Transperineal Ultrasonography in Perianal Crohn Disease: A Valuable Imaging Modality
Aims of treatment for Crohn disease have moved beyond the resolution of clinical symptoms to objective end points including endoscopic and radiological normality. Regular re-evaluation of disease status to safely, readily and reliably detect the presence of inflammation and complications is paramoun...
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| Format: | Article |
| Language: | English |
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Wiley
2015-01-01
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| Series: | Canadian Journal of Gastroenterology and Hepatology |
| Online Access: | http://dx.doi.org/10.1155/2015/120123 |
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| author | Emily K Wright Kerri L Novak Cathy Lu Remo Panaccione Subrata Ghosh Stephanie R Wilson |
| author_facet | Emily K Wright Kerri L Novak Cathy Lu Remo Panaccione Subrata Ghosh Stephanie R Wilson |
| author_sort | Emily K Wright |
| collection | DOAJ |
| description | Aims of treatment for Crohn disease have moved beyond the resolution of clinical symptoms to objective end points including endoscopic and radiological normality. Regular re-evaluation of disease status to safely, readily and reliably detect the presence of inflammation and complications is paramount. Improvements in sonographic technology over recent years have facilitated a growing enthusiasm among radiologists and gastroenterologists in the use of ultrasound for the assessment of inflammatory bowel disease. Transabdominal intestinal ultrasound is accurate, affordable and safe for the assessment of lumi-nal inflammation and complications in Crohn disease, and can be performed with or without the use of intravenous contrast enhancement. Perianal fistulizing disease is a common, complex and often treatment-refractory complication of Crohn disease, which requires regular radiological monitoring. Endoanal ultrasound is invasive, uncomfortable and yields limited assessment of the perineal region. Although magnetic resonance imaging of the pelvis is established, timely access may be a problem. Transperineal ultrasound has been described in small studies, and is an accurate, painless and cost-effective method for documenting perianal fluid collections, fistulas and sinus tracts. In the present article, the authors review the literature regarding perineal ultrasound for the assessment of perianal Crohn disease and use case examples to illustrate its clinical utility. |
| format | Article |
| id | doaj-art-efeb893d7b6549d7b83f282cd868ed61 |
| institution | Kabale University |
| issn | 2291-2789 2291-2797 |
| language | English |
| publishDate | 2015-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Canadian Journal of Gastroenterology and Hepatology |
| spelling | doaj-art-efeb893d7b6549d7b83f282cd868ed612025-02-03T06:07:24ZengWileyCanadian Journal of Gastroenterology and Hepatology2291-27892291-27972015-01-0129844544710.1155/2015/120123Transperineal Ultrasonography in Perianal Crohn Disease: A Valuable Imaging ModalityEmily K Wright0Kerri L Novak1Cathy Lu2Remo Panaccione3Subrata Ghosh4Stephanie R Wilson5Department of Medicine, Division of Gastroenterology, University of Calgary, Foothills Medical Centre, Calgary, Alberta, CanadaDepartment of Medicine, Division of Gastroenterology, University of Calgary, Foothills Medical Centre, Calgary, Alberta, CanadaDepartment of Medicine, Division of Gastroenterology, University of Calgary, Foothills Medical Centre, Calgary, Alberta, CanadaDepartment of Medicine, Division of Gastroenterology, University of Calgary, Foothills Medical Centre, Calgary, Alberta, CanadaDepartment of Medicine, Division of Gastroenterology, University of Calgary, Foothills Medical Centre, Calgary, Alberta, CanadaDepartment of Medicine, Division of Gastroenterology, University of Calgary, Foothills Medical Centre, Calgary, Alberta, CanadaAims of treatment for Crohn disease have moved beyond the resolution of clinical symptoms to objective end points including endoscopic and radiological normality. Regular re-evaluation of disease status to safely, readily and reliably detect the presence of inflammation and complications is paramount. Improvements in sonographic technology over recent years have facilitated a growing enthusiasm among radiologists and gastroenterologists in the use of ultrasound for the assessment of inflammatory bowel disease. Transabdominal intestinal ultrasound is accurate, affordable and safe for the assessment of lumi-nal inflammation and complications in Crohn disease, and can be performed with or without the use of intravenous contrast enhancement. Perianal fistulizing disease is a common, complex and often treatment-refractory complication of Crohn disease, which requires regular radiological monitoring. Endoanal ultrasound is invasive, uncomfortable and yields limited assessment of the perineal region. Although magnetic resonance imaging of the pelvis is established, timely access may be a problem. Transperineal ultrasound has been described in small studies, and is an accurate, painless and cost-effective method for documenting perianal fluid collections, fistulas and sinus tracts. In the present article, the authors review the literature regarding perineal ultrasound for the assessment of perianal Crohn disease and use case examples to illustrate its clinical utility.http://dx.doi.org/10.1155/2015/120123 |
| spellingShingle | Emily K Wright Kerri L Novak Cathy Lu Remo Panaccione Subrata Ghosh Stephanie R Wilson Transperineal Ultrasonography in Perianal Crohn Disease: A Valuable Imaging Modality Canadian Journal of Gastroenterology and Hepatology |
| title | Transperineal Ultrasonography in Perianal Crohn Disease: A Valuable Imaging Modality |
| title_full | Transperineal Ultrasonography in Perianal Crohn Disease: A Valuable Imaging Modality |
| title_fullStr | Transperineal Ultrasonography in Perianal Crohn Disease: A Valuable Imaging Modality |
| title_full_unstemmed | Transperineal Ultrasonography in Perianal Crohn Disease: A Valuable Imaging Modality |
| title_short | Transperineal Ultrasonography in Perianal Crohn Disease: A Valuable Imaging Modality |
| title_sort | transperineal ultrasonography in perianal crohn disease a valuable imaging modality |
| url | http://dx.doi.org/10.1155/2015/120123 |
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