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The Update Of Ultrasound Techniques In Diagnosis Of Inflammatory Bowel Disease | 12253
OMICS Journal of Radiology
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Transabdominal bowel sonography (TABS) with high-frequency ultrasound (US) is a fast, efficient, cheap, well accepted way
of examining the intestine, with no radiation hazards. It can detect the increase of bowel wall thickness (BWT) which is
considered a specific feature for inflammatory bowel disease (IBD) with or without loss of stratification or loss of haustra. Also the
color Doppler technique can detect the blood flow within the bowel wall as possible sign of inflammation, helping in assessment
of IBD activity. The aim of our work was to assess the value of high resolution abdominal ultrasound and color Doppler in the
diagnosis of IBD and its complications. This study was conducted on forty patients presenting to the Gastrointestinal and Liver
Endoscopy Unit, Cairo University, having colonic symptoms; twenty diagnosed endoscopically and histopathologically as IBD
and the other twenty-control groups had colonic non-diarrhea symptoms but no endoscopically detected lesions. Our results
were; 85% accuracy for high-resolution ultrasound in diagnosis of IBD based on increased BWT, (but it could not differentiate
between different types of inflammatory bowel conditions which also presented by increase in the BWT) and 75% accuracy for
color Doppler which is important in detecting the hypervascularity as a sign of inflammation. We concluded that US is helpful
in localization, follow up and monitoring of treatment of IBD and the pulsed Doppler can be used for follow up of the changes in
the pulsed Doppler as those patients undergo multiple period of remission and relapse.
Maryse Y. Awadallah, lecturer of radiodiagnosis, faculty of medicine Cairo University, completed her M.D. and became a lecturer in 2010.
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