Ultrasonographic assessment of inflammatory bowel disease in children: Comparison with ileocolonoscopy

被引:68
作者
Faure, C [1 ]
Belarbi, N [1 ]
Mougenot, JF [1 ]
Besnard, M [1 ]
Hugot, JP [1 ]
Cezard, JP [1 ]
Hassan, M [1 ]
Navarro, J [1 ]
机构
[1] HOP ROBERT DEBRE, RADIOL UNIT, F-75019 PARIS, FRANCE
关键词
D O I
10.1016/S0022-3476(97)70325-1
中图分类号
R72 [儿科学];
学科分类号
100202 ;
摘要
Objectives: To determine the feasibility and value of transabdominal ultrasonography of the terminal ileum and colon of children with inflammatory bowel disease (IBD) and to compare the findings with those of ileocolonoscopy. Study design: Thirty-eight patients ranging in age from 4 to 18 years who underwent ileocolonoscopy for management of IBD or for diagnosis were studied prospectively. Twenty-one patients had Crohn disease, nine had ulcerative colitis, and eight served as control subjects. Transabdominal ultrasonography was performed on the day before ileocolonoscopy. Ultrasonographic findings were compared with the results of ileocolonoscopy, used as the reference method. Results: Peristalsis was recorded in all segments of the control subjects; the thickness of the terminal ileum was always less than 2.5 mm, and that of the large bowel, 2 mm or less. In the two patient subgroups, the thickness range of affected ileal and colonic segments was similar, but values were significantly different from those of the control subjects (chi-square test, p <0.0001). The overall sensitivity of the method was 88%, and the specificity, 93%. Conclusion: Transabdominal ultrasonography should prove to be a useful clinical and investigational technique, although further studies are needed to assess its value in the treatment of children with IBD.
引用
收藏
页码:147 / 151
页数:5
相关论文
共 10 条
[1]   SONOGRAPHIC DETECTION OF POSTSURGICAL RECURRENCE OF CROHN DISEASE [J].
DICANDIO, G ;
MOSCA, F ;
CAMPATELLI, A ;
BIANCHINI, M ;
DELIA, F ;
DELLAGIOVAMPAOLA, C .
AMERICAN JOURNAL OF ROENTGENOLOGY, 1986, 146 (03) :523-526
[2]   ULTRASOUND DEMONSTRATION OF BOWEL WALL THICKNESS IN INFLAMMATORY BOWEL-DISEASE [J].
DUBBINS, PA .
CLINICAL RADIOLOGY, 1984, 35 (03) :227-231
[3]  
HATA J, 1992, AM J GASTROENTEROL, V87, P443
[4]   DIAGNOSIS OF INFLAMMATORY BOWEL-DISEASE WITH ULTRASOUND - AN INVITRO STUDY [J].
KIMMEY, MB ;
WANG, KY ;
HAGGITT, RC ;
MACK, LA ;
SILVERSTEIN, FE .
INVESTIGATIVE RADIOLOGY, 1990, 25 (10) :1085-1090
[5]   HISTOLOGIC CORRELATES OF GASTROINTESTINAL ULTRASOUND IMAGES [J].
KIMMEY, MB ;
MARTIN, RW ;
HAGGITT, RC ;
WANG, KY ;
FRANKLIN, DW ;
SILVERSTEIN, FE .
GASTROENTEROLOGY, 1989, 96 (02) :433-441
[6]   SONOGRAPHY OF INFLAMMATORY BOWEL-DISEASE - FINDINGS AND VALUE IN DIFFERENTIAL-DIAGNOSIS [J].
LIM, JH ;
KO, YT ;
LEE, DH ;
LIM, JW ;
KIM, TH .
AMERICAN JOURNAL OF ROENTGENOLOGY, 1994, 163 (02) :343-347
[8]   ULTRASONOGRAPHIC DIAGNOSIS OF JUVENILE COLONIC POLYPS [J].
NAGITA, A ;
AMEMOTO, K ;
YODEN, A ;
YAMAZAKI, T ;
MINO, M ;
MIYOSHI, H .
JOURNAL OF PEDIATRICS, 1994, 124 (04) :535-540
[9]   ACTIVITY OF CROHN-DISEASE ASSESSED BY MEASUREMENT OF SUPERIOR MESENTERIC-ARTERY FLOW WITH DOPPLER US [J].
VANOOSTAYEN, JA ;
WASSER, MNJM ;
VANHOGEZAND, RA ;
GRIFFIOEN, G ;
DEROOS, A .
RADIOLOGY, 1994, 193 (02) :551-554
[10]   ULTRASOUND FINDINGS IN CROHNS-DISEASE AND ULCERATIVE-COLITIS - A PROSPECTIVE-STUDY [J].
WORLICEK, H ;
LUTZ, H ;
HEYDER, N ;
MATEK, W .
JOURNAL OF CLINICAL ULTRASOUND, 1987, 15 (03) :153-163