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Pediatric Radiology
Erschienen in: Pediatric Radiology 11/2007

01.11.2007 | Minisymposium

Ultrasonography of Crohn disease in children

verfasst von: Marianne Alison, Ahmed Kheniche, Robin Azoulay, Sandrine Roche, Guy Sebag, Nadia Belarbi

Erschienen in: Pediatric Radiology | Ausgabe 11/2007

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Abstract

US is increasingly performed in Crohn disease (CD) in children as a first line imaging modality. It reduces the use of other more invasive examinations such as endoscopy, CT or contrast enema. We describe bowel ultrasonography technique, normal bowel appearances on US and pathological patterns in CD. We discuss the current role and limitations of bowel US in CD in children including diagnosis, extent of disease, assessment of disease activity, follow-up and detection of complications. The diagnostic accuracy of US is discussed according to the literature and compared to other imaging modalities. US is currently used for screening in children with the suspicion of inflammatory bowel disease (IBD) with a good negative predictive value. In follow-up, US has a role in monitoring medical treatment by evaluating disease activity, extent of disease and for detecting complications.
Literatur
1.
Kim SC, Ferry GD (2004) Inflammatory bowel diseases in paediatric and adolescent patients: clinical, therapeutic, and psychosocial considerations. Gastroenterology 126:1550–1560PubMedCrossRef
2.
Schmidt T, Hohl C, Haage P et al (2005) Phase-inversion tissue harmonic imaging compared to fundamental B-mode ultrasound in the evaluation of the pathology of large and small bowel. Eur Radiol 15:2021–2030PubMedCrossRef
3.
Tarjan Z, Toth G, Gyorke T et al (2000) Ultrasound in Crohn’s disease of the small bowel. Eur J Radiol 35:176–182PubMedCrossRef
4.
Kimmey MB, Martin RW, Haggitt RC et al (1989) Histologic correlates of gastrointestinal ultrasound images. Gastroenterology 96:433–441PubMed
5.
Valette PJ, Rioux M, Pilleul F et al (2001) Ultrasonography of chronic inflammatory bowel diseases. Eur Radiol 11:1859–1866PubMedCrossRef
6.
Faure C, Belarbi N, Mougenot JF et al (1997) Ultrasonographic assessment of inflammatory bowel disease in children: comparison with ileocolonoscopy. J Pediatr 130:147–151PubMedCrossRef
7.
Haber HP, Busch A, Ziebach R et al (2002) Ultrasonographic findings correspond to clinical, endoscopic, and histologic findings in inflammatory bowel disease and other enterocolitides. J Ultrasound Med 21:375–382PubMed
8.
Auvin S, Molinie F, Gower Rousseau C et al (2005) Incidence, clinical presentation and location at diagnosis of pediatric inflammatory bowel disease: a prospective population based study in Northern France (1988–199). J Pediatr Gastroenterol Nutr 41: 49–55
9.
Dinkel E, Dittrich M, Peters H et al (1986) Real-time ultrasound in Crohn’s disease: characteristic features and clinical implications. Pediatr Radiol 16:8–12PubMedCrossRef
10.
Fraquelli M, Colli A, Casazza G et al (2005) Role of US in detection of Crohn disease: meta-analysis. Radiology 236:95–101PubMedCrossRef
11.
Canani RB, de Horatio LT, Terrin G et al (2006) Combined use of noninvasive tests is useful in the initial diagnostic approach to a child with suspected inflammatory bowel disease. J Pediatr Gastroenterol Nutr 42:9–15PubMedCrossRef
12.
Borthne AS, Abdelnoor M, Rugtveit J et al (2006) Bowel magnetic resonance imaging of pediatric patients with oral mannitol MRI compared to endoscopy and intestinal ultrasound. Eur Radiol 16:207–214PubMedCrossRef
13.
Bremner AR, Pridgeon J, Fairhurst J et al (2004) Ultrasound scanning may reduce the need for barium radiology in the assessment of small-bowel Crohn’s disease. Acta Paediatr 93:479–481PubMedCrossRef
14.
Ripolles T, Martinez MJ, Morote V et al (2006) Appendiceal involvement in Crohn’s disease: gray-scale sonography and color Doppler flow features. AJR 186:1071–1078PubMedCrossRef
15.
Calabrese E, La Seta F, Buccellato A et al (2005) Crohn’s disease: a comparative prospective study of transabdominal ultrasonography, small intestine contrast ultrasonography, and small bowel enema. Inflamm Bowel Dis 11:139–145PubMedCrossRef
16.
Pallotta N, Tomei E, Viscido A et al (2005) Small intestine contrast ultrasonography: an alternative to radiology in the assessment of small bowel disease. Inflamm Bowel Dis 11:146–153PubMedCrossRef
17.
Parente F, Greco S, Molteni M et al (2004) 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 53:1652–1657PubMedCrossRef
18.
Parente F, Greco S, Molteni M et al (2003) Role of early ultrasound in detecting inflammatory intestinal disorders and identifying their anatomical location within the bowel. Aliment Pharmacol Ther 18:1009–1016PubMedCrossRef
19.
