The Use of Endoscopic Ultrasonography in Inflammatory Bowel Disease: A Review of the Literature

Statie, Răzvan-Cristian; Florescu, Dan Nicolae; Gheonea, Dan-Ionuţ; Ungureanu, Bogdan Silviu; Iordache, Sevastiţa; Rogoveanu, Ion; Ciurea, Tudorel

doi:10.3390/diagnostics13030568

Cited by 8 publications

(6 citation statements)

References 63 publications

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“…Mainly used for adult assessments, endoscopic ultrasound (EUS) has thus far been focused on pancreatic and biliary tree disease. The use of EUS in IBD has been limited mainly to assess bowel wall thickness[ 15 ] as well as perianal fistula tracts[ 9 , 16 , 17 ]. Similar to perineal US, its use to assess perianal fistulas and transmural inflammation, with the advantage of timing during colonoscopy, is an important area for further exploration.…”

Section: Imagingmentioning

confidence: 99%

“…Similar to perineal US, its use to assess perianal fistulas and transmural inflammation, with the advantage of timing during colonoscopy, is an important area for further exploration. It may also be a helpful adjunct in guiding a surgical EUA and avoiding delay of the EUA by skipping the need for a preoperative pelvic MRI[ 17 , 18 ]. Future research is also needed to learn more about the EUS measurement of bowel wall thickness, similarly to IUS, and if this could help risk stratification or prognostication of patients at the time of their endoscopy.…”

Section: Imagingmentioning

confidence: 99%

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Imaging and endoscopic tools in pediatric inflammatory bowel disease: What’s new?

Hudson,

Wahbeh,

Zheng

2024

World J Clin Pediatr

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Pediatric inflammatory bowel disease (IBD) is a chronic inflammatory disorder, with increasing incidence and prevalence worldwide. There have been recent advances in imaging and endoscopic technology for disease diagnosis, treatment, and monitoring. Intestinal ultrasound, including transabdominal, transperineal, and endoscopic, has been emerging for the assessment of transmural bowel inflammation and disease complications (e.g., fistula, abscess). Aside from surgery, IBD-related intestinal strictures now have endoscopic treatment options including through-the-scope balloon dilatation, injection, and needle knife stricturotomy and new evaluation tools such as endoscopic functional lumen imaging probe. Unsedated transnasal endoscopy may have a role in patients with upper gastrointestinal Crohn’s disease or those with IBD with new upper gastrointestinal symptoms. Improvements to dysplasia screening in pediatric patients with longstanding colonic disease or primary sclerosing cholangitis hold promise with the addition of virtual chromoendoscopy and ongoing research in the field of artificial intelligence-assisted endoscopic detection. Artificial intelligence and machine learning is a rapidly evolving field, with goals of further personalizing IBD diagnosis and treatment selection as well as prognostication. This review summarized these advancements, focusing on pediatric patients with IBD.

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Section: Imagingmentioning

confidence: 99%

Section: Imagingmentioning

confidence: 99%

Imaging and endoscopic tools in pediatric inflammatory bowel disease: What’s new?

Hudson,

Wahbeh,

Zheng

2024

World J Clin Pediatr

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“…A more recent meta-analysis favored ERUS for inter-sphincteric and trans-sphincteric fistula identification and MRI for supra-elevator and extra-sphincteric fistulas [149]. ERUS, MRI, and EUA might be seen as complementary tools [150]. Fistulas are described according to Park's classification and appear as a hypoechoic linear interruption of structures, often harboring hyperechoic spots, which represent gas bubbles and can be enhanced by the instillation of hydrogen peroxide [151].…”

Section: Inflammatory Bowel Disease (Ibd) and Anal Incontinencementioning

confidence: 99%

Diagnostic Endoscopic Ultrasound (EUS) of the Luminal Gastrointestinal Tract

Impellizzeri,

Donato,

De Angelis

et al. 2024

Diagnostics

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The purpose of this review is to focus on the diagnostic endoscopic ultrasound of the gastrointestinal tract. In the last decades, EUS has gained a central role in the staging of epithelial and sub-epithelial lesions of the gastrointestinal tract. With the evolution of imaging, the position of EUS in the diagnostic work-up and the staging flow-chart has continuously changed with two extreme positions: some gastroenterologists think that EUS is absolutely indispensable, and some think it is utterly useless. The truth is, as always, somewhere in between the two extremes. Analyzing the most up-to-date and strong evidence, we will try to give EUS the correct position in our daily practice.

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“…The recent introduction of POCUS in the Endoscopic Point of Care Ultrasound form of intraabdominal ultrasound to the office visits of IBD patients has provided convincing preliminary data and has resulted in the creation of guidelines to allow extension of this technique (see below). However, incorporation of EUS into the serial colonoscopies performed on IBD patients should be able to complement the traditional abdominal wall ultrasounds 36 .…”

Section: Roles For Endoscopic Ultrasound In Inflammatory Bowel Diseasementioning

confidence: 99%

Endoscopic Point of Care Ultrasound: Foundations, Present Applications, Future Potentials

Rabinowitz,

Sharma,

Grossman

2023

MRAJ

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Introduction: The present review details the evolution of endoscopic ultrasound, the acquisition of subepithelial imaging of the gastrointestinal tract during endoscopy, in pediatrics. Similar to its use in adults, the majority of its present applications involve obtaining fluid and or tissue for diagnosis. Simultaneously, the indications for point of care ultrasound, in which physicians caring for a patient personally obtains images which can be incorporated immediately into diagnosis and management, are also expanding. A history of endoscopic ultrasound from its inception to its current utilization is presented. The data reflecting its successful current employment as the procedure of choice to analyze and drain pancreatic cysts, to diagnose biliary tract and pancreatic diseases, to direct subepithelial biopsies, and to evaluate gastrointestinal tumors as well as less common gastrointestinal pathologies, is summarized with an emphasis on pediatric studies. In addition, the recent expansion of point of care ultrasound and endoscopic ultrasound to yield images to analyze subepithelial pathology including fibrosis in eosinophilic esophagitis and in inflammatory bowel disease is highlighted. A brief summary of the challenges, range of instruments, costs, and safety provides the reader with the background to fully appreciate this emerging technique. Finally, there is an overview of exciting new developments that will further extend its indications. Conclusions: With anticipated improvements including better resolution of endoscopic ultrasound probes, the routine incorporation of point of care elastography and contrast enhanced ultrasound, and the potential of artificial intelligence to provide more reproducible and uniform analysis of endosonographic images, new indications are anticipated to enable endoscopic point of care ultrasound, E-POCUS, to further improve patient care in the near future

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The Use of Endoscopic Ultrasonography in Inflammatory Bowel Disease: A Review of the Literature

Cited by 8 publications

References 63 publications

Imaging and endoscopic tools in pediatric inflammatory bowel disease: What’s new?

Imaging and endoscopic tools in pediatric inflammatory bowel disease: What’s new?

Diagnostic Endoscopic Ultrasound (EUS) of the Luminal Gastrointestinal Tract

Endoscopic Point of Care Ultrasound: Foundations, Present Applications, Future Potentials

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