Clinical Feature and Bowel Ultrasound in Crohn’s Disease – Does Additional Information from Magnetic Resonance Imaging Affect Therapeutic Approach and When Does Extended Diagnostic Investigation Make Sense?

URN zum Zitieren dieses Dokuments:

urn:nbn:de:bvb:355-epub-409049 Copy

DOI zum Zitieren dieses Dokuments:

10.5283/epub.40904 Copy

Ott, Claudia ; Girlich, Christiane ; Strauch, Ulrike ; Schacherer, Doris ; Obermeier, Florian ; Jung, Ernst Michael ; Schölmerich, Jürgen ; Schreyer, Andreas Georg ; Klebl, Frank

Vorschau

PDF - Veröffentlichte Version (115kB)

Veröffentlichungsdatum dieses Volltextes: 24 Okt 2019 12:09

---

Alternative Links zum Volltext:DOIVerlag

---

---

Details

Dokumentenart:	Artikel
Open Access Art:	Allianz-/Nationallizenz
Titel eines Journals oder einer Zeitschrift:	Digestion
Verlag:	Karger
Band:	83
Seitenbereich:	S. 18-23
Datum:	2011
Zusätzliche Informationen (Öffentlich):	OA-Komponente aus Allianzlizenz
Institutionen:	Medizin > Lehrstuhl für Innere Medizin I Medizin > Lehrstuhl für Röntgendiagnostik
Identifikationsnummer:	Wert Typ 10.1159/000314590 DOI
Stichwörter / Keywords:	Crohn’s disease, MR enterography, Ultrasound, Therapeutic approach
Dewey-Dezimal-Klassifikation:	600 Technik, Medizin, angewandte Wissenschaften > 610 Medizin
Status:	Veröffentlicht
Begutachtet:	Ja, diese Version wurde begutachtet
An der Universität Regensburg entstanden:	Ja
Dokumenten-ID:	40904

Vorschau

Bibliographische Daten exportieren

ASCII CitationAtomBibTeXData Cite XMLDataCite XML OAIDublin CoreDublin Core (LZV)EndNoteHTML CitationJSONJSON LDMETSMODSOPENAIREOpenAPCRDF+N-TriplesRDF+N3RDF+XMLReferReference ManagerSimple MetadataXMLopenCostxMetaDissPlus

---

Zusammenfassung

Background/Aims: Some suggest MRI to be superior to ultrasound in Crohn’s disease. We analyzed how often MR enterography (MRE) following a routine ultrasound leads to a change in therapeutic decision. Material and Methods: We retrospectively evaluated 47 patients with Crohn’s disease undergoing routine ultrasound examination. Actual medical history, complete blood count, C-reactive protein (CRP), ...

Zusammenfassung

Background/Aims: Some suggest MRI to be superior to ultrasound in Crohn’s disease. We analyzed how often MR enterography (MRE) following a routine ultrasound leads to a change in therapeutic decision. Material and Methods: We retrospectively evaluated 47 patients with Crohn’s disease undergoing routine ultrasound examination. Actual medical history, complete blood count, C-reactive protein (CRP), and sonographic findings were assessed independently by two specialists who retrospectively provided a therapeutic proposal. Additionally, all patients received MRE. Thereafter, the specialists had to provide a new therapeutic concept regarding all the available information. Results: Evaluation of the rectum was not successful by ultrasound, but MRE gave good results. Only 1 of 7 abscesses was identified sonographically. Three of the abscesses missed at sonography were localized in the perirectal/perianal region. MRE detected more inflamed bowel segments, but ultrasound assessment of anatomically fixed bowel parts showed good recognition by MRE. With increasing CRP values, we found more positive results of ultrasound and MRE. Therapeutic change was suggested in only 18 patients. Conclusions: Ultrasound should be performed by an experienced examiner, and a proctological examination should be added. MRE is justified in cases of discrepancy between clinical findings and the results of diagnostic ultrasound and, moreover, if Crohn’s lesions are suspected at sites proximal to the terminal or neoterminal ileum.

---

---

Metadaten zuletzt geändert: 29 Sep 2021 07:41

Nur für Besitzer und Autoren: Kontrollseite des Eintrags

Downloadstatistik

Downloadstatistik

Downloadstatistik

Downloadstatistik

Downloads

Downloads im Monat während des letzten Jahres

Altmetric

Altmetric

Altmetric

Alternative Statistik (altmetrics)

Weitere Literatur (mittels CORE)

Weitere Literatur (mittels CORE)

Weitere Literatur (mittels CORE)

Weitere Literatur (mittels CORE)