Sonography of inflammatory bowel disease: findings and value in differential diagnosis.

Sonography of inflammatory bowel disease: findings and value in differential diagnosis. Research Abstract Details 

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Sonography of inflammatory bowel disease: findings and value in differential diagnosis. Abstract Text:

J H Lim,Y T Ko,D H Lee,J W Lim,T H Kim,

OBJECTIVE. Inflammatory bowel diseases produce segmental or diffuse mural thickening of the intestine that can be detected and evaluated by using sonography. The purpose of this study was to evaluate the sonographic findings and determine their diagnostic value in patients with inflammatory bowel diseases. MATERIALS AND METHODS. We reviewed sonograms of 81 patients with inflammatory bowel diseases. The findings were compared with those of barium study, colonoscopy, and surgery. Forty-five patients had tuberculous enterocolitis, 13 had ulcerative colitis, eight had Crohn's disease, five had ischemic colitis, two had Behçet's syndrome, and eight had unspecified colitis. Diagnosis was based on surgical and pathologic findings in 23; results of barium study and endoscopic biopsy in 20; and results of barium study, colonoscopic findings, and clinical findings in 38. RESULTS. Seventy-two patients (89%) had sonograms that showed segmental or diffuse mural thickening and a paucity of luminal content in the involved bowel. Involved areas were the ileocecal region in the cases of tuberculous enterocolitis and Behçet's syndrome, the left side of the colon in ulcerative colitis, and the colon and terminal part of the ileum in Crohn's disease. In ischemic colitis, the distribution of involved bowel was nonspecific. Sonographic findings correlated well with the findings of barium enema or colonoscopy in terms of the involved segments of the bowel. Mesenteric lymphadenitis, omental thickening, and ascites were frequently observed in cases of tuberculous enterocolitis. CONCLUSION. Sonographic evidence of mural thickening of the bowel with a paucity of luminal content may be helpful in the detection of inflammatory bowel diseases. However, the findings are nonspecific, and the differential diagnosis must be related to the specific segment of the bowel involved.

Sonography of inflammatory bowel disease: findings and value in differential diagnosis. Publishing Authors By Initials

JH Lim,YT Ko,DH Lee,JW Lim,TH Kim,

For similar bacterial infections and mycoses: bacterial infections: gram-positive bacterial infections: actinomycetales infections: mycobacterium infections: tuberculosis: tuberculosis, gastrointestinal research abstracts see: bacterial infections and mycoses: bacterial infections: gram-positive bacterial infections: actinomycetales infections: mycobacterium infections: tuberculosis: tuberculosis, gastrointestinal research

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Sonography of inflammatory bowel disease: findings and value in differential diagnosis. Journal Published:

PUBLICATION TYPE: Journal Article

Journal: AJR. American journal of roentgenology

VOLUME: 163

Page Numbers: 343-7

Journal Abbreviation:

ISSN: 0361-803X

DAY: 15

MONTH: Aug

YEAR: 1994

Sonography of inflammatory bowel disease: findings and value in differential diagnosis. Information

Number of References:

LANGUAGE: eng

NlmUniqueID: 7708173

Sonography of inflammatory bowel disease: findings and value in differential diagnosis. Keywords Mesh Terms:

KEYWORDS: Tuberculosis, Gastrointestinal

MESH TERMS: ultrasonography

Chemical & Substance for Abstract: Sonography of inflammatory bowel disease: findings and value in differential diagnosis. Information

Substance Name: Barium Sulfate

Registry Number: 7727-43-7

Grant and Affiliation Information for Sonography of inflammatory bowel disease: findings and value in differential diagnosis.

AFFILIATION: Department of Diagnostic Radiology, Kyung Hee University Hospital, Seoul, Korea.

Country: UNITED STATES

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MEDLINETA: AJR Am J Roentgenol

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