Digestive Diseases and Sciences

, Volume 41, Issue 8, pp 1643–1648

Ultrasonographic detection of intestinal complications in Crohn's disease

  • Giovanni Maconi
  • Simona Bollani
  • Gabriele Bianchi Porro
Intestinal Disorders, Inflammatory Bowel Disease, Immunology, And Microbiology

DOI: 10.1007/BF02087914

Cite this article as:
Maconi, G., Bollani, S. & Bianchi Porro, G. Digest Dis Sci (1996) 41: 1643. doi:10.1007/BF02087914
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Abstract

The aim of this study was to evaluate the sensitivity and specificity of ultrasound (US) in assessing the main abdominal complications of Crohn's disease (CD), such as strictures, fistulas and abscesses. A series of 98 consecutive inpatients with complicated and uncomplicated Crohn's disease, having undergone a complete endoscopic and radiographic evaluation of the intestinal tract, entered the study. In particular, in these patients the presence of strictures, fistulas, and abscesses, detected by means of colonoscopy, small bowel x-ray, double-contrast barium enema, and computed tomography, was also assessed by means of transabdominal US. US sensitivity and specificity in the assessment of stenosis of Crohn's disease were 74.4% and 93.1%, respectively. When ileal and colonic stenosis were considered separately, transabdominal US correctly assessed 84.6% of ileal stenosis and 58.8% of colonic stenosis. Eight of 12 fistulas were detected, but only 50% of enteroenteric fistulas were diagnosed. The presence of abscesses was correctly detected in 83.3% of cases by means of US. Our data suggest that US is a suitable complementary method for the detection of abdominal complications of Crohn's disease, such as strictures and abscesses; however, its usefulness in assessing enteroenteric fistulas seems to be fairly limited.

Key words

ultrasoundCrohn's diseasestenosisfistulasabscesses

Copyright information

© Plenum Publishing Corporation 1996

Authors and Affiliations

  • Giovanni Maconi
    • 1
  • Simona Bollani
    • 1
  • Gabriele Bianchi Porro
    • 1
  1. 1.From the Department of GastroenterologyL. Sacco University HospitalMilanItaly
  2. 2.Gastrointestinal UnitOspedale “L. Sacco”MilanItaly