Transperineal ultrasonography for evaluation of the perianal fistula and abscess in pediatric Crohn disease: preliminary study
Purpose: To assess the feasibility and effectiveness of transperineal ultrasonography (TPUS) for the evaluation of perianal Crohn’s disease (PCD) in pediatric patients. Methods: Between September 2010 and August 2013, 64 TPUS examinations were performed in 43 patients (34 males and 9 females; mean a...
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| Format: | Article |
| Language: | English |
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Korean Society of Ultrasound in Medicine
2014-07-01
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| Series: | Ultrasonography |
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| Online Access: | http://www.e-ultrasonography.org/upload/usg-14009.pdf |
| _version_ | 1819081569701199872 |
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| author | Jae-Yeon Hwang Hye-Kyung Yoon Wee Kyung Kim Young Ah Cho Jin Seong Lee Chong Hyun Yoon Yeoun Joo Lee Kyung Mo Kim |
| author_facet | Jae-Yeon Hwang Hye-Kyung Yoon Wee Kyung Kim Young Ah Cho Jin Seong Lee Chong Hyun Yoon Yeoun Joo Lee Kyung Mo Kim |
| author_sort | Jae-Yeon Hwang |
| collection | DOAJ |
| description | Purpose: To assess the feasibility and effectiveness of transperineal ultrasonography (TPUS) for the evaluation of perianal Crohn’s disease (PCD) in pediatric patients.
Methods: Between September 2010 and August 2013, 64 TPUS examinations were performed in 43 patients (34 males and 9 females; mean age ± standard deviation, 13.3 ± 2.4 years; age range, 6–17 years) to evaluate the PCD. The pain severity, location and activity of perianal fistula, the presence of an abscess, and anal canal hyperemia was retrospectively evaluated. Spearman’s rank correlation analysis was performed to assess the relationship between the severity of the pain and the fistula activity, the presence of an abscess, and anal canal hyperemia.
Results: All examinations were successfully performed Thirty-nine examinations (60.9%) were performed without any pain experienced by the patient, 19 examinations (29.7%) with mild pain, five examinations (7.8%) with moderate pain, and one examination (1.6%) with severe pain. The pain severity was correlated with the fistula activity (P<0.01). An anterior fistula location was more common than a posterior location. Active fistulas and abscesses were identified during 30 (48.4%) and 12 (18.8%) examinations, respectively. Anal canal hyperemia was identified in 31 (48.4 %) examinations.
Conclusion: TPUS with color Doppler study is useful for visualizing the perianal fistula or abscess and for assessing their inflammatory activity in pediatric Crohn patients. |
| first_indexed | 2024-12-21T20:02:52Z |
| format | Article |
| id | doaj.art-cffb025176a44716aafc7a2f5ff2f640 |
| institution | Directory Open Access Journal |
| issn | 2288-5919 |
| language | English |
| last_indexed | 2024-12-21T20:02:52Z |
| publishDate | 2014-07-01 |
| publisher | Korean Society of Ultrasound in Medicine |
| record_format | Article |
| series | Ultrasonography |
| spelling | doaj.art-cffb025176a44716aafc7a2f5ff2f6402022-12-21T18:51:55ZengKorean Society of Ultrasound in MedicineUltrasonography2288-59192014-07-0133318419010.14366/usg.1400935Transperineal ultrasonography for evaluation of the perianal fistula and abscess in pediatric Crohn disease: preliminary studyJae-Yeon Hwang0Hye-Kyung Yoon1Wee Kyung Kim2Young Ah Cho3Jin Seong Lee4Chong Hyun Yoon5Yeoun Joo Lee6Kyung Mo Kim7Department of Radiology, Pusan National University Yangsan Hospital, Yangsan, KoreaDepartment of Radiology and Research Institute of Radiology, Asan Medical Center, University of Ulsan College of Medicine, Seoul, KoreaDepartment of Radiology and Research Institute of Radiology, Asan Medical Center, University of Ulsan College of Medicine, Seoul, KoreaDepartment of Radiology and Research Institute of Radiology, Asan Medical Center, University of Ulsan College of Medicine, Seoul, KoreaDepartment of Radiology and Research Institute of Radiology, Asan Medical Center, University of Ulsan College of Medicine, Seoul, KoreaDepartment of Radiology and Research Institute of Radiology, Asan Medical Center, University of Ulsan College of Medicine, Seoul, KoreaDepartment of Pediatrics, Pusan National University Children's Hospital, Yangsan, KoreaDepartment of Pediatrics, Asan Medical Center Children's Hospital, University of Ulsan College of Medicine, Seoul, KoreaPurpose: To assess the feasibility and effectiveness of transperineal ultrasonography (TPUS) for the evaluation of perianal Crohn’s disease (PCD) in pediatric patients. Methods: Between September 2010 and August 2013, 64 TPUS examinations were performed in 43 patients (34 males and 9 females; mean age ± standard deviation, 13.3 ± 2.4 years; age range, 6–17 years) to evaluate the PCD. The pain severity, location and activity of perianal fistula, the presence of an abscess, and anal canal hyperemia was retrospectively evaluated. Spearman’s rank correlation analysis was performed to assess the relationship between the severity of the pain and the fistula activity, the presence of an abscess, and anal canal hyperemia. Results: All examinations were successfully performed Thirty-nine examinations (60.9%) were performed without any pain experienced by the patient, 19 examinations (29.7%) with mild pain, five examinations (7.8%) with moderate pain, and one examination (1.6%) with severe pain. The pain severity was correlated with the fistula activity (P<0.01). An anterior fistula location was more common than a posterior location. Active fistulas and abscesses were identified during 30 (48.4%) and 12 (18.8%) examinations, respectively. Anal canal hyperemia was identified in 31 (48.4 %) examinations. Conclusion: TPUS with color Doppler study is useful for visualizing the perianal fistula or abscess and for assessing their inflammatory activity in pediatric Crohn patients.http://www.e-ultrasonography.org/upload/usg-14009.pdfUltrasonography Transperineal Crohn disease Pediatric |
| spellingShingle | Jae-Yeon Hwang Hye-Kyung Yoon Wee Kyung Kim Young Ah Cho Jin Seong Lee Chong Hyun Yoon Yeoun Joo Lee Kyung Mo Kim Transperineal ultrasonography for evaluation of the perianal fistula and abscess in pediatric Crohn disease: preliminary study Ultrasonography Ultrasonography Transperineal Crohn disease Pediatric |
| title | Transperineal ultrasonography for evaluation of the perianal fistula and abscess in pediatric Crohn disease: preliminary study |
| title_full | Transperineal ultrasonography for evaluation of the perianal fistula and abscess in pediatric Crohn disease: preliminary study |
| title_fullStr | Transperineal ultrasonography for evaluation of the perianal fistula and abscess in pediatric Crohn disease: preliminary study |
| title_full_unstemmed | Transperineal ultrasonography for evaluation of the perianal fistula and abscess in pediatric Crohn disease: preliminary study |
| title_short | Transperineal ultrasonography for evaluation of the perianal fistula and abscess in pediatric Crohn disease: preliminary study |
| title_sort | transperineal ultrasonography for evaluation of the perianal fistula and abscess in pediatric crohn disease preliminary study |
| topic | Ultrasonography Transperineal Crohn disease Pediatric |
| url | http://www.e-ultrasonography.org/upload/usg-14009.pdf |
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