Intestinal Ultrasound in the Assessment of Luminal Crohn’s Disease

Crohn’s disease is a chronic inflammatory disease affecting the gastrointestinal tract. Expert guidelines now recommend regular objective assessments as part of a treat-to-target approach. Intestinal ultrasound provides a noninvasive, patient-friendly modality for assessing Crohn’s disease without t...

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Main Authors: Anuj Bohra, Daniel R. Van Langenberg, Abhinav Vasudevan
Format: Article
Language:English
Published: MDPI AG 2022-09-01
Series:Gastrointestinal Disorders
Subjects:
Online Access:https://www.mdpi.com/2624-5647/4/4/24
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author Anuj Bohra
Daniel R. Van Langenberg
Abhinav Vasudevan
author_facet Anuj Bohra
Daniel R. Van Langenberg
Abhinav Vasudevan
author_sort Anuj Bohra
collection DOAJ
description Crohn’s disease is a chronic inflammatory disease affecting the gastrointestinal tract. Expert guidelines now recommend regular objective assessments as part of a treat-to-target approach. Intestinal ultrasound provides a noninvasive, patient-friendly modality for assessing Crohn’s disease without the risk of radiation exposure and does not require fasting or bowel preparation. Enhancement techniques, including oral and intravenous contrast, can improve disease-activity and complication detection. Due to its acceptability, intestinal ultrasound can be performed frequently, allowing for closer disease-activity monitoring and treatment adjustments. There have been significant advances in the utility of intestinal ultrasound; particularly for assessing disease activity during pregnancy and fibrosis detection utilising elastography. This review provides a comprehensive overview of performing intestinal ultrasound, the diagnostic accuracy, role in disease-activity monitoring, and recent advances in utilising ultrasound for the assessment of luminal Crohn’s disease.
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spelling doaj.art-2296311c7a1e4064882da0b03386b1422023-11-24T15:00:18ZengMDPI AGGastrointestinal Disorders2624-56472022-09-014424926210.3390/gidisord4040024Intestinal Ultrasound in the Assessment of Luminal Crohn’s DiseaseAnuj Bohra0Daniel R. Van Langenberg1Abhinav Vasudevan2Department of Gastroenterology, Eastern Health, Box Hill, VIC 3128, AustraliaDepartment of Gastroenterology, Eastern Health, Box Hill, VIC 3128, AustraliaDepartment of Gastroenterology, Eastern Health, Box Hill, VIC 3128, AustraliaCrohn’s disease is a chronic inflammatory disease affecting the gastrointestinal tract. Expert guidelines now recommend regular objective assessments as part of a treat-to-target approach. Intestinal ultrasound provides a noninvasive, patient-friendly modality for assessing Crohn’s disease without the risk of radiation exposure and does not require fasting or bowel preparation. Enhancement techniques, including oral and intravenous contrast, can improve disease-activity and complication detection. Due to its acceptability, intestinal ultrasound can be performed frequently, allowing for closer disease-activity monitoring and treatment adjustments. There have been significant advances in the utility of intestinal ultrasound; particularly for assessing disease activity during pregnancy and fibrosis detection utilising elastography. This review provides a comprehensive overview of performing intestinal ultrasound, the diagnostic accuracy, role in disease-activity monitoring, and recent advances in utilising ultrasound for the assessment of luminal Crohn’s disease.https://www.mdpi.com/2624-5647/4/4/24intestinal ultrasoundCrohn’s diseasediagnostics
spellingShingle Anuj Bohra
Daniel R. Van Langenberg
Abhinav Vasudevan
Intestinal Ultrasound in the Assessment of Luminal Crohn’s Disease
Gastrointestinal Disorders
intestinal ultrasound
Crohn’s disease
diagnostics
title Intestinal Ultrasound in the Assessment of Luminal Crohn’s Disease
title_full Intestinal Ultrasound in the Assessment of Luminal Crohn’s Disease
title_fullStr Intestinal Ultrasound in the Assessment of Luminal Crohn’s Disease
title_full_unstemmed Intestinal Ultrasound in the Assessment of Luminal Crohn’s Disease
title_short Intestinal Ultrasound in the Assessment of Luminal Crohn’s Disease
title_sort intestinal ultrasound in the assessment of luminal crohn s disease
topic intestinal ultrasound
Crohn’s disease
diagnostics
url https://www.mdpi.com/2624-5647/4/4/24
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