Ultrasound diagnostics of bowel diseases in adults

Smereczyński, Andrzej; Kołaczyk, Katarzyna

doi:10.15557/pimr.2015.0013

Cited by 3 publications

(12 citation statements)

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“…The exception is emergency cases [ 11 ]. Patients undergoing this examination should also avoid laxatives and anti-flatulence medication prior to the procedure, in order to prevent false-positive and false-negative results [ 7 ]. Continuous, gradual compression of the intestines with the ultrasound transducer also helps to eliminate the air from the intestinal lumen, providing better visibility [ 5 , 8 , 11 ].…”

Section: Ultrasound Techniquesmentioning

confidence: 99%

“…The ultrasound conventional greyscale image allows the visualisation of the five layers of the bowel: the border between the lumen and mucous membrane – hyperechogenic, the mucous membrane – hypoechogenic, the submucous membrane – hyperechogenic, the muscle layer (or the muscle membrane proper) – hypoechogenic, the serous membrane – hyperechogenic [ 7 , 8 , 10 , 12 ]. The main ultrasound criteria used in the evaluation of the bowel inflammation is the thickness of the intestinal wall, which according to different studies should be in normal condition up to 3–4 mm in the small intestine and up to 4–5 mm in the colon [ 2 , 4 , 7 , 8 , 12 ]. The thickening of the intestinal wall is present in many pathological conditions, such as: Crohn’s disease, ulcerative colitis, intestinal ischaemia, neoplastic lesions, or amyloidosis [ 7 , 8 ].…”

Section: Ultrasound Techniquesmentioning

confidence: 99%

“…The main ultrasound criteria used in the evaluation of the bowel inflammation is the thickness of the intestinal wall, which according to different studies should be in normal condition up to 3–4 mm in the small intestine and up to 4–5 mm in the colon [ 2 , 4 , 7 , 8 , 12 ]. The thickening of the intestinal wall is present in many pathological conditions, such as: Crohn’s disease, ulcerative colitis, intestinal ischaemia, neoplastic lesions, or amyloidosis [ 7 , 8 ]. This finding is often accompanied by diminished compressibility of thickened bowel loops.…”

Section: Ultrasound Techniquesmentioning

confidence: 99%

“…This finding is often accompanied by diminished compressibility of thickened bowel loops. The intestinal ultrasound examination also involves the assessment of the echogenicity of intestinal layers, haustration, intestinal motility, presence of perivisceral fluid, inflamed perivisceral fatty tissue, and enlarged mesenteric lymph nodes (> 10 mm in length) [ 5 , 7 , 12 ].…”

Section: Ultrasound Techniquesmentioning

confidence: 99%

“…Being a safe, fast, inexpensive imaging method with high sensitivity and specificity, it is commonly used in European countries, such as Italy and Germany, especially for the diagnosis and monitoring of inflammatory bowel diseases (IBD) [ 1 – 6 ]. The performance of the intestinal ultrasound can be improved by the use of intraluminal or intravenous contrast media [ 4 , 7 , 8 ]. However, this method remains limited in many other countries, mostly because of lack of awareness and lack of expertise [ 9 ].…”

Section: Introductionmentioning

confidence: 99%

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The role of intestinal ultrasound in diagnostics of bowel diseases

Andrzejewska

Grzymisławski

2018

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Intestinal ultrasound is a safe and inexpensive method that allows visualisation of the gastrointestinal tract and detection of abnormalities. This examination involves the use of two different ultrasound transducers: a low-frequency convex probe and high-frequency linear probe. When needed, the performance of these methods can be enhanced by the use of contrast media or Doppler techniques. Intestinal ultrasound is mostly utilised for the diagnosis and follow-up of patients with inflammatory bowel diseases, helping to avoid frequent use of invasive and expensive diagnostic procedures and leading to early implementation of suitable treatment. This technique can also serve to detect other pathologic conditions that are present in the gastrointestinal tract. It is a promising method with high sensitivity and specificity, which has gained popularity in recent years and has the potential to become the method of choice in the diagnostics of many intestinal disorders.

