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Impact of intestinal ultrasound with a portable system in the management of Crohn’s disease

Gastroenterology Report 2021年第5期9卷 418-426,I0002页

作者： Can Gonen Ali Surmelioglu Koray Kochan Serhat Ozer ekrem aslan Metin Tilki Department of Gastroenterology School of MedicineAcibadem Mehmet Ali Aydınlar UniversityIstanbulTurkey Department of Gastroenterology Haydarpasa Numune Training and Research HospitalIstanbulTurkey Department of General Surgery Haydarpasa Numune Training and Research HospitalIstanbulTurkey

Background:Intestinal ultrasound(IUS)is a valid cross-sectional imaging technique for the evaluation of Crohn’s disease(CD).With advancements in technology,portable ultrasound systems are becoming widely available,and the inevitable change to their use by non-radiologist clinicians would be a valuable contribution to improving patient *** study aimed to investigate the diagnostic yield of IUS examination performed by a gastroenterologist with a portable system as an adjunct imaging modality in the routine care of CD ***:A total of 117 CD patients were assessed by IUS ***-and post-IUS clinical-management decisions were *** primary outcome was to evaluate the change in the patients’clinical-management decision following the IUS *** diagnostic accuracy was compared against the reference decision reached via a multidisiplinary meeting after the evaluation of all patient-related *** endoscopic disease activity was determined using the simple endoscopic score for Crohn’s disease(SES-CD).Results:The initial clinical-management decision was changed in 47 patients(40.2%)after the IUS examination(P=0.001).The accuracy of patient-management decisions improved from 63.2%to 90.6%in comparison to reference decisions(P<0.001).After IUS examination,a further 13 cases(11.1%)were identified for urgent surgical/interventional *** accuracy of colonoscopic(SES-CD≥3)assessment was shown to be comparable to that of IUS(94%vs 91%).The sensitivity for disease presence was 95%with colonoscopy and 94%with the IUS ***:IUS examination with the use of a portable ultrasonography system significantly improves clinicalmanagement *** further supporting data,this practice would possibly become a requirement for CD management.

关键词： Crohn’s disease inflammatory bowel diseases point-of-care portable ultrasound monitoring

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