Features of intestinal ultrasound in patients with complicated course of Crohn’s disease

Résumé fourni par la source

The objective was to study the features of intestinal ultrasound examination in patients with complicated Crohn’s disease (CD). To specify equipment settings and parameters, and to develop ultrasonographic criteria for diagnosing CD complications. Methods and materials. Intestinal ultrasound was performed in 68 patients with complicated CD. The examinations were conducted using a specific pre-set equipment mode. Results. New equipment settings for intestinal examination were studied and implemented. Ultrasonographic criteria for inflammatory bowel changes were developed and applied. Ultrasonographic signs of fibrotic changes in the bowel wall were described, along with distinguishing features between inflammatory and fibrotic alterations in the area of intestinal strictures. The application of these new diagnostic techniques in CD patients increased the method’s sensitivity to 90.3–94.1 % and specificity to 97.1–100 % (p<0.05), depending on the disease phenotype. Conclusions. The implementation of a refined ultrasound examination protocol for patients with Crohn’s disease and the application of established criteria for assessing intestinal inflammatory processes improved the accuracy of diagnosing complications of this disease.

Ce résumé expose les affirmations des auteurs. BNTIC ne l’interprète pas comme une validation indépendante des résultats.