Clinical Application of Intestinal Ultrasound in Inflammatory Bowel Disease

被引：5
作者：
Krugliak Cleveland N. [1 ]
St-Pierre J. [1 ]
Kellar A. [1 ]
Rubin D.T. [1 ]
机构：
[1] Inflammatory Bowel Disease Center, University of Chicago, 5841 S. Maryland Ave MC 4076, Chicago, 60637, IL
来源：
Current Gastroenterology Reports | 2024年 / 26卷 / 2期
关键词：
Clinical application; Crohn’s disease; Disease monitoring; Inflammatory bowel disease; Intestinal ultrasound; Ulcerative colitis;
D O I：
10.1007/s11894-024-00915-x
中图分类号：
学科分类号：
摘要：
Purpose of Review: Intestinal ultrasound (IUS) is a non-invasive, accurate, and well-tolerated tool that provides real-time assessment of inflammatory bowel disease (IBD) activity and is therefore an ideal monitoring tool. This review describes the evolving role of IUS in each phase of clinical management of IBD. Recent Findings: Accumulating evidence has demonstrated that IUS is an excellent tool for the assessment of suspected IBD, with a very high negative predictive value. It accurately assesses disease activity, disease complications, and in the pre-treatment phase, provides a benchmark for subsequent follow-up. IUS can detect early therapeutic response and correlates well with other established monitoring modalities with arguably superior predictive capabilities and ability to assess a deeper degree of remission, transmural healing (TH). Summary: IUS has a crucial role in the management of IBD and has ushered in a new era of monitoring with more rapid evaluation and the opportunity for early optimization, deeper therapeutic targets, and improved outcomes. © The Author(s), under exclusive licence to Springer Science+Business Media, LLC, part of Springer Nature 2024.
引用
收藏
页码：31 / 40
页数：9
相关论文
共 67 条
  • [1] Rajagopalan A., Sathananthan D., An Y.K., Et al., Gastrointestinal ultrasound in inflammatory bowel disease care: Patient perceptions and impact on disease-related knowledge, JGH Open, 4, 2, pp. 267-272, (2020)
  • [2] Hudson A.S., Huynh H.Q., Novak K.L., Et al., Pediatric Patient and Caregiver Satisfaction With the Use of Transabdominal Bowel Ultrasound in the Assessment of Inflammatory Bowel Diseases, J Pediatr Gastroenterol Nutr, 76, 1, pp. 33-37, (2023)
  • [3] Maaser C., Petersen F., Helwig U., Et al., Intestinal ultrasound for monitoring therapeutic response in patients with ulcerative colitis: results from the TRUST&UC study, Gut, 69, 9, pp. 1629-1636, (2020)
  • [4] Ilvemark J., Wilkens R., Thielsen P., Et al., Early Intestinal Ultrasound Predicts Intravenous Corticosteroid Response in Hospitalised Patients With Severe Ulcerative Colitis, J Crohns Colitis, 16, 11, pp. 1725-1734, (2022)
  • [5] Horsthuis K., Bipat S., Bennink R.J., Stoker J., Inflammatory bowel disease diagnosed with US, MR, scintigraphy, and CT: meta-analysis of prospective studies, Radiology, 247, 1, pp. 64-79, (2008)
  • [6] Krugliak Cleveland N., Picker E.A., Choi N.K., Friedberg S., Monitoring IBD by Intestinal Ultrasound Decreases Time to Treatment Change and Time to Remission in Comparison to Conventional Management, (2023)
  • [7] Friedman A.B., Asthana A., Knowles S.R., Robbins A., Gibson P.R., Effect of point-of-care gastrointestinal ultrasound on decision-making and management in inflammatory bowel disease, Aliment Pharmacol Ther, 54, 5, pp. 652-666, (2021)
  • [8] Parente F., Greco S., Molteni M., Et al., Oral contrast enhanced bowel ultrasonography in the assessment of small intestine Crohn's disease. A prospective comparison with conventional ultrasound, x ray studies, and ileocolonoscopy, Gut, 53, 11, pp. 1652-1657, (2004)
  • [9] Calabrese E., La Seta F., Buccellato A., Et al., Crohn's disease: a comparative prospective study of transabdominal ultrasonography, small intestine contrast ultrasonography, and small bowel enema, Inflamm Bowel Dis, 11, 2, pp. 139-145, (2005)
  • [10] Pallotta N., Vetuschi A., Vincoli G., Sferra R., Pompili S., Montesani C., Chirletti P., Gaudio E., Corazziari E.S., P165 Small intestine contrast ultrasonography (SICUS) for the assessment of intestinal strictures in Crohn's disease: A prospective comparative study vs pathological histological morphometric findings, J Crohns Colitis, 6, 1, (2012)
1234567