TITLE:
Value of transabdominal bowel ultrasonography and splanchic vascular parameters in the evaluation of inflammatory bowel disease
AUTHORS:
Manal Kamel, Magdy El-Serafy, Hussein Attia, Hanan Abdeel-Haleem, Naglaa Zayed, Maha Hasab-Allah, Zakaria Salama
KEYWORDS:
Bowel Ultrasonography-Inflammatory Bowel Disease; Ulcerative Colitis; Crohn’s Disease; Splanchnic Vessels; Doppler
JOURNAL NAME:
Open Journal of Gastroenterology,
Vol.3 No.2,
May
29,
2013
ABSTRACT: Background: Although non-specific, transabdominal bowel ultrasonography, in real time or in color Doppler; has been beneficial in evaluating the location, extent and activity of inflammatory bowel disease (IBD). Aim: To assess the potential role of bowel transabdominal bowel ultrasonography in the diagnosis and follow-up of IBD. Patients and Methods: A cohort of 30 adults histologically-proven active IBD patients; ulcerative colitis (UC) (n = 20), Crohn’s disease (CD) (n = 10) were prospectively assessed in addition to 20 non-IBD participants representing the control group. All participants underwent the full colonoscopy in addition to real time and color Doppler ultrasonography. Bowel wall thickness, peri-enteric changes, and hemodynamic changes in the portal vein and mesenteric arteries were recorded at initial enrollment and after complete remission in 10 IBD patients. Results: Bowel wall was significantly thickened in all active IBD patients with a significant decrease after disease quiescence in CD patients; p value p value was