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20.12.2024 | Chronisch-entzündliche Darmerkrankungen | Schwerpunkt: Chronisch-entzündliche Darmerkrankungen

Bildgebung bei chronisch-entzündlichen Darmerkrankungen

verfasst von: Prof. Dr. Christoph F. Dietrich, Dr. Kathleen Möller

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Zusammenfassung

Bei chronisch-entzündlichen Darmerkrankungen werden zur Bildgebung in erster Linie endoskopische Techniken sowie Ultraschall (US), Computertomographie (CT) und Magnetresonanztomographie (MRT) eingesetzt. Bei der CT und bei konventionellen Röntgenverfahren ist die Strahlenbelastung zu beachten. Vor allem Ultraschall und MRT haben die Routinediagnostik von Darmerkrankungen verändert. Mit US, CT und MRT werden nicht nur das Lumen, sondern auch die Wand und die umgebenden Strukturen des Magen-Darm-Trakts beurteilt. Darüber hinaus können funktionelle Prozesse visualisiert werden, was wichtige Informationen über Passage und Perfusion liefert, vor allem bei Anwendung der Echtzeittechnik Ultraschall. CT und MRT werden in der Regel mit Kontrastmittelanwendung durchgeführt („contrast-enhanced“ CT [CECT] und MRT [CEMRT]). Die Sonographie wird primär konventionell als B‑Bild- und Farbdopplersonographie genutzt. Die intravasale und/oder extravasale intrakavitäre Kontrastmittelanwendung („contrast-enhanced ultrasound“ [CEUS]) erfolgt bei bestimmten Indikationen. Der vorliegende Beitrag diskutiert den Einsatz der angesprochenen bildgebenden Verfahren.

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Titel: Bildgebung bei chronisch-entzündlichen Darmerkrankungen
verfasst von: Prof. Dr. Christoph F. Dietrich
Dr. Kathleen Möller
Publikationsdatum: 20.12.2024
Verlag: Springer Medizin
Schlagwörter: Chronisch-entzündliche Darmerkrankungen
Computertomografie
Computertomografie
Morbus Crohn
Magnetresonanztomografie
Magnetresonanztomografie
Colitis ulcerosa
Endoskopie
Innere Medizin
Erschienen in: Die Innere Medizin
Print ISSN: 2731-7080
Elektronische ISSN: 2731-7099
DOI: https://doi.org/10.1007/s00108-024-01831-y

Magen-Darm-Erkrankungen in der Hausarztpraxis

Häufige gastrointestinale Krankheiten in der niedergelassenen Praxis sind Thema in diesem aufgezeichneten MMW-Webinar. Welche Differenzialdiagnosen bei Oberbauchbeschwerden sollten Sie kennen? Wie gelingt eine erfolgreiche probiotische Behandlung bei Reizdarm? Welche neuen Entwicklungen und praktischen Aspekte gibt es bei Diagnostik und Behandlung der chronisch entzündlichen Darmerkrankungen?

Springer Medizin

Zusammenfassung

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Magen-Darm-Erkrankungen in der Hausarztpraxis