Bowel Thickening in Crohn's Disease: Fibrosis or Inflammation? Diagnostic Ultrasound Imaging Tools

被引：41

作者：

Coelho, Rosa ^{[1
]}

Ribeiro, Helena ^{[2
]}

Maconi, Giovanni ^{[3
]}

机构：

[1] Ctr Hosp Sao Joao, Dept Gastroenterol, Oporto, Portugal

[2] Amato Lusitano Hosp, Dept Gastroenterol, Castelo Branco, Portugal

[3] Univ Milan, Luigi Sacco Univ Hosp, Dept Biomed & Clin Sci, Gastrointestinal Unit, Milan, Italy

来源：

INFLAMMATORY BOWEL DISEASES | 2017年 / 23卷 / 01期

关键词：

bowel ultrasound; Crohn's disease; strictures; fibrotic; inflammatory; color and power Doppler ultrasonography; contrast-enhanced ultrasound; sonoelastography; CONTRAST-ENHANCED ULTRASOUND; COMPUTED-TOMOGRAPHY ENTEROCLYSIS; FILLED MICROBUBBLE INJECTION; COLOR DOPPLER SONOGRAPHY; INTESTINAL FIBROSIS; WALL VASCULARITY; ULTRASONOGRAPHIC EVALUATION; ABDOMINAL ULTRASOUND; SURGICAL PATHOLOGY; FINDINGS CORRELATE;

D O I：

10.1097/MIB.0000000000000997

中图分类号：

R57 [消化系及腹部疾病];

学科分类号：

摘要：

The high frequency of intestinal strictures in patients with Crohn's disease and the different treatment approaches specific for each type of stenosis make the differentiation between fibrotic and inflammatory strictures crucial in management of the disease. However, there is no standardized approach to evaluate and discriminate intestinal strictures, and until now, there was no established cross-sectional imaging modality to detect fibrosis. New techniques, such as contrast-enhanced ultrasound and sonoelastography allow the assessment of vascularization and mechanical properties of stenotic bowel tissue, respectively. These techniques have shown great potential to characterize strictures in Crohn's disease. The aim of this review is to sum up the current knowledge on bowel ultrasound tools to discriminate inflammatory from fibrotic stenosis in Crohn's disease considering the most recent published studies in the field.

引用

页码：23 / 34

页数：12

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