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Section: Ultrasound Techniquesmentioning

confidence: 99%

Section: Ultrasound Techniquesmentioning

confidence: 99%

Section: Ultrasound Techniquesmentioning

confidence: 99%

Section: Ultrasound Techniquesmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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The role of intestinal ultrasound in diagnostics of bowel diseases

Andrzejewska

Grzymisławski

2018

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Role of Abdominal Ultrasonography in Evaluation of Small and Large Bowel Lesions

Abdel‐Latif

Youssef

Khater

2023

Benha Journal of Applied Sciences

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Background: Ultrasonography [US] has been undervalued in most diagnostic imaging departments for assessing gastrointestinal [GI] illness. Until recently, ultrasound was only used to examine the rectum, anal sphincters, and surrounding tissues through endorectal or endovaginal imaging, and for the diagnosis of appendicitis.The purpose of this research was to evaluate the use of abdominal ultrasonography for detecting lesions in the gastrointestinal tract.Methods: This cross-sectional study was carried out in Benha University Hospital and Al-Ahrar teaching Hospital. 100 patients known to have intestinal diseases or with intestinal complaint. The duration of the study ranged from 6-12 months. Results: Final diagnosis of the different patients is illustrated in table [3]. Appendicular lesions were the most common findings in 31 patients [31%]; acute appendicitis in 20 patients [20%], appendicular abscess in 7 patients [7%] and mucocele of appendix in 4 patient [4%]. Tumours were detected in 26 patients [26%] of patients; colonic carcinoma in 26 patients [26%]. The Ultra-Sound findings of appendicitis were dilated tubular structure in 31 patients, non-compressible in 31 patients, aperistaltic structure in 31 patients, seen in the right iliac fossa region in 31 patients, adjacent free fluid in 21 patients, appendicular mass in 7 and Fecolith in 3 patient, no detected gangrenous appendicitis. The Ultra-Sound findings of the neoplastic lesions were abnormal internal vascularity in 20 patients, circumferential wall thickening seen in 17 patients, lumen narrowing seen in 17 patients only and polypoidal mass seen in 26 patients. Conclusion: Ultra-Sound is applicable in emergency diagnosis in cases of acute abdomen. Ultra-Sound has high diagnostic accuracy as confirmed with operative finding and / or histopathology and follow up. Ultra-Sound cause no health problems and can be repeated if medically indicated.

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Transabdominal bowel ultrasound as a method of primary diagnosis in acute bowel pathology: literature review and demonstration of clinical cases

Fedossina,

Kaybullaeva,

Dzhumabaeva

et al. 2023

BSK

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Currently, transabdominal ultrasound of the bowel is rarely used in daily routine practice to assess bowel condition due to the difficulty of its visualization, lack of awareness of specialists, and also due to the limited number of specialists who know the technique of bowel examination. Patients with acute bowel pathology seek emergency care in more than one third of cases. Gastrointestinal ultrasound is often used as the first imaging modality with good diagnostic accuracy in the setting of acute abdomen and may be the optimal diagnostic strategy in young women because of the radiation burden associated with X-ray and computer tomography scan. The clinician can examine the gastrointestinal tract in the area of greatest pain using ultrasound, thus obtaining more information and pathology data than standard physical examination. Intestinal ultrasound is mainly used for the diagnosis and monitoring of patients with inflammatory bowel disease, which helps to avoid the frequent use of invasive and expensive diagnostic procedures and leads to the early implementation of suitable treatment. This method can also serve to detect other pathological conditions present in the gastrointestinal tract. It is a promising method with high sensitivity and specificity, which has the advantage of being easily accessible, non-invasive, safe, due to the absence of ionising radiation and the need to use contrast agents. In addition, the advantage of this method is the reduction of diagnostic search, which allows the doctor to establish the diagnosis in a shorter time, as well as to reduce the patient’s expenses for expensive examinations.

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Ultrasound diagnostics of bowel diseases in adults

Cited by 3 publications

References 0 publications

The role of intestinal ultrasound in diagnostics of bowel diseases

The role of intestinal ultrasound in diagnostics of bowel diseases

Role of Abdominal Ultrasonography in Evaluation of Small and Large Bowel Lesions

Transabdominal bowel ultrasound as a method of primary diagnosis in acute bowel pathology: literature review and demonstration of clinical cases

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