Potthast S, Rieber A, Von Tirpitz C et al (2002) Ultrasound and magnetic resonance imaging in Crohn’s disease: a comparison. Eur Radiol 12:1416–1422PubMedCrossRef
20.
Haber HP, Busch A, Ziebach R et al (2000) Bowel wall thickness measured by ultrasound as a marker of Crohn’s disease activity in children. Lancet 355:1239–1240PubMedCrossRef
21.
Ruess L, Blask AR, Bulas DI et al (2000) Inflammatory bowel disease in children and young adults: correlation of sonographic and clinical parameters during treatment. AJR 175:79–84PubMed
22.
Spalinger J, Patriquin H, Miron MC et al (2000) Doppler US in patients with Crohn disease: vessel density in the diseased bowel reflects disease activity. Radiology 217:787–791PubMed
23.
Yekeler E, Danalioglu A, Movasseghi B et al (2005) Crohn disease activity evaluated by Doppler ultrasonography of the superior mesenteric artery and the affected small-bowel segments. J Ultrasound Med 24:59–65PubMed
24.
Miao YM, Koh DM, Amin Z et al (2002) Ultrasound and magnetic resonance imaging assessment of active bowel segments in Crohn’s disease. Clin Radiol 57:913–918PubMedCrossRef
25.
van Oostayen JA, Wasser MN, van Hogezand RA et al (1997) Doppler sonography evaluation of superior mesenteric artery flow to assess Crohn’s disease activity: correlation with clinical evaluation, Crohn’s disease activity index, and alpha 1-antitrypsin clearance in feces. AJR 168:429–433PubMed
26.
Scholbach T, Herrero I, Scholbach J (2004) Dynamic color Doppler sonography of intestinal wall in patients with Crohn disease compared with healthy subjects. J Pediatr Gastroenterol Nutr 39:524–528PubMedCrossRef
27.
Robotti D, Cammarota T, Debani P et al (2004) Activity of Crohn disease: value of Color-Power-Doppler and contrast-enhanced ultrasonography. Abdom Imaging 29:648–652PubMedCrossRef
28.
Di Sabatino A, Fulle I, Ciccocioppo R et al (2002) Doppler enhancement after intravenous levovist injection in Crohn’s disease. Inflamm Bowel Dis 8:251–257PubMedCrossRef
29.
Rapaccini GL, Pompili M, Orefice R et al (2004) Contrast-enhanced power doppler of the intestinal wall in the evaluation of patients with Crohn disease. Scand J Gastroenterol 39:188–194PubMedCrossRef
30.
Castiglione F, de Sio I, Cozzolino A et al (2004) Bowel wall thickness at abdominal ultrasound and the one-year-risk of surgery in patients with Crohn’s disease. Am J Gastroenterol 99:1977–1983PubMedCrossRef
31.
Hirche TO, Russler J, Schroder O et al (2002) The value of routinely performed ultrasonography in patients with Crohn disease. Scand J Gastroenterol 37:1178–1183PubMedCrossRef
32.
Maconi G, Sampietro GM, Cristaldi M et al (2001) Preoperative characteristics and postoperative behavior of bowel wall on risk of recurrence after conservative surgery in Crohn’s disease: a prospective study. Ann Surg 233:345–352PubMedCrossRef
33.
DiCandio G, Mosca F, Campatelli A et al (1986) Sonographic detection of postsurgical recurrence of Crohn disease. AJR 146:523–526PubMed
34.
Andreoli A, Cerro P, Falasco G et al (1998) Role of ultrasonography in the diagnosis of postsurgical recurrence of Crohn’s disease. Am J Gastroenterol 93:1117–1121PubMedCrossRef
35.
Maconi G, Bollani S, Bianchi Porro G (1996) Ultrasonographic detection of intestinal complications in Crohn’s disease. Dig Dis Sci 41:1643–1648PubMedCrossRef
36.
Maconi G, Radice E, Greco S et al (2006) Bowel ultrasound in Crohn’s disease. Best Pract Res Clin Gastroenterol 20:93–112PubMedCrossRef
37.
Kratzer W, von Tirpitz C, Mason R et al (2002) Contrast-enhanced power Doppler sonography of the intestinal wall in the differentiation of hypervascularized and hypovascularized intestinal obstructions in patients with Crohn’s disease. J Ultrasound Med 21:149–157PubMed
38.
Gasche C, Moser G, Turetschek K et al (1999) Transabdominal bowel sonography for the detection of intestinal complications in Crohn’s disease. Gut 44:112–117PubMedCrossRef
39.
Maconi G, Sampietro GM, Parente F et al (2003) Contrast radiology, computed tomography and ultrasonography in detecting internal fistulas and intra-abdominal abscesses in Crohn’s disease: a prospective comparative study. Am J Gastroenterol 98:1545–1555PubMedCrossRef
40.
Esteban JM, Aleixandre A, Hurtado MJ et al (2003) Contrast-enhanced power Doppler ultrasound in the diagnosis and follow-up of inflammatory abdominal masses in Crohn’s disease. Eur J Gastroenterol Hepatol 15:253–259PubMedCrossRef
Metadaten
Titel
Ultrasonography of Crohn disease in children
verfasst von
Marianne Alison
Ahmed Kheniche
Robin Azoulay
Sandrine Roche
Guy Sebag
Nadia Belarbi
Publikationsdatum
01.11.2007
Verlag
Springer-Verlag
Erschienen in
Pediatric Radiology / Ausgabe 11/2007
Print ISSN: 0301-0449
Elektronische ISSN: 1432-1998
DOI
https://doi.org/10.1007/s00247-007-0559-1

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