共 59 条
Imaging of perianal Crohn's disease
被引:21
作者:

Ardizzone, S.
论文数: 0 引用数: 0
h-index: 0
机构:
Univ Hosp L Sacco, Dept Clin Sci, Milan, Italy Univ Hosp L Sacco, Dept Clin Sci, Milan, Italy

Maconi, G.
论文数: 0 引用数: 0
h-index: 0
机构:
Univ Hosp L Sacco, Dept Clin Sci, Milan, Italy Univ Hosp L Sacco, Dept Clin Sci, Milan, Italy

Cassinotti, A.
论文数: 0 引用数: 0
h-index: 0
机构:
Univ Hosp L Sacco, Dept Clin Sci, Milan, Italy Univ Hosp L Sacco, Dept Clin Sci, Milan, Italy

Massari, A.
论文数: 0 引用数: 0
h-index: 0
机构:
Univ Hosp L Sacco, Dept Clin Sci, Milan, Italy Univ Hosp L Sacco, Dept Clin Sci, Milan, Italy

Porro, G. Bianchi
论文数: 0 引用数: 0
h-index: 0
机构:
Univ Hosp L Sacco, Dept Clin Sci, Milan, Italy Univ Hosp L Sacco, Dept Clin Sci, Milan, Italy
机构:
[1] Univ Hosp L Sacco, Dept Clin Sci, Milan, Italy
关键词:
Crohn's disease;
CT;
diagnosis;
EUS;
fistula;
imaging;
MRI;
TPUS;
D O I:
10.1016/j.dld.2007.07.155
中图分类号:
R57 [消化系及腹部疾病];
学科分类号:
摘要:
Perianal fistulas and abscesses are common complications of Crohn's disease, affecting up to 50% of patients during their disease course. Accurate diagnosis and classification of perianal disease is crucial before and during treatment to plan an adequate approach for each patient and to avoid irreversible functional consequences. Although examination under anaesthesia has been considered the gold standard for diagnosis and classification of Crohn's disease perianal fistulas, taken alone it does not have perfect accuracy, stressing the need for concomitant or alternative, non-invasive, methods of evaluation. In this context, imaging modalities assessed for diagnosis, classification and monitoring of Crohn's disease perianal fistulas include pelvic magnetic resonance imaging, anorectal endoscopic ultrasonography, transcutaneous perianal ultrasound, fistulography and computed tomography. In particular, magnetic resonance imaging and endoscopic ultrasonography findings have shown the best accuracy, and the ability to influence therapeutic management of these patients. For transcutaneous perianal ultrasound too, good preliminary data have been reported. This paper reviews the available data on imaging methods for the management of perianal Crohn's disease. (C) 2007 Published by Elsevier Ltd on behalf of Editrice Gastroenterologica Italiana S.r.l.
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页码:970 / 978
页数:9
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