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SonoGeeks ABD bowel

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Stuart Taylor, Susan Mallett, Gauraang Bhatnagar, Stuart Bloom, Arun Gupta, Steve Halligan, John Hamlin, Ailsa Hart, Antony Higginson, Ilan Jacobs, Sara McCartney, Steve Morris, Nicola Muirhead, Charles Murray, Shonit Punwani, Manuel Rodriguez-Justo, Andrew Slater, Simon Travis, Damian Tolan, Alastair Windsor, Peter Wylie, Ian Zealley
BACKGROUND: Crohn's disease (CD) is a lifelong, relapsing and remitting inflammatory condition of the intestine. Medical imaging is crucial for diagnosis, phenotyping, activity assessment and detecting complications. Diverse small bowel imaging tests are available but a standard algorithm for deployment is lacking. Many hospitals employ tests that impart ionising radiation, of particular concern to this young patient population. Magnetic resonance enterography (MRE) and small bowel ultrasound (USS) are attractive options, as they do not use ionising radiation...
2014: BMC Gastroenterology
A Reginelli, Ea Genovese, S Cappabianca, F Iacobellis, D Berritto, P Fonio, F Coppolino, R Grassi
BACKGROUND: Intestinal ischemia is an abdominal emergency that accounts for approximately 2% of gastrointestinal illnesses. It represents a complex of diseases caused by impaired blood perfusion to the small and/or large bowel including acute arterial mesenteric ischemia (AAMI), acute venous mesenteric ischemia (AVMI), non occlusive mesenteric ischemia (NOMI), ischemia/reperfusion injury (I/R), ischemic colitis (IC). In this study different study methods (US, CT) will be correlated in the detection of mesenteric ischemia imaging findings due to various etiologies...
July 15, 2013: Critical Ultrasound Journal
Maria Antonietta Mazzei, Nevada Cioffi Squitieri, Susanna Guerrini, Amato Antonio Stabile Ianora, Lucio Cagini, Luca Macarini, Melchiore Giganti, Luca Volterrani
Acute diverticulitis (AD) results from inflammation of a colonic diverticulum. It is the most common cause of acute left lower-quadrant pain in adults and represents a common reason for acute hospitalization, as it affects over half of the population over 65 years with a prevalence that increases with age. Although 85% of colonic diverticulitis will recover with a nonoperative treatment, some patients may have complications such as abscesses, fistulas, obstruction, and /or perforation at presentation. For these reasons, different classifications were introduced through times to help clinicians to develop a correct diagnosis and guide the treatment and for the same reasons imaging is used in most cases both to realise a differential diagnosis and to guide the therapeutic management...
July 15, 2013: Critical Ultrasound Journal
Ff Coppolino, G Gatta, G Di Grezia, A Reginelli, F Iacobellis, G Vallone, M Giganti, Ea Genovese
Gastrointestinal tract perforations can occur for various causes such as peptic ulcer, inflammatory disease, blunt or penetrating trauma, iatrogenic factors, foreign body or a neoplasm that require an early recognition and, often, a surgical treatment.Ultrasonography could be useful as an initial diagnostic test to determine, in various cases the presence and, sometimes, the cause of the pneumoperitoneum.The main sonographic sign of perforation is free intraperitoneal air, resulting in an increased echogenicity of a peritoneal stripe associated with multiple reflection artifacts and characteristic comet-tail appearance...
July 15, 2013: Critical Ultrasound Journal
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