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Published in: International Journal of Colorectal Disease 4/2008

01-04-2008 | Review

Bowel ultrasound in Crohn’s disease: surgical perspective

Authors: Giovanni Maconi, Gianluca M. Sampietro, Alessandra Sartani, Gabriele Bianchi Porro

Published in: International Journal of Colorectal Disease | Issue 4/2008

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Abstract

Background

Bowel ultrasound has been proven to be a useful tool in the management of Crohn’s disease, particularly in the assessment of intra-abdominal complications, most of which require surgery.

Materials and methods

The National Library of Medicine has been searched for articles on the use of bowel ultrasound in Crohn’s disease focusing on aspects of interest to the surgeon.

Results and conclusions

Several studies have demonstrated that bowel ultrasound may be useful to reduce the risk of unnecessary laparotomy in patients presenting acute abdomen with suspected chronic inflammatory bowel disease. Bowel ultrasound has been proven to be of value in the follow-up of Crohn’s disease patients since allowing early diagnosis of intra-abdominal complications and, therefore, optimising the diagnostic and surgical approach. At follow-up, bowel ultrasound may accurately diagnose early post-operative complications and long-term disease recurrence. In patients submitted to conservative surgery, ultrasonography reveals changes in diseased bowel walls that may be predictive of recurrence of the disease, and hence determinant in the choice of medical treatment.
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Metadata
Title
Bowel ultrasound in Crohn’s disease: surgical perspective
Authors
Giovanni Maconi
Gianluca M. Sampietro
Alessandra Sartani
Gabriele Bianchi Porro
Publication date
01-04-2008
Publisher
Springer-Verlag
Published in
International Journal of Colorectal Disease / Issue 4/2008
Print ISSN: 0179-1958
Electronic ISSN: 1432-1262
DOI
https://doi.org/10.1007/s00384-007-0418-4

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