestinal-ultrasound-gius-in-inflammatory-bowel-diseases
#4
Giovanni Maconi, Kim Nylund, Tomas Ripolles, Emma Calabrese, Klaus Dirks, Christoph F Dietrich, Alois Hollerweger, Ioan Sporea, Adrian Saftoiu, Christian Maaser, Trygve Hausken, Antony P Higginson, Dieter Nürnberg, Nadia Pallotta, Laura Romanini, Carla Serra, Odd Helge Gilja
The accuracy and usefulness of gastrointestinal ultrasound (GIUS) for detecting activity and complications of inflammatory bowel diseases (IBD), has been reported in studies, promoting this technique as an important tool for the management of IBD patients. Whilst well recognised by international guidelines, standardization and general agreement in the definition of the luminal and extra-intestinal features, still need to be well defined.A task force group of 17 experts in GIUS faced this issue, by developing recommendations and clinical guidelines for the use of GIUS in IBD, under the auspices of EFSUMB...
March 22, 2018: Ultraschall in der Medizin
https://www.readbyqxmd.com/read/29549998/acoustic-radiation-force-impulse-arfi-elastography-of-the-bowel-wall-as-a-possible-marker-of-inflammatory-activity-in-patients-with-crohn-s-disease
#5
R S Goertz, C Lueke, D Wildner, F Vitali, M F Neurath, D Strobel
AIM: To evaluate acoustic radiation force impulse (ARFI) shear-wave velocities of the bowel wall in patients with Crohn's disease (CD). MATERIAL AND METHODS: ARFI shear-wave elastography was analysed within the wall of the stomach, terminal ileum, and sigmoid, and correlated with ultrasound signs of activity in CD patients both retrospectively and in a prospective cohort. RESULTS: A total of 77 retrospective and 21 prospective CD patients were included...
March 14, 2018: Clinical Radiology
https://www.readbyqxmd.com/read/29548620/-epidemiology-and-diagnosis-strategy-cngof-has-endometriosis-guidelines
#6
A Fauconnier, B Borghese, C Huchon, I Thomassin-Naggara, C-A Philip, T Gauthier, N Bourdel, A Denouel, A Torre, P Collinet, M Canis, X Fritel
Based on the best evidence available, we have provided guidelines for clinical practice to target the nature of endometriosis as a disease, the consequences of its natural history on management, and the clinical and imaging evaluation of the disease according to the level of care (primary care, specialized or referral). The frequency of endometriosis is unknown in the general population; endometriosis requires management when it causes symptoms (pain, infertility) or when it affect the function of an organ...
March 13, 2018: Gynecologie, Obstetrique, Fertilite & Senologie
https://www.readbyqxmd.com/read/29499671/posttraumatic-venous-gas-in-the-liver-a-case-report-and-review-of-the-current-literature
#7
René Fahrner, Falk Rauchfuss, Hubert Scheuerlein, Utz Settmacher
BACKGROUND: There are numerous causes of hepatic gas formation that range from serious pathologies to incidental findings, including mesenteric infarction, liver abscess, inflammatory bowel disease or minimally invasive hepatic interventions. CASE PRESENTATION: We report a case of a 50-year-old man who was admitted to the emergency room after a car accident. The clinical examination and further diagnostics revealed a craniocerebral injury with a fracture of the skull, concomitant soft tissue lesions and subarachnoidal bleeding...
March 2, 2018: BMC Surgery
https://www.readbyqxmd.com/read/29476194/-inflammatory-gastrointestinal-diseases-in-children-radiological-diagnosis
#8
REVIEW
S Habernig, P Malle, K A Hausegger
BACKGROUND/CLINICAL ISSUE: Inflammatory bowel diseases are frequently seen in the clinical routine of a pediatric radiologist. The timely diagnosis of inflammatory bowel diseases in children is particularly important in acute cases. STANDARD RADIOLOGICAL METHODS/METHODOLOGICAL INNOVATIONS: This nonsystematic article intends to give an overview of the radiologic imaging methods for the diagnosis and work-up of pediatric patients with inflammatory bowel diseases...
February 23, 2018: Der Radiologe
https://www.readbyqxmd.com/read/29467827/advanced-imaging-techniques-for-small-bowel-crohn-s-disease-what-does-the-future-hold
#9
REVIEW
Inês Pita, Fernando Magro
Treatment of Crohn's disease (CD) is intrinsically reliant on imaging techniques, due to the preponderance of small bowel disease and its transmural pattern of inflammation. Ultrasound (US), computed tomography (CT) and magnetic resonance imaging (MRI) are the most widely employed imaging methods and have excellent diagnostic accuracy in most instances. Some limitations persist, perhaps the most clinically relevant being the distinction between inflammatory and fibrotic strictures. In this regard, several methodologies have recently been tested in animal models and human patients, namely US strain elastography, shear wave elastography, contrast-enhanced US, magnetization transfer MRI and contrast dynamics in standard MRI...
2018: Therapeutic Advances in Gastroenterology
https://www.readbyqxmd.com/read/29438853/gastric-ulceration-and-perforation-secondary-to-large-trichobezoar-a-case-report-describing-the-role-of-magnetic-resonance-imaging-in-diagnosis
#10
M M Hennessy, I Ivanovski, C B Ó Súilleabháin
INTRODUCTION: Trichotillomania and trichotillophagia can result in huge intraluminal coagulations of hair. Rarely, these can present with gastric perforation. This work has been reported in line with the SCARE criteria (Agha et al., 2016) [1]. PRESENTATION OF CASE: We report the case of a 15 year old girl who attended the emergency department with abdominal pain and vomiting. Ultrasound abdomen and pelvis identified free fluid within the pelvis concerning for inflammatory bowel disease...
February 10, 2018: International Journal of Surgery Case Reports
https://www.readbyqxmd.com/read/29437914/gastrointestinal-ultrasound-in-inflammatory-bowel-disease-an-underused-resource-with-potential-paradigm-changing-application
#11
REVIEW
Robert Venning Bryant, Antony Friedman, Emily Kate Wright, Kirstin Taylor, Jakob Begun, Giovanni Maconi, Christian Maaser, Kerri L Novak, Torsten Kucharzik, Nathan S S Atkinson, Anil Asthana, Peter R Gibson
Evolution of treatment targets in IBD has increased the need for objective monitoring of disease activity to guide therapeutic strategy. Although mucosal healing is the current target of therapy in IBD, endoscopy is invasive, expensive and unappealing to patients. GI ultrasound (GIUS) represents a non-invasive modality to assess disease activity in IBD. It is accurate, cost-effective and reproducible. GIUS can be performed at the point of care without specific patient preparation so as to facilitate clinical decision-making...
February 3, 2018: Gut
https://www.readbyqxmd.com/read/29400377/the-added-value-of-contemporary-ultrasound-technologies-in-the-diagnosis-of-malignant-tumours-of-the-gastrointestinal-system-a-case-report
#12
Johannes Rübenthaler, Maximilian Reiser, Dirk-André Clevert
Ultrasound of the gastrointestinal system has become more popular among clinicians and is an important tool for evaluation and follow-up. Ultrasound has a special value in patients with Crohn's disease for the evaluation of disease activity but also for the evaluation of abdominal complications and shows comparable results to other imaging modalities. With the introduction of elastography and contrast-enhanced ultrasound into clinical routine, THE sonographic evaluation of the small bowel is even more sophisticated and even more precise...
February 4, 2018: Medical Ultrasonography
https://www.readbyqxmd.com/read/29367619/non-alcoholic-fatty-liver-disease-phenotypes-in-patients-with-inflammatory-bowel-disease
#13
Alessandro Sartini, Stefano Gitto, Marcello Bianchini, Maria Chiara Verga, Maria Di Girolamo, Angela Bertani, Mariagrazia Del Buono, Filippo Schepis, Barbara Lei, Nicola De Maria, Erica Villa
Non-alcoholic fatty liver disease (NAFLD) can be detected in up to 33.6% of inflammatory bowel disease (IBD) patients, often in absence of metabolic risk factors. Nevertheless, most of previous studies on such issue were conducted within the IBD population only. The primary aim of this study was to compare clinical and metabolic features of NAFLD in patients with and without IBD (w/o IBD) and to identify specific NAFLD phenotypes within the IBD population. Among 223 NAFLD patients, 78 patients with IBD were younger compared to 145 without (w/o) IBD, were less likely to have altered liver enzymes, had lower mean body weight, smaller waist circumference and lower body mass index (BMI); at the same time, MetS was more prevalent among patients w/o IBD (56...
January 24, 2018: Cell Death & Disease
https://www.readbyqxmd.com/read/29357049/multiple-small-bowel-perforations-due-to-invasive-aspergillosis-in-a-patient-with-acute-myeloid-leukemia-case-report-and-a-systematic-review-of-the-literature
#14
REVIEW
Gregorio Di Franco, Enrico Tagliaferri, Erica Pieroni, Edoardo Benedetti, Simone Guadagni, Matteo Palmeri, Niccolò Furbetta, Daniela Campani, Giulio Di Candio, Mario Petrini, Franco Mosca, Luca Morelli
PURPOSE: Invasive aspergillosis (IA) represents a major cause of morbidity and mortality in immunocompromised patients. Involvement of the gastrointestinal tract by Aspergillus is mostly reported as part of a disseminated infection from a primary pulmonary site and only rarely as an isolated organ infection. METHODS: We report a case of small bowel perforation due to IA in a patient with acute leukemia under chemotherapy and pulmonary aspergillosis. We performed a systematic review of the literature as well...
January 22, 2018: Infection
https://www.readbyqxmd.com/read/29345146/quantitative-contrast-enhanced-ultrasound-for-monitoring-vedolizumab-therapy-in-inflammatory-bowel-disease-patients-a-pilot-study
#15
Ruediger S Goertz, Daniel Klett, Dane Wildner, Raja Atreya, Markus F Neurath, Deike Strobel
Background Microvascularization of the bowel wall can be visualized and quantified non-invasively by software-assisted analysis of derived time-intensity curves. Purpose To perform software-based quantification of bowel wall perfusion using quantitative contrast-enhanced ultrasound (CEUS) according to clinical response in patients with inflammatory bowel disease treated with vedolizumab. Material and Methods In a prospective study, in 18 out of 34 patients, high-frequency ultrasound of bowel wall thickness using color Doppler flow combined with CEUS was performed at baseline and after 14 weeks of treatment with vedolizumab...
January 1, 2018: Acta Radiologica
https://www.readbyqxmd.com/read/29331357/differentiation-of-inflammatory-from-fibrotic-ileal-strictures-among-patients-with-crohn-s-disease-based-on-visual-analysis-feasibility-study-combining-conventional-b-mode-ultrasound-contrast-enhanced-ultrasound-and-strain-elastography
#16
Emilio Quaia, Antonio Giulio Gennari, Maria Assunta Cova, Edwin J R van Beek
The aim of this pilot study was to assess prospectively the feasibility of conventional B-mode ultrasound (US) and contrast-enhanced ultrasound (CEUS) combined with real-time strain elastography (SE) in the differentiation of inflammatory from fibrotic ileal strictures among patients with Crohn's disease (CD) based on visual analysis. Twenty non-consecutive patients (15 male and 5 female; mean age ± standard deviation, 40.2 ± 10.22 y) with CD and stricture of the terminal ileal loop were scanned by conventional B-mode US and CEUS and, subsequently, by real-time SE...
April 2018: Ultrasound in Medicine & Biology
https://www.readbyqxmd.com/read/29321104/neurectomy-for-anterior-cutaneous-nerve-entrapment-syndrome-in-children
#17
Lindsey B Armstrong, Pradeep Dinakar, David P Mooney
INTRODUCTION: Anterior cutaneous nerve entrapment syndrome (ACNES) is an underrecognized etiology of chronic abdominal pain that causes great morbidity to those affected. We sought to determine the outcome of neurectomy for ACNES in children. METHODS: Demographic and clinical data on children who underwent neurectomy for ACNES by a single surgeon from 10/2011 to 01/2017 were reviewed. RESULTS: Twenty-six patients underwent neurectomy for ACNES...
December 8, 2017: Journal of Pediatric Surgery
https://www.readbyqxmd.com/read/29260286/bowel-ultrasound-for-predicting-surgical-management-of-necrotizing-enterocolitis-a-systematic-review-and-meta-analysis
#18
Alain C Cuna, Nidhi Reddy, Amie L Robinson, Sherwin S Chan
BACKGROUND: Necrotizing enterocolitis (NEC) is a devastating inflammatory disease of the intestinal tract that represents a significant source of morbidity and mortality in preterm infants. Imaging of the abdomen is valuable for timely diagnosis and close monitoring of disease progression in NEC. Bowel ultrasound (US) is increasingly being recognized as an important imaging tool for evaluating NEC that provides additional detail than plain abdominal radiographs. OBJECTIVE: To identify bowel US findings associated with surgical management or death in infants with NEC...
December 19, 2017: Pediatric Radiology
https://www.readbyqxmd.com/read/29260278/role-of-contrast-enhanced-ultrasound-in-evaluation-of-the-bowel
#19
Alexandra Medellin, Christina Merrill, Stephanie R Wilson
Contrast-enhanced ultrasound (CEUS) of the gastrointestinal tract provides vascular information helpful for characterizing masses and other pathologies in and around the bowel, similar to contrast applications in other solid organs. However, the use of microbubble contrast agents for the bowel provides additional unique contributions as it gives both subjective and objective information about mural and mesenteric blood flow, invaluable for the determination of disease activity in those many patients affected by inflammatory bowel disease (IBD)...
December 19, 2017: Abdominal Radiology
https://www.readbyqxmd.com/read/29206754/abdominal-ultrasound-does-not-reveal-significant-alterations-in-patients-with-nonceliac-wheat-sensitivity
#20
Maurizio Soresi, Pasquale Mansueto, Antonino Terranova, Alberto D'Alcamo, Francesco La Blasca, Francesca Cavataio, Rosario Iacobucci, Antonio Carroccio
GOALS: The goal of this study was (A) to evaluate abdominal ultrasound signs in nonceliac wheat sensitivity (NCWS) patients for features useful in diagnosis and (B) to compare these aspects with those of celiac patients to assess whether ultrasound can be useful in the differential diagnosis between NCWS and celiac disease (CD). BACKGROUND: NCWS diagnosis is difficult as no biomarkers of this condition have as yet been identified. In CD ultrasound aspects have been identified that have a good diagnostic accuracy...
December 4, 2017: Journal of Clinical Gastroenterology
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