Ultrasonographic evaluation of the bowel wall in inflammatory bowel disease: Comparison of in vivo and in vitro studies

Hata, Jiro; Haruma, Ken; Yamanaka, Hidetaka; Fujimura, Jiro; Yoshihara, Masaharu; Shimamoto, Takehiro; Sumii, Koji; Kajiyama, Goro; Yokoyama, Takashi

doi:10.1007/bf00206922

Cited by 86 publications

(42 citation statements)

References 11 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…Mural thickening is fairly easy to recognize due to the luminal collapse [6]. Measurement is carefully made with callipers (from mucosa to serosa) in a transverse section [7], and a thickness >3 mm is considered abnormal [8]. The wall thickening is graded as mild (>3-6 mm), moderate (>6-9 mm) or severe (>9 mm).…”

Section: Systematic Ultrasonographic Approachmentioning

confidence: 99%

See 1 more Smart Citation

Sonographic diagnosis of colitis in children

et al. 2004

View full text Add to dashboard Cite

To assist the radiologist in differentiating the colitis in children, this review proposes a systematic US approach to the disease, presents the US aspect of the normal colon and describes three distinctive US patterns reflecting the intramural extension of the histopathological changes. Each pattern corresponds to one or several diseases producing alterations in the same layer(s). Stratified thickening suggests an inflammatory mucosal process resulting from infection (as in advanced appendicitis or in infectious colitis) or to inflammation (as in IBD). Nonstratified thickening with loss of the haustral folds reflects a marked submucosal infiltrate. Color Doppler is required to distinguish between an inflammatory disease (as advanced CD or neutropenic colitis) and an ischemic colitis (HUS in children). Nonstratified thickening with preservation of the length of the haustral folds is the sign of an intraluminal deposit due to PMC. Correlating the sonographic pattern and the anatomic distribution of the disease with the clinical and laboratory findings often permits to propose a specific diagnosis.

show abstract

Section: Systematic Ultrasonographic Approachmentioning

confidence: 99%

“…Stratified bowel wall thickening is suggestive of an inflammatory process [10] affecting mainly the mucosa [8,16] (Table 1). The mural thickening is always mild or moderate.…”

Section: Histosonographic Correlationsmentioning

confidence: 99%

Sonographic diagnosis of colitis in children

et al. 2004

View full text Add to dashboard Cite

show abstract

“…10,11 The loss of one or more layers, which is attributed to both edema and fibrosis, may be imaged by both standard bowel wall sonography and by hydrosonography. 32,33 Patients with more active disease are more likely to show loss of stratification as well as patients with increased erythrocyte sedimentation rate (ESR) and C-reactive protein (CRP) in their laboratory blood tests. 33 Additional sonographic findings associated with CD include abdominal fluid, the presence of mesenteric lymph nodes, bowel stenosis, mesenteric inflammation, fistulas, and abscesses.…”

Section: Diagnosismentioning

confidence: 99%

Sonographic Findings in a Case of Crohn Disease

Bagley

Hughes

2012

Journal of Diagnostic Medical Sonography

View full text Add to dashboard Cite

Crohn disease (CD) is an immune-induced inflammation of all layers in the gastrointestinal (GI) tract. Although it can potentially affect any area of the GI tract from the esophagus to the anus, it predominantly affects the small bowel at the terminal ileum and the colon. It typically occurs in younger patients in their teens and 20s, although diagnosis has been seen as young as age 5 and in patients older than 40. 1,2 There is evidence that the incidence of CD is rising worldwide, particularly in the pediatric popuation. 3,4 Crohn disease is incurable and requires frequent follow-up with diagnostic imaging because it features unpredictable periods of active disease and, when active, has serious complications. Sonography has become an important aid in the diagnosis of CD as well as monitoring the disease process.

show abstract

“…Based on the measurements of bowel wall thickness on a segment-by-segment analysis, their data are really promising as were those from Worlicek et al [2], Dubbins [3], and many others [4][5]. Because we are also personally involved in the promotion of high-resolution sonography (HRS) in gastrointestinal (GI) disease [6], writing a positive commentary about these studies to highlight the advantages of ultrasonography (US) and convince readers that limitations are few is appropriate and logical.…”

mentioning

confidence: 